Prevalence of systemic inflammatory response syndrome (SIRS) in hospitalized children a point prevalence study 英文参考文献.docVIP

BMC Pediatrics BioMedCentral Research article Open Access Prevalence of systemic inflammatory response syndrome (SIRS) in hospitalized children: a point prevalence study Jana Pavare*, Ilze Grope and Dace Gardovska Address: Riga Stradins University, Chair of Pediatrics, Riga, Latvia Email: Jana Pavare* - jana.pavare@inbox.lv; Ilze Grope - ilzegrope@inbox.lv; Dace Gardovska - dacegardovska@inbox.lv * Corresponding author Published: 3 April 2009 Received: 9 May 2008 Accepted: 3 April 2009 BMC Pediatrics 2009, 9:25 doi:10.1186/1471-2431-9-25 This article is available from: /1471-2431/9/25 ? 2009 Pavare et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: In accordance with the 1st International pediatric sepsis consensus conference, where sepsis was defined as SIRS associated with suspected or proven infection, we have identified the need to assess the prevalence of SIRS and sepsis in children with abnormal temperatures hospitalized in The Childrens Clinical University Hospital in Latvia. Methods: A descriptive prospective point prevalence study (using two time periods, each 24 h, randomly chosen) was conducted on all children (n = 943) treated in the hospital. All children with abnormal temperatures – fever or hypothermia (n = 92) – were included in the study. Questionnaires evaluating age-specific SIRS criteria were completed. The prevalence of SIRS was detected with 95% CI. Results: Out of a total of 943 patients treated in the hospital, 10% (n = 92) had abnormal temperatures. In all these cases the abnormal temperature was a fever; hypothermia was not established in any patient. Of the children with fever, 72% (n = 66) had SIRS. Of