International paediatric consensus definitions. SIRS = ≥2 criteria, one of which must be abnormal temperature or leucocyte count.
The Paediatric SIRS / Sepsis Criteria is a Critical care scoring tool used in paediatric practice. International paediatric consensus definitions. SIRS = ≥2 criteria, one of which must be abnormal temperature or leucocyte count. It scores 4 criteria and interprets the total across 3 bands, so the number always arrives with the severity it implies rather than on its own. In PediAid each criterion is shown as a labelled option with the weight it carries, so the total can be checked rather than taken on trust.
4. They are Core temperature > 38.5 °C or < 36 °C; Leucocyte count elevated or depressed for age, or > 10 % immature neutrophils; Tachycardia >2 SD above normal for age (or bradycardia if < 1 year); Tachypnoea >2 SD above normal for age, or mechanical ventilation for an acute process.
The total is interpreted as: any score - SIRS not met: fewer than 2 criteria, or neither temperature nor leucocyte count abnormal - paediatric SIRS criteria not met; 3 SIRS criteria or more - SIRS present: sIRS criteria met. SEPSIS = SIRS plus suspected or proven infection. SEVERE SEPSIS = sepsis plus cardiovascular dysfunction, ARDS, or ≥2 other organ dysfunctions. SEPTIC SHOCK = sepsis plus cardiovascular dysfunction; 4 SIRS criteria or more - SIRS present - multiple criteria: several SIRS criteria met. If infection is suspected, treat as sepsis: cultures, early broad-spectrum antibiotics within 1 hour, fluid resuscitation and lactate.
No. It is a structured way to record and communicate severity. A clinician concerned about a child should act on that concern regardless of the total.
At least one criterion MUST be abnormal temperature or abnormal leucocyte count - the first two items carry 2 points to encode that requirement.
Yes. Score definitions are bundled with the PediAid app, so the score computes without a connection.