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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
30th April 2016
 New sepsis guidelines
  • The term severe sepsis is redundant.
  • Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection.
  • The clinical criterion for organ dysfunction is an increase in the SOFA (Sequential Organ Failure Assessment) score of 2 or more points, which has an associated in-hospital mortality exceeding 10%.
  • Septic shock is a subset of sepsis with greater mortality risk than with sepsis alone because of particularly severe circulatory, cellular, and metabolic abnormalities.
  • Clinical criteria for septic shock are the need for a vasopressor to maintain mean arterial pressure of 65 mm Hg or greater and a serum lactate level of more than 2 mmol/L (>18 mg/dL) in the absence of hypovolemia.
  • The combination of these 2 criteria predicts hospital mortality rates exceeding 40%.
  • The task force defined a new bedside clinical score termed quick SOFA (qSOFA).
  • The qSOFA score is used to assess just 3 symptoms in patients with suspected sepsis: altered mental status, fast respiratory rate and low blood pressure. Blood tests are not required. If patients with infection show two of the three criteria, they should be considered likely to be septic.
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Lybrate Question of the Day
To combat stress and anxiety shall one take multivitamin or a good nutritional supplement daily and are there any side effects of taking a nutritional supplement daily for a longer period of time.
Dr. Amit Nagarkar, Psyciatrist, replied:
Only certain vitamins and nutrients are said to have good effects on anxiety and stress. However there is no documentary evidence to substantiate these findings. There... read more
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Take precautions against common summer ailments
New Delhi, 29th April, 2016:  With the temperature touching 42 degrees Celsius, it is important to take necessary precautions against common summer diseases like heat stroke, dehydration, flu, chicken pox and diarrhoea.
Raising awareness, Dr SS Agarwal – National President IMA & Padma Shri Awardee Dr K K Aggarwal – President Heart Care Foundation of India and Honorary Secretary General IMA said, “Summer months can cause health complications especially for high-risk patients including the elderly, young children and those suffering from lifestyle diseases such as heart disease, diabetes and hypertension. It is thus important that necessary preventive steps are taken. It is important to drink water at regular intervals even when not thirsty. 
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