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Pulmonology / Infectious Disease

SIRS Criteria + qSOFA Sepsis Screening

Bedside sepsis screening combining the classical SIRS criteria with the quick SOFA (qSOFA) score. Aligned with Sepsis-3 (JAMA 2016) and Surviving Sepsis Campaign 2021 guidelines.

SIRS Criteria (Bone 1992)

qSOFA (Sepsis-3, 2016)

SIRS

0/4

Negative

qSOFA

0/3

Low risk

Interpretation

Low immediate risk by both scores.

Action (SSC 2021 hour-1 bundle)

Continue routine monitoring. Re-score if clinical change. Remember: a single normal qSOFA / SIRS does NOT rule out early sepsis — clinical gestalt always trumps.

DoctorScribeComplete Clinic Management

The sepsis bundle, pre-filled the moment qSOFA hits 2

Every hour of delayed antibiotics in septic shock increases mortality by 7.6%. DoctorScribe's sepsis alert auto-orders lactate, cultures, and the guideline-recommended empirical antibiotic with the right dose by eGFR — so your nurse only has to confirm.

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Clinical Disclaimer: qSOFA has high specificity but poor sensitivity for early sepsis. SIRS is sensitive but non-specific. Neither replaces clinical judgement. The Sepsis-3 definition requires both infection + organ dysfunction (SOFA ≥ 2) — qSOFA is only a screen, not a diagnosis. Always consider local pathogen prevalence and antimicrobial resistance patterns. Always verify against your local prescribing reference and apply clinical judgment.

Catch sepsis 4 hours earlier — automatically

DoctorScribe continuously screens every inpatient's vitals against SIRS, qSOFA, and NEWS2. When two criteria trigger, the nurse and treating doctor get an instant alert with the hour-1 sepsis bundle pre-filled — lactate, cultures, antibiotics, fluids, vasopressors.

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