SOFA and quick SOFA are more clinically useful scoring systems than SIRS in predicting mortality of patients with acute pyelonephritis associated with upper urinary tract calculi

Sepsis in urology - where are we now? And where are we going?

CONTEXT

There has been heightened public awareness of the important issue of sepsis in the lay press in recent years with a focus on rapid detection and treatment. Within the field of Urology, how good are we at identifying, preventing and managing sepsis? Review: Reducing the morbidity and mortality associated with sepsis requires a multi-faceted approach including heightening awareness, prevention, early recognition of deterioration, escalation of care when necessary, implementation of antibiotic stewardship and the development of novel anti-microbial treatment strategies.

DISCUSSION

We review some of the aspects of sepsis management within our field that are working effectively and others that could potentially be optimised.