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The role of screening, SIRS and qSOFA in Head and Neck Sepsis: An Audit of 104 Patients
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  • Zain Sheikh,
  • E Tian Tan,
  • Sunday Ifedayo,
  • Quraishi M Shahed
Zain Sheikh
Doncaster Royal Infirmary
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E Tian Tan
Doncaster Royal Infirmary
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Sunday Ifedayo
West End Clinic
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Quraishi M Shahed
University of Sheffield Doncaster Royal Infirmary
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Abstract

Key Points • Sepsis is associated with high morbidity and mortality and is a known complication of infections of the head and neck. Screening for sepsis should be conducted on admission in order to identify patients at risk and provide early intervention. • Our audit on an ENT ward in a district general hospital found that sepsis screening is poor, however this can be improved further by education and visual reminders such as poster or a clerking proforma. • The most common head and neck infections admitted to a district general hospital were tonsillitis, peritonsillar cellulitis and peritonsillar abscesses. • The incidence of sepsis as a complication of head and neck infections is very rare if diagnosed according to the updated qSOFA criteria. • Using SIRS criteria may result in falsely high rates of diagnosis of sepsis and may lead to excessive and inappropriate clinical management in patients who could otherwise be managed less aggressively.

Peer review status:ACCEPTED

10 Nov 2020Submitted to Clinical Otolaryngology
16 Nov 2020Submission Checks Completed
16 Nov 2020Assigned to Editor
01 Dec 2020Reviewer(s) Assigned
11 Jan 2021Review(s) Completed, Editorial Evaluation Pending
07 Feb 2021Editorial Decision: Revise Major
20 Mar 20211st Revision Received
05 Apr 2021Submission Checks Completed
05 Apr 2021Assigned to Editor
15 Apr 2021Reviewer(s) Assigned
10 May 2021Review(s) Completed, Editorial Evaluation Pending
15 May 2021Editorial Decision: Accept