Christina Mavrokefalou Diamanti, Srikrishna Vempathy
SIRS criteria have been widely used in order to identify patients at risk of sepsis and these are routinely recorded in our Emergency Department. The aim of this project is to evaluate the prognostic significance of CRP among patients admitted with facial space infection when compared to SIRS criteria.
Clinical records of 50 adult patients that were admitted to the ward, following attendance to the ED, with facial space infection of odontogenic origin were reviewed. Their SIRS data on admission and CRP were recorded. Any patients that were immunocompromised were excluded from the study. SIRS did not appear to be a sensitive enough marker.
About half the patients admitted with serious infection were clinically well according to SIRS. Their CRP ranged from 22 to 353 with an average of 98. Patients were identified with a SIRS score of 0, but elevated CRP, that required hospitalisation for many days.
CRP appears to be a more sensitive prognostic factor for patients with infection that will require admission. Review of a wider sample will be conducted in order to further evaluate the significance of CRP as a prognostic factor and its potential role in identification of sepsis.