Scoring systems in sepsis protocols. Discussion about the trial protocol of supplemental immunoglobulin therapy in sepsis and septic shock
When performing a protocol as in the study of Pilz et al. '...immunoglobulin therapy in sepsis and septic shock...' it is necessary to differentiate between those patients with generalized inflammation and those with bacterial sepsis. The Sepsis Severity Score and the Apache II score are mentioned as being insufficient to identify patients with bacterial sepsis. A proposal is formulated to use cli