pediatric_sepsis_criteria: Pediatric SIRS, Sepsis, and Septic Shock Criteria

In cliot: Clinical Indices and Outcomes Tools

Pediatric SIRS, Sepsis, and Septic Shock Criteria

Description

Evaluates the 2005 International Pediatric Sepsis Consensus Conference criteria for SIRS, Sepsis, Severe Sepsis, and Septic Shock. The calculation uses age-specific thresholds for heart rate, respiratory rate, and leukocyte count.

Usage

pediatric_sepsis_criteria(age_category, temp_c, heart_rate, respiratory_rate,
                          wbc_count, bands_percent, infection_suspected,
                          cardiovascular_dysfunction, ards_present,
                          multiple_organ_dysfunction)

Arguments

age_category	String. One of: "newborn_0_7d", "neonate_1w_1m", "infant_1m_1y", "child_2y_5y", "child_6y_12y", "adolescent_13y_18y".
temp_c	Numeric. Core temperature in degrees Celsius. (Abnormal: >38.5 or <36.0).
heart_rate	Numeric. Heart rate in beats per minute.
respiratory_rate	Numeric. Respiratory rate in breaths per minute.
wbc_count	Numeric. White Blood Cell count in x10^3/mm^3.
bands_percent	Numeric. Percentage of immature neutrophils (bands). (Abnormal: >10%).
infection_suspected	Numeric (0 or 1). Is there a suspected or proven infection? (1 = Yes).
cardiovascular_dysfunction	Numeric (0 or 1). Presence of cardiovascular dysfunction (e.g., hypotension, need for vasoactive drug, prolonged capillary refill). (1 = Yes).
ards_present	Numeric (0 or 1). Presence of Acute Respiratory Distress Syndrome (ARDS). (1 = Yes).
multiple_organ_dysfunction	Numeric (0 or 1). Presence of two or more other organ dysfunctions (respiratory, renal, neurologic, hematologic, hepatic). (1 = Yes).

Value

A list containing:

Diagnosis	The highest severity classification met (No SIRS, SIRS, Sepsis, Severe Sepsis, or Septic Shock).
Detailed_Results	Boolean values for each classification level.
Criteria_Met	Boolean values indicating which specific SIRS physiological criteria were abnormal.

References

Goldstein B, Giroir B, Randolph A; International Consensus Conference on Pediatric Sepsis. International pediatric sepsis consensus conference: definitions for sepsis and organ dysfunction in pediatrics. Pediatr Crit Care Med. 2005;6(1):2-8. doi:10.1097/01.PCC.0000149131.72248.E6

Examples

# Example 1: Septic Shock
# Child 3y, High HR, High WBC, Infection, CV dysfunction
pediatric_sepsis_criteria("child_2y_5y", 39.0, 150, 20, 16, 0, 1, 1, 0, 0)

# Example 2: SIRS only
# Adolescent, Fever, Tachycardia, No infection
pediatric_sepsis_criteria("adolescent_13y_18y", 39.0, 120, 14, 8, 0, 0, 0, 0, 0)

cliot documentation built on Dec. 1, 2025, 1:06 a.m.