Phoenix Sepsis Score
New 2024 international paediatric sepsis definition. Scores respiratory, cardiovascular, coagulation, and neurological dysfunction. Replaces SIRS-based paediatric sepsis definitions.
Score interpretation
Phoenix score 0–1 — low organ dysfunction. If no suspected infection, not sepsis.
→ Monitor closely; investigate source of infection; standard treatment
Phoenix score ≥2 with suspected infection — meets criteria for paediatric sepsis
→ Sepsis bundle within 1 hour: blood cultures, IV antibiotics, IV fluids if shocked; ICU referral; source control
High organ dysfunction score — severe sepsis or septic shock
→ Emergency PICU admission; immediate vasopressors if cardiovascular dysfunction; inotropes; broad-spectrum antibiotics; frequent reassessment
Interpretation bands for the Phoenix Sepsis. Apply clinical judgement and local guidance.
References
- Schlapbach LJ et al. International Consensus Criteria for Pediatric Sepsis and Septic Shock. JAMA. 2024;331(8):665–674.
Related
Curated clinical cross-links plus same-class fallbacks.
- Hydrocortisone (ICU — Stress Dosing) · Corticosteroid (ICU/Septic Shock)
- Ceftriaxone (Paediatric) · Third-Generation Cephalosporin — Meningitis / Sepsis / Community-Acquired Pneumonia
- Gentamicin (Paediatric) · Aminoglycoside — Neonatal Sepsis / Gram-Negative Infections in Children
- Noradrenaline (Cardiogenic Shock / Vasopressor) · Vasopressor / Cardiogenic Shock
- Vasopressin / Terlipressin · Vasopressin Analogue — Vasodilatory Shock / Variceal Bleeding
- Melatonin · Melatonin Receptor Agonist
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.