SIRS Criteria

Systemic inflammatory response syndrome
Temperature > 38 °C or < 36 °C
Heart rate > 90/min
Respiratory rate > 20/min or PaCO₂ < 32 mmHg
WBC > 12 or < 4 ×10⁹/L, or > 10% immature forms
Evidence
Original publication
Bone RC, Balk RA, Cerra FB, et al. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. The ACCP/SCCM Consensus Conference Committee.
Chest, 1992
Open source
Guideline
Singer M, Deutschman CS, Seymour CW, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). Sepsis-3 removed SIRS from the sepsis definition; SIRS remains a marker of the inflammatory response, not of sepsis itself.
JAMA, 2016
Open source
Last reviewed: 2026-09
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