3P syndrome: From an acronym with infectious connotations to the burden of hospital transfers
Andrès, Emmanuel
3P syndrome: From an acronym with infectious connotations to the burden of hospital transfers - 2025.
39
Emergency departments are becoming increasingly saturated, mainly due to limited access to primary care and social insecurity. This leads to long wait times and sometimes hasty medical decisions, such as in the case of suspected infections, where diagnosis is often based on nonspecific indicators. “3P syndrome” (pee, skin [peau], pulmonary)—combining urinary, skin, and lung infections—is a common reason for emergency admissions, particularly among older and vulnerable patients. More nuanced management, using diagnostic tools such as procalcitonin levels and lung ultrasound, could reduce overtreatment and unnecessary hospitalizations. A delayed clinical reassessment at 24–48 hours and the development of alternatives to hospitalization (hospitalization at home, mobile geriatric teams) are potential strategies to optimize care for these patients. Finally, the challenge lies in balancing responsiveness with diagnostic rigor, while avoiding overburdening the emergency services.
3P syndrome: From an acronym with infectious connotations to the burden of hospital transfers - 2025.
39
Emergency departments are becoming increasingly saturated, mainly due to limited access to primary care and social insecurity. This leads to long wait times and sometimes hasty medical decisions, such as in the case of suspected infections, where diagnosis is often based on nonspecific indicators. “3P syndrome” (pee, skin [peau], pulmonary)—combining urinary, skin, and lung infections—is a common reason for emergency admissions, particularly among older and vulnerable patients. More nuanced management, using diagnostic tools such as procalcitonin levels and lung ultrasound, could reduce overtreatment and unnecessary hospitalizations. A delayed clinical reassessment at 24–48 hours and the development of alternatives to hospitalization (hospitalization at home, mobile geriatric teams) are potential strategies to optimize care for these patients. Finally, the challenge lies in balancing responsiveness with diagnostic rigor, while avoiding overburdening the emergency services.
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