MALÁSKA, Jan, Milan KRATOCHVÍL, Michal KÝR, Petr JABANDŽIEV, Filip OTEVŘEL, Katarína MURIOVÁ, Michal FEDORA, Vladimír ŠRÁMEK, Pavel ŠEVČÍK and Jaroslav MICHÁLEK. Cytokine response in severe sepsis - predicting the course of illness in adult and paediatric patients. In Faist, E. Proceedings of the 8th World Congress on Trauma, Shock, Inflammation and Sepsis, Selected Papers. Philadelphia: Thomson Reuters, 2010, p. 33-37. ISBN 978-88-6521-024-6.
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Basic information
Original name Cytokine response in severe sepsis - predicting the course of illness in adult and paediatric patients
Authors MALÁSKA, Jan (203 Czech Republic, belonging to the institution), Milan KRATOCHVÍL (203 Czech Republic, guarantor, belonging to the institution), Michal KÝR (203 Czech Republic, belonging to the institution), Petr JABANDŽIEV (203 Czech Republic, belonging to the institution), Filip OTEVŘEL (203 Czech Republic, belonging to the institution), Katarína MURIOVÁ (703 Slovakia, belonging to the institution), Michal FEDORA (203 Czech Republic, belonging to the institution), Vladimír ŠRÁMEK (203 Czech Republic, belonging to the institution), Pavel ŠEVČÍK (203 Czech Republic, belonging to the institution) and Jaroslav MICHÁLEK (203 Czech Republic, belonging to the institution).
Edition Philadelphia, Proceedings of the 8th World Congress on Trauma, Shock, Inflammation and Sepsis, Selected Papers, p. 33-37, 5 pp. 2010.
Publisher Thomson Reuters
Other information
Original language English
Type of outcome Proceedings paper
Field of Study 30300 3.3 Health sciences
Country of publisher Germany
Confidentiality degree is not subject to a state or trade secret
RIV identification code RIV/00216224:14110/10:00051729
Organization unit Faculty of Medicine
ISBN 978-88-6521-024-6
UT WoS 000281967800007
Keywords in English sepsis; multiorgan failure; Cytokines ; CRP; PCT; TREM-1; IL-6; IL-12; IL-4; IL-1 beta; TNF
Tags International impact
Changed by Changed by: Mgr. Michal Petr, učo 65024. Changed: 26/1/2012 11:04.
Abstract
During the progression of sepsis from early hit to multiorgan failure proinflammatory and anti-inflammatory cytokines are released. Cytokines can be used as biomarkers to determine the specific patterns of sepsis progression and association with mortality. In our study CRP levels correlated with the probability of survival, following levels of TREM-1, PCT and IL-6. Contrary to CRP and PCT levels, which rapidly fell during the first study days, levels of cytokines and TREM-I remained elevated throughout the study period, but were not so high and even normal in these subjects with severe sepsis despite early enrolment. Severity of disease at presentation correlated with levels of CRP, PCT, TREM-1, IL-6, IL-12, IL-4, IL-1 beta and TNF, especially in children. Response of circulating cytokines in patients with severe sepsis is heterogeneous in adults and children population and there is a specific pattern of this response related to mortality and severity at presentation. Furthermore, this pattern of response is different when comparing paediatric and adult patients.
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