Sepsis. Other sepsis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age 20-75 years Gastrointestinal tract with normal function and intestinal nutrition criteria Diagnosis of sepsis is based on blood culture and the approval of an ICU, anesthesiologist and infectious disease specialist
Exclusion criteria
Exclusion criteria: Impossibility of intestinal feeding in the first 48 hours of admission Any history of underlying heart disease Patients who are hospitalized in the intensive care unit for less than 48 hours Patients who are expected to die within 12 hours of admission to the intensive care unit. Patients who do not have an indication for intestinal nutrition on the first day and are confirmed and predicted based on the diagnosis of the intensive care unit that they will not be able to receive intestinal nutrition in the future. (Nausea, persistent vomiting, ileus, intestinal obstruction, uncontrolled diarrhea (> 500 ml per day), high-output fistula (> 500 ml per day), intestinal inaccessibility, incomplete resuscitation and hemodynamic Patients with BMI <18.5 kg / m2 admitted to the intensive care unit. Patients who receive nutritional support through complete intravenous feeding Patients with a history of underlying disease such as uncontrolled diabetes, congenital and immune disorders, renal and hepatic insufficiency, and pancreatitis. Taking anticoagulants such as heparin, warfarin, aspirin, etc. Pregnancy and lactation Severe septic shock or sepsis Dissatisfaction of the patient or her legal guardian
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Inflammation (via hs-CRP, Albumin, pre Albumin indices). Timepoint: Before and after the intervention. Method of measurement: Measurement of inflammatory markers by serum.;Mortality 28 days. Timepoint: Before and after the intervention. Method of measurement: Use official statistics.;Duration of hospitalization. Timepoint: Before and after the intervention. Method of measurement: Use of questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in the number of red blood cells. Timepoint: Before and after the intervention. Method of measurement: Device analysis using cell counter device (hematology analyzer).;Serum concentration of lipid profiles including triglyceride, cholesterol, HDL, LDL. Timepoint: Before and after the intervention. Method of measurement: Biochemical test by enzymatic method by Hitachi 902 device.;Fasting Blood Sugar Concentration. Timepoint: Before and after the intervention. Method of measurement: Biochemical test by enzymatic method by Hitachi 902 device.;Serum total protein. Timepoint: Before and after the intervention. Method of measurement: Biochemical test by enzymatic method by Hitachi 902 device.;BUN. Timepoint: Before and after the intervention. Method of measurement: Biochemical test by enzymatic method by Hitachi 902 device.;Blood prolactin. Timepoint: Before and after the intervention. Method of measurement: ELISA method.;Serum albumin. Timepoint: Before and after the intervention. Method of measurement: Biochemical test by enzymatic method by Hitachi 902 device.;Serum creatinine. Timepoint: Before and after the intervention. Method of measurement: Biochemical test by enzymatic method by Hitachi 902 device. | — |
Countries
Iran (Islamic Republic of)
Contacts
Esfahan University of Medical Sciences