Severe Sepsis
Conditions
Keywords
Sepsis, Early Stage, Immune System, Receptors, Cytokines
Brief summary
Severe sepsis induces significant changes in expression of insulin- and toll-like receptors, cytokines, markers of apoptosis, and activation of t- and b-lymphocytes.
Detailed description
In patients at early stage of severe sepsis, we investigate the expression of pro- and anti-inflammatory cytokines, chemokines, adhesion-molecules, toll-like receptors, insulin-receptors, markers of apoptosis und of t- and b-cell-activation on a mRNA level.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* age \>= 18 y * agreement with study procedures * 3 of 4 SIRS-criteria * proven or highly suspected infection * 2 or more sepsis-induced organ failures * start of first sepsis-induced organ failure within the last 36 hours
Exclusion criteria
* non-agreement with study procedures * signs of severe sepsis with organ failure \> 36 hours * chronic immuno-compromising diseases * chronic therapy with anti-inflammatory drugs * non-curable cancer * chronic renal failure with hemodialysis * pregnancy or breast-feeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| severity of sepsis | 96 hours after diagnosis of sepsis | SOFA-Score |
Countries
Germany