Sepsis, SIRS(Systemic Inflammatory Response Syndrome)
Conditions
Brief summary
The imbalance between anti- and pro-inflammation often occurs in patients with sepsis. And continuous such imbalance could lead to immunoparalysis, which is characterized by loss of delayed type hypersensitivity, failure of primary infections eradication, and a predisposition of secondary nosocomial infections development. However, in which phase of sepsis does immunoparalysis occur is still unknown. So this study aims to tentatively understand this problem by checking monocytes/macrophages' antigen presentation and cytokine secretion,and by checking monocytes/macrophages' expression of Tim-3 (the T cell transmembrane, immunoglobulin, and mucin-3), which is an inhibitory regulatory molecule, in sepsis patients' peripheral blood mononuclear cells.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* age over 18 years old; * Fulfilled at least two criteria of systemic inflammatory response syndrome (a) core temperature higher than 38 ℃ or lower than 36 ℃ (b)respiratory rate above 20/min, or carbon dioxide partial pressure below 32 mmHg (c) pulse rate above 90/min, and (d) white blood cell count greater than 12,000/μl or lower than \< 4,000/μl or less than 10% of bands. * Clinically suspected infection;
Exclusion criteria
* were under 18 years of age; * were refused by the patients or his/her familiality; * were suffering from acquired immunodeficiency syndrome,viral hepatitis,autoimmune diseases and hematology; * use medicine which can affect immune system,such as Glucocorticoid and Immunosuppressant * died within 24h after being taken into the ICU, or refused to get involved in the study, or gave up treatment during the period of observation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| systemic inflammatory response to infection with organ dysfunction, hypoperfusion, or hypotension | within 24 hours after enter experimental group |
Countries
China