Patient Hospitalized in Intensive Care Unit
Conditions
Brief summary
Open-label, non-randomized, prospective, single center, observational, translational study
Detailed description
The aim of this trial is to study immunosuppression biomarkers in patients hospitalized in intensive care unit in comparison to non-septic patients. Prevalence of immunosuppression acquired in intensive care unit will be studied and patients most likely to develop nosocomial infection will be early identified
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient older than 18 years old * Patient hospitalized in intensive care unit for any reason * Patient with infection started less than 5 days before admission * Patient with mechanical ventilation or not * Patient with arterial catheter for an invasive monitoring of blood pressure * Patient informed about the study protocol and approved to participate. * Patients hospitalized for a severe bacterial infection (severe sepsis or septic shock) * Patient hospitalized for a non-infectious disease
Exclusion criteria
* Pregnancy * Advanced immunosuppression defined by proved humoral or cellular impairment by continuous administration of steroids at any dose since more than one month before hospitalization, transplantation, radiotherapy or chemotherapy in the preceding year * Initiation of an immunosuppressive therapy as chemotherapy, cyclophosphamide or high dose corticotherapy (\>0.5mg/kg/day)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Detection of immunosuppression biomarkers in septic and non-septic patients hospitalized in intensive care unit | Day 14 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Association of immunosuppression biomarkers with occurrence of events reflecting a clinical immunosuppression | Day 14 | Study of CMV reactivation and nosocomial infections |
| Association of immunosuppression biomarkers with patients demographic data | Day 14 | Record of patient age and gender |
| Association of immunosuppression biomarkers with patients clinical data | Day 14 | Record of severity score, duration of hospitalization, duration of mechanical ventilation, morbidity |
Countries
France