Obesity
Conditions
Brief summary
Improve knowledge of the immune response to sepsis in obese patients. Define immunological and genetic prognostic factors of severe infections which can motivate a change in the therapeutic attitude
Interventions
Pilot study, single center, interventional including 15 obese subjects with acute sepsis. Inflammatory and immunological tests during acute phase and one month later after a presumed return parameters at baseline
Sponsors
Study design
Eligibility
Inclusion criteria
* between18 and 80 years * obesity: BMI \> 30 * presumed bacterial infection: * pneumonitis (documented or probably) * pyelonephritis / acute prostatitis * soft tissue / skin infection (except for bedsore) * cholecystitis / angiocholitis * meningitis * clostridium colitis * surgical site infection * signed consent
Exclusion criteria
* patients with viral, parasitic or mycotic documented infection * patients with bacterial infection with treatment\> 4 weeks (ex. endocarditis; osteo- articular infections) * patients with prior antibiotic treatment (\< 14 days) * intensive care unit patients * patients with a history of cancer or malignant hematological disease within the 5 previous years that is currently clinically significant (non metastatic prostatic and basocellular malignancy are excluded) * patients with systemic disease * Known diagnosis of human immunodeficiency infection (DICV, HIV…) * immunosuppression treatment during last month including corticotherapy * pregnancy * 3 months follow up not possible * non signed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patterns of inflammatory and immunological markers in obese patients in sepsis and post- sepsis (normal) situation | T 0 and at 1 month | Standard inflammatory markers; immunological markers (cytokines, leptine, lymphocyte phenotype) |
Secondary
| Measure | Time frame |
|---|---|
| Evaluation of sepsis; correlation with inflammatory and immunological parameters | T 0 and at 1 month |
| Analysis of leptine polymorphism | 1 month |
Countries
France