blood poisoning Sepsis
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age: 18 years and older Presence of an arterial line;Sepsis group: Patients admitted to the intensive care with sepsis, or patients developing sepsis during their stay on the intensive care.;SIRS patients: Critically ill patients who score positive on at least two SIRS criteria who do not suffer from sepsis and have an expected ICU stay of more than 24 hours.;Healthy volunteers: All healthy individuals without any recent febrile or infectious illness (within 2 weeks). Individuals capable of giving written informed consent.
Exclusion criteria
Exclusion criteria: No informed consent;Patients receiving more than 24 hours of antibiotic treatment for a suspected infection prior to ICU admission.;Sepsis group: Previous participation in this study.;SIRS group: Previous participation in this study.;Healthy volunteers: Previous participation in this study. A major illness in the past 3 months or any significant chronic medical illness that the investigator would deem unfavorable for enrolment, including inflammatory diseases. A recent febrile illness (within 2 weeks). Recent use of anti-inflammatory medication (within 2 weeks). Subject using tobacco and/or illicit drug products. Current use of hormone therapy or current pregnancy. Limited accessibility of a vein in the left or right arm.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 90-day mortality | — |
Secondary
| Measure | Time frame |
|---|---|
| -Multi organ dysfunction syndrome (MODS) according to Marshall criteria increasing abnormalities in the following organ specific parameters: PO2/FiO2 ratio (lung) Serum creatinine (kidney) Platelet count (clotting system) Glasgow coma score (neurological) Serum bilirubin (hepatic) Pressure-adjusted heart rate (HR): (HR x (Central Venous Pressure/Mean Arterial Pressure)) (heart) -Etiology (bacterial and/or viral) -CRP,CRP-complement complex -Parameters of systemic inflammation (cytokines, chemokines, complement activation, cell numbers and differentiates) -Parameters of local inflammation (cytokines, chemokines, complement activation, cell numbers and differentiates) -Coagulation/fibrinolysis parameters (both systemic and local) -Markers for cellular damage -Demographic data, medical history and health condition prior to hospitalization will be documented for all patients. | — |
Countries
Netherlands