Glucocorticosteroid in Treatment of Severe Pneumonia

被引:14
作者
Ariani, Felinda [1 ]
Liu, Kaixiong [2 ]
Jing, Zhang [3 ]
Qu, Jieming [1 ]
机构
[1] Fudan Univ, Dept Resp Med, Huadong Hosp, Shanghai Med Sch, Shanghai 200040, Peoples R China
[2] Fujian Med Univ, Affiliated Hosp 1, Dept Resp Dis, Fuzhou 350005, Peoples R China
[3] Fudan Univ, Dept Pulm Med, Zhongshan Hosp, Shanghai Med Sch, Shanghai 200032, Peoples R China
关键词
COMMUNITY-ACQUIRED PNEUMONIA; PNEUMOCYSTIS-CARINII-PNEUMONIA; ACUTE RESPIRATORY SYNDROME; LOW-DOSE HYDROCORTISONE; SEPTIC SHOCK; INFLAMMATORY RESPONSE; STEROID-THERAPY; SEVERE SEPSIS; ADJUNCTIVE CORTICOSTEROIDS; JIROVECI PNEUMONIA;
D O I
10.1155/2013/865635
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Airway diseases such as pneumonia constitute a major health burden on a global scale; untreated pneumonia may develop to severe pneumonia and consequently lead to to fatal episodes of mortality and morbidity. The balance between inflammatory mediators is key for the outcome of the pulmonary infection; elimination of invading pathogen was marked by the release of cytokines and other inflammatory mediators from alveolar macrophages and glucocorticoid steroids (GCs) acting on the inflammatory component. Treatments of severe pneumonia with GCs have been developing for years with inconclusive results. In many cases GCs have been administered empirically without clinical evidence. Recent studies assess beneficial impact on treatment of severe pneumonia by suggesting specific dosage, period of administration, and tapered dosage.
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页数:8
相关论文
共 89 条
[41]   Early corticosteroid treatment for severe pneumonia caused by 2009 H1N1 influenza virus [J].
Kil, Hong-Ryang ;
Lee, Jae-Ho ;
Lee, Kyung-Yil ;
Rhim, Jung-Woo ;
Youn, You-Sook ;
Kang, Jin-Han .
CRITICAL CARE, 2011, 15 (02)
[42]   Adrenal function is related to prognosis in moderate community-acquired pneumonia [J].
Kolditz, M. ;
Halank, M. ;
Schulte-Hubbert, B. ;
Hoeffken, G. .
EUROPEAN RESPIRATORY JOURNAL, 2010, 36 (03) :615-621
[43]   Systemic Corticosteroids and Early Administration of Antiviral Agents for Pneumonia with Acute Wheezing due to Influenza A(H1N1)pdm09 in Japan [J].
Kudo, Koichiro ;
Takasaki, Jin ;
Manabe, Toshie ;
Uryu, Hideko ;
Yamada, Ritsuko ;
Kuroda, Emi ;
Kobayashi, Nobuyuki ;
Matsushita, Takeji .
PLOS ONE, 2012, 7 (02)
[44]   Low-dose steroid therapy at an early phase of postoperative acute respiratory distress syndrome [J].
Lee, HS ;
Lee, JM ;
Kim, MS ;
Kim, HY ;
Bin, HB ;
Zo, JI .
ANNALS OF THORACIC SURGERY, 2005, 79 (02) :405-410
[45]   A major outbreak of severe acute respiratory syndrome in Hong Kong [J].
Lee, N ;
Hui, D ;
Wu, A ;
Chan, P ;
Cameron, P ;
Joynt, GM ;
Ahuja, A ;
Yung, MY ;
Leung, CB ;
To, KF ;
Lui, SF ;
Szeto, CC ;
Chung, S ;
Sung, JJY .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 348 (20) :1986-1994
[46]   STEROID CONTROVERSY IN SEPSIS AND SEPTIC SHOCK - A METAANALYSIS [J].
LEFERING, R ;
NEUGEBAUER, EAM .
CRITICAL CARE MEDICINE, 1995, 23 (07) :1294-1303
[47]  
Mady A, 2012, J Infect Public Health, V5, P52, DOI 10.1016/j.jiph.2011.10.005
[48]   HYDROCORTISONE AND TUMOR-NECROSIS-FACTOR IN SEVERE COMMUNITY-ACQUIRED PNEUMONIA - A RANDOMIZED CONTROLLED-STUDY [J].
MARIK, P ;
KRAUS, P ;
SRIBANTE, J ;
HAVLIK, I ;
LIPMAN, J ;
JOHNSON, DW .
CHEST, 1993, 104 (02) :389-392
[49]   H1N1 influenza A virus-associated acute lung injury: response to combination oseltamivir and prolonged corticosteroid treatment [J].
Maximo Quispe-Laime, Adolfo ;
Daniel Bracco, Jonas ;
Alejandra Barberio, Patricia ;
German Campagne, Claudio ;
Edith Rolfo, Veronica ;
Umberger, Reba ;
Meduri, Gianfranco Umberto .
INTENSIVE CARE MEDICINE, 2010, 36 (01) :33-41
[50]   The epidemiology of glucocorticoid-associated adverse events [J].
McDonough, Allyson K. ;
Curtis, Jeffrey R. ;
Saag, Kenneth G. .
CURRENT OPINION IN RHEUMATOLOGY, 2008, 20 (02) :131-137