New Consensus Definitions for Sepsis and Septic Shock: Implications for Treatment Strategies and Drug Development?

被引:6
作者
Berry, Michael [1 ]
Patel, Brijesh V. [2 ,3 ]
Brett, Stephen J. [3 ,4 ]
机构
[1] Imperial Sch Anaesthesia, London, England
[2] Royal Brompton & Harefield NHS Fdn, Adult ICU, London, England
[3] Imperial Coll London, Dept Surg & Canc, Sect Anaesthesia Pain Med & Intens Care, London, England
[4] Imperial Coll Healthcare NHS Trust, Ctr Perioperat Med & Crit Care Res, London, England
关键词
GOAL-DIRECTED RESUSCITATION; NOREPINEPHRINE; THERAPY; VASOPRESSIN; BIOMARKERS; GUIDELINES; MANAGEMENT; MORTALITY; CRITERIA; FAILURE;
D O I
10.1007/s40265-017-0698-0
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Sepsis continues to escape a precise diagnostic definition. The most recent consensus definition, termed Sepsis-3, highlights the importance of the maladaptive and potentially life-threatening host response to infection. After briefly reviewing the history and epidemiology of sepsis, we go on to describe some of the challenges encountered when classifying such a heterogenous disease state. In the context of these new definitions for sepsis and septic shock, we explore current and potentially novel therapies, and conclude by mentioning some of the controversies of this most recent framework.
引用
收藏
页码:353 / 361
页数:9
相关论文
共 55 条
  • [41] Goal-Directed Resuscitation for Patients with Early Septic Shock
    Peake, Sandra L.
    Delaney, Anthony
    Bailey, Michael
    Bellomo, Rinaldo
    Cameron, Peter A.
    Cooper, D. James
    Higgins, Alisa M.
    Holdgate, Anna
    Howe, Belinda D.
    Webb, Steven A. R.
    Williams, Patricia
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2014, 371 (16) : 1496 - 1506
  • [42] Sepsis biomarkers: a review
    Pierrakos, Charalampos
    Vincent, Jean-Louis
    [J]. CRITICAL CARE, 2010, 14 (01)
  • [43] Drotrecogin Alfa (Activated) in Adults with Septic Shock
    Ranieri, V. Marco
    Thompson, B. Taylor
    Barie, Philip S.
    Dhainaut, Jean-Francois
    Douglas, Ivor S.
    Finfer, Simon
    Gardlund, Bengt
    Marshall, John C.
    Rhodes, Andrew
    Artigas, Antonio
    Payen, Didier
    Tenhunen, Jyrki
    Al-Khalidi, Hussein R.
    Thompson, Vivian
    Janes, Jonathan
    Macias, William L.
    Vangerow, Burkhard
    Williams, Mark D.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2012, 366 (22) : 2055 - 2064
  • [44] New Approaches to Sepsis: Molecular Diagnostics and Biomarkers
    Reinhart, Konrad
    Bauer, Michael
    Riedemann, Niels C.
    Hartog, Christiane S.
    [J]. CLINICAL MICROBIOLOGY REVIEWS, 2012, 25 (04) : 609 - 634
  • [45] Early goal-directed therapy in the treatment of severe sepsis and septic shock.
    Rivers, E
    Nguyen, B
    Havstad, S
    Ressler, J
    Muzzin, A
    Knoblich, B
    Peterson, E
    Tomlanovich, M
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2001, 345 (19) : 1368 - 1377
  • [46] Sepsis induces long-term metabolic and mitochondrial muscle stem cell dysfunction amenable by mesenchymal stem cell therapy
    Rocheteau, P.
    Chatre, L.
    Briand, D.
    Mebarki, M.
    Jouvion, G.
    Bardon, J.
    Crochemore, C.
    Serrani, P.
    Lecci, P. P.
    Latil, M.
    Matot, B.
    Carlier, P. G.
    Latronico, N.
    Huchet, C.
    Lafoux, A.
    Sharshar, T.
    Ricchetti, M.
    Chretien, F.
    [J]. NATURE COMMUNICATIONS, 2015, 6
  • [47] The science of human factors: separating fact from fiction
    Russ, Alissa L.
    Fairbanks, Rollin J.
    Karsh, Ben-Tzion
    Militello, Laura G.
    Saleem, Jason J.
    Wears, Robert L.
    [J]. BMJ QUALITY & SAFETY, 2013, 22 (10) : 802 - 808
  • [48] Vasopressin versus norepinephrine infusion in patients with septic shock
    Russell, James A.
    Walley, Keith R.
    Singer, Joel
    Gordon, Anthony C.
    Hebert, Paul C.
    Cooper, D. James
    Holmes, Cheryl L.
    Mehta, Sangeeta
    Granton, John T.
    Storms, Michelle M.
    Cook, Deborah J.
    Presneill, Jeffrey J.
    Ayers, Dieter
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2008, 358 (09) : 877 - 887
  • [49] Seymour CW, 2016, JAMA-J AM MED ASSOC, V315, P762, DOI 10.1001/jama.2016.0288
  • [50] Therapeutic interventions in sepsis: current and anticipated pharmacological agents
    Shukla, Prashant
    Rao, G. Madhava
    Pandey, Gitu
    Sharma, Shweta
    Mittapelly, Naresh
    Shegokar, Ranjita
    Mishra, Prabhat Ranjan
    [J]. BRITISH JOURNAL OF PHARMACOLOGY, 2014, 171 (22) : 5011 - 5031