Biomarkers of Sepsis

被引:92
作者
Cho, Sung-Yeon [1 ,2 ]
Choi, Jung-Hyun [1 ,2 ]
机构
[1] Catholic Univ Korea, Coll Med, Dept Internal Med, Div Infect Dis, Seoul, South Korea
[2] Catholic Univ Korea, Coll Med, Vaccine Bio Res Inst, Seoul, South Korea
关键词
Biomarkers; Cytokines; Diagnosis; Outcome; Prognosis; Sepsis;
D O I
10.3947/ic.2014.46.1.1
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Sepsis remains a leading cause of death in critically ill patients, despite efforts to improve patient outcome. Thus far, no magic drugs exist for severe sepsis and septic shock. Instead, early diagnosis and prompt initial management such as early goal-directed therapy are key to improve sepsis outcome. For early detection of sepsis, biological markers (biomarkers) can help clinicians to distinguish infection from host response to inflammation. Ideally, biomarkers can be used for risk stratification, diagnosis, monitoring of treatment responses, and outcome prediction. More than 170 biomarkers have been identified as useful for evaluating sepsis, including C-reactive protein, procalcitonin, various cytokines, and cell surface markers. Recently, studies have reported on the usefulness of biomarker-guided antibiotic stewardships. However, the other side of these numerous biomarkers is that no novel single laboratory marker can diagnose, predict, and track the treatment of sepsis. The purpose of this review is to summarize several key biomarkers from recent sepsis studies.
引用
收藏
页码:1 / 12
页数:12
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