scholarly journals Correspondence

2011 ◽  
Vol 10 (3) ◽  
pp. 165-166

Contemporary definition of sepsis and the role of the Acute Medicine trainee in the management Dear Editor, We read with interest the review of shock by Rowe and Fletcher in the Acute Medicine Journal,1 and would like to make some comments regarding the contemporary definition of sepsis and the role of the Acute Medicine trainee in the management of severe sepsis and septic shock.

2011 ◽  
Vol 2011 ◽  
pp. 1-8 ◽  
Author(s):  
Laurent Chiche ◽  
Jean-Marie Forel ◽  
Guillemette Thomas ◽  
Catherine Farnarier ◽  
Fréderic Vely ◽  
...  

Severe sepsis and septic shock are still deadly conditions urging to develop novel therapies. A better understanding of the complex modifications of the immune system of septic patients is needed for the development of innovative immunointerventions. Natural killer (NK) cells are characterized as CD3−NKp46+CD56+cells that can be cytotoxic and/or produce high amounts of cytokines such as IFN-γ. NK cells are also engaged in crosstalks with other immune cells, such as dendritic cells, macrophages, and neutrophils. During the early stage of septic shock, NK cells may play a key role in the promotion of the systemic inflammation, as suggested in mice models. Alternatively, at a later stage, NK cells-acquired dysfunction could favor nosocomial infections and mortality. Standardized biological tools defining patients' NK cell status during the different stages of sepsis are mandatory to guide potential immuno-interventions. Herein, we review the potential role of NK cells during severe sepsis and septic shock.


Critical Care ◽  
2010 ◽  
Vol 14 (4) ◽  
pp. R134 ◽  
Author(s):  
John L Moran ◽  
Petra L Graham ◽  
Sue Rockliff ◽  
Andrew D Bersten

2017 ◽  
Vol 48 (1) ◽  
pp. e12855 ◽  
Author(s):  
Federico Carbone ◽  
Fabrizio Montecucco ◽  
Fabio Rigamonti

Author(s):  
Saraschandra Vallabhajosyula ◽  
Ankit Sakhuja ◽  
Jeffrey B. Geske ◽  
Mukesh Kumar ◽  
Joseph T. Poterucha ◽  
...  

2012 ◽  
Vol 38 (5) ◽  
pp. 811-819 ◽  
Author(s):  
Peter M. C. Klein Klouwenberg ◽  
David S. Y. Ong ◽  
Marc J. M. Bonten ◽  
Olaf L. Cremer

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