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VOLUME 17 , ISSUE 3 ( June, 2013 ) > List of Articles

REVIEW ARTICLE

Sepsis induced immunosuppression: Implications for secondary infections and complications

Krishna M. Sundar, Mazen Sires

Keywords : Chronic critical care illness, sepsis, immune dysfunction, pneumonia, ventilator-associated

Citation Information : Sundar KM, Sires M. Sepsis induced immunosuppression: Implications for secondary infections and complications. Indian J Crit Care Med 2013; 17 (3):162-169.

DOI: 10.4103/0972-5229.117054

License: CC BY-ND 3.0

Published Online: 01-06-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Sepsis is the commonest cause of admission to medical ICUs across the world. Mortality from sepsis continues to be high. Besides shock and multi-organ dysfunction occurring following the intense inflammatory reaction to sepsis, complications arising from sepsis-related immunoparalysis contribute to the morbidity and mortality from sepsis. This review explores the basis for sepsis related immune dysfunction and discusses its clinical implications for the treating intensivist. Recent trends indicate that a significant proportion of septic patients succumb to the complications of secondary infections and chronic critical care illness from the initial bout of sepsis. Therefore care-givers in the ICU need to be aware of the impediments posed by sepsis-related immune dysfunction that can impair recovery in patients with sepsis and contribute to sepsis-related mortality.


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