TY - JOUR
T1 - Adjunctive therapies for severe sepsis
AU - Wittebole, X.
AU - Collienne, C.
AU - Castanares-Zapatero, D.
AU - Laterre, P. F.
PY - 2008/11
Y1 - 2008/11
N2 - Severe sepsis-associated mortality may still be improved by earlier recognition, faster and adequate source control, and targeted resuscitation. Patients who may benefit from the administration of drotrecogin alfa (activated) are currently those at high risk of death, and other indications should be better defined by ongoing trials. Use of low-dose steroids for the treatment of severe sepsis must be re-clarified by new studies and should be restricted to patients with refractory septic shock. Trials exploring the role of natural anticoagulants and Toll-like receptor inhibitors are ongoing and should be completed in the coming 3 years. Future trials in severe sepsis should target more homogeneous populations with a well-defined focus of infection and severity, receiving appropriate standard of care, and the tested intervention should be administered in a timely fashion according to the expected host response.
AB - Severe sepsis-associated mortality may still be improved by earlier recognition, faster and adequate source control, and targeted resuscitation. Patients who may benefit from the administration of drotrecogin alfa (activated) are currently those at high risk of death, and other indications should be better defined by ongoing trials. Use of low-dose steroids for the treatment of severe sepsis must be re-clarified by new studies and should be restricted to patients with refractory septic shock. Trials exploring the role of natural anticoagulants and Toll-like receptor inhibitors are ongoing and should be completed in the coming 3 years. Future trials in severe sepsis should target more homogeneous populations with a well-defined focus of infection and severity, receiving appropriate standard of care, and the tested intervention should be administered in a timely fashion according to the expected host response.
KW - Antibiotics
KW - Anticoagulants
KW - Drotrecogin alfa (activated)
KW - Severe sepsis
KW - Steroids
UR - http://www.scopus.com/inward/record.url?scp=53849083054&partnerID=8YFLogxK
U2 - 10.1016/j.ijantimicag.2008.06.005
DO - 10.1016/j.ijantimicag.2008.06.005
M3 - Article
C2 - 18715758
AN - SCOPUS:53849083054
SN - 0924-8579
VL - 32
SP - S34-S38
JO - International Journal of Antimicrobial Agents
JF - International Journal of Antimicrobial Agents
IS - SUPPL. 1
ER -