This study aims to evaluate sepsis biomarkers as soluble triggering receptor expressed on myeloid cells 1 (sTREM-1) and soluble urokinase plasminogen activator receptor (sUPAR) in diagnosis of sepsis in comparison to the traditional blood culture and C-reactive protein (CRP) and to evaluate the prognostic value of these biomarkers in comparison to sequential organ failure assessment score (SOFA score), Acute Physiology and Chronic Health Evaluation II ( APACHI score), 28 day mortality.
Sepsis is usually diagnosed in patients have clinically suspected infections with systemic inflammatory response syndrome (SIRS) manifestations. Patients with SIRS as those with trauma or stroke have the same classic infection signs such as fever and elevated leukocytic count, as long as the microbiological diagnosis is the ultimate diagnostic method, but it has poor sensitivity with delayed results. New biomarkers such as sTREM-1 and sUPAR can be used for rapid diagnosis of sepsis and differentiating it from non infectious inflammatory syndromes. Also these soluble biomarkers can be used for predicting the prognosis of sepsis patients
Study Type
OBSERVATIONAL
Enrollment
67
Faculty of medicine - sohag university
Sohag, Egypt
Measurement of the serum level of sTREM-1 (ng/L) in the patients with criteria of SIRS
by ELISA"enzyme linked immunosorbent assay"
Time frame: in the 1st day after appearance of clinical signs of infection
Measurement of the serum level of sTREM-1 (ng/L) in the patients with criteria of SIRS
by ELISA"enzyme linked immunosorbent assay"
Time frame: in the 7th day after appearance of clinical signs of infection
Measurement of the serum level of sUPAR (ng/L) in the ICU patients
by ELISA"enzyme linked immunosorbent assay"
Time frame: in the 1st day after appearance of clinical signs of infection
Measurement of the serum level of sUPAR (ng/L) in the patients with criteria of SIRS
by ELISA"enzyme linked immunosorbent assay"
Time frame: in the 7th day after appearance of clinical signs of infection
Measurement of the serum level of CRP (mg/dl) in the patients with criteria of SIRS
by turbidimetry
Time frame: in the 1st day after appearance of clinical signs of infection
Measurement of the serum level of CRP (mg/dl) in the patients with criteria of SIRS
by turbidimetry
Time frame: in the 7th day after appearance of clinical signs of infection
Acute Physiology and Chronic Health Evaluation II (APACHE II) score designed to measure the severity of disease for adult patients admitted to intensive care units in the with criteria of SIRS
an integer score from 0 to 71
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Time frame: in the 7th day after appearance of clinical signs of infection
The sequential organ failure assessment score (SOFA score) had been used to determine the extent of organ dysfunction of ICU patients with criteria of SIRS
0-\<11
Time frame: in the 7th day after appearance of clinical signs of infection