Biomarkers for surgical sepsis. A review of foreign scientific and medical publications

remained unchanged for over a decade, and early recognition continues to be the most crucial factor in survival outcome. Early and accurate diagnosis of infection and organ dysfunction remains problematic, as evidenced by numerous interventional trials that have not resulted in improved outcomes. Th...

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Main Authors: Sergey G. Sсherbak, Andrey M. Sarana, Dmitry A. Vologzhanin, Aleksandr S. Golota, Aleksandr A. Rud’, Tatiana A. Kamilova
Format: Article
Language:English
Published: Eco-vector 2023-07-01
Series:Клиническая практика
Subjects:
Online Access:https://journals.eco-vector.com/clinpractice/article/viewFile/346695/pdf
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author Sergey G. Sсherbak
Andrey M. Sarana
Dmitry A. Vologzhanin
Aleksandr S. Golota
Aleksandr A. Rud’
Tatiana A. Kamilova
author_facet Sergey G. Sсherbak
Andrey M. Sarana
Dmitry A. Vologzhanin
Aleksandr S. Golota
Aleksandr A. Rud’
Tatiana A. Kamilova
author_sort Sergey G. Sсherbak
collection DOAJ
description remained unchanged for over a decade, and early recognition continues to be the most crucial factor in survival outcome. Early and accurate diagnosis of infection and organ dysfunction remains problematic, as evidenced by numerous interventional trials that have not resulted in improved outcomes. These failures are partly because of the belated intervention, when the patient developed multiple-organ failure and the therapeutic window of opportunity closed. The success of immunomodulatory and other therapeutic strategies, which is often achieved in preclinical models of sepsis, depends on their use in the early stages of sepsis development or even proactive action. Predicting the development of sepsis in surgical patients using laboratory analysis of plasma may be useful for doctors in the intensive care unit and resuscitation. Significant efforts are being made to develop biomarkers for the early stages of sepsis with high sensitivity and specificity. For early and accurate diagnosis, effective treatment of sepsis requires a deep understanding of the pathogenetic mechanisms. Dysregulation of the patients response to infection leading to sepsis and septic shock is studied using ohmic approaches: proteomics, transcriptomics, and metabolomics. Owing to the complexity and large volume of data sets, special data analysis tools, the so-called machine learning, become necessary.
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spelling doaj.art-1f7d3435dad245ec9837be11b6667c702023-07-21T13:11:49ZengEco-vectorКлиническая практика2220-30952618-86272023-07-01142667810.17816/clinpract34669578372Biomarkers for surgical sepsis. A review of foreign scientific and medical publicationsSergey G. Sсherbak0https://orcid.org/0000-0001-5036-1259Andrey M. Sarana1https://orcid.org/0000-0003-3198-8990Dmitry A. Vologzhanin2https://orcid.org/0000-0002-1176-794XAleksandr S. Golota3https://orcid.org/0000-0002-5632-3963Aleksandr A. Rud’4Tatiana A. Kamilova5https://orcid.org/0000-0001-6360-132XSaint Petersburg City Hospital No 40 of Kurortny DistrictSaint Petersburg State UniversitySaint Petersburg City Hospital No 40 of Kurortny DistrictSaint Petersburg City Hospital No 40 of Kurortny DistrictKirov Military medical academySaint Petersburg City Hospital No 40 of Kurortny Districtremained unchanged for over a decade, and early recognition continues to be the most crucial factor in survival outcome. Early and accurate diagnosis of infection and organ dysfunction remains problematic, as evidenced by numerous interventional trials that have not resulted in improved outcomes. These failures are partly because of the belated intervention, when the patient developed multiple-organ failure and the therapeutic window of opportunity closed. The success of immunomodulatory and other therapeutic strategies, which is often achieved in preclinical models of sepsis, depends on their use in the early stages of sepsis development or even proactive action. Predicting the development of sepsis in surgical patients using laboratory analysis of plasma may be useful for doctors in the intensive care unit and resuscitation. Significant efforts are being made to develop biomarkers for the early stages of sepsis with high sensitivity and specificity. For early and accurate diagnosis, effective treatment of sepsis requires a deep understanding of the pathogenetic mechanisms. Dysregulation of the patients response to infection leading to sepsis and septic shock is studied using ohmic approaches: proteomics, transcriptomics, and metabolomics. Owing to the complexity and large volume of data sets, special data analysis tools, the so-called machine learning, become necessary.https://journals.eco-vector.com/clinpractice/article/viewFile/346695/pdfsurgical sepsisseptic shockinfectionorgan dysfunctionmultiple organ failurebiomarkerproteomicstranscriptomicsmetabolomicsmachine learning
spellingShingle Sergey G. Sсherbak
Andrey M. Sarana
Dmitry A. Vologzhanin
Aleksandr S. Golota
Aleksandr A. Rud’
Tatiana A. Kamilova
Biomarkers for surgical sepsis. A review of foreign scientific and medical publications
Клиническая практика
surgical sepsis
septic shock
infection
organ dysfunction
multiple organ failure
biomarker
proteomics
transcriptomics
metabolomics
machine learning
title Biomarkers for surgical sepsis. A review of foreign scientific and medical publications
title_full Biomarkers for surgical sepsis. A review of foreign scientific and medical publications
title_fullStr Biomarkers for surgical sepsis. A review of foreign scientific and medical publications
title_full_unstemmed Biomarkers for surgical sepsis. A review of foreign scientific and medical publications
title_short Biomarkers for surgical sepsis. A review of foreign scientific and medical publications
title_sort biomarkers for surgical sepsis a review of foreign scientific and medical publications
topic surgical sepsis
septic shock
infection
organ dysfunction
multiple organ failure
biomarker
proteomics
transcriptomics
metabolomics
machine learning
url https://journals.eco-vector.com/clinpractice/article/viewFile/346695/pdf
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AT aleksandrsgolota biomarkersforsurgicalsepsisareviewofforeignscientificandmedicalpublications
AT aleksandrarud biomarkersforsurgicalsepsisareviewofforeignscientificandmedicalpublications
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