scholarly journals Mortality in intensive care: The impact of bacteremia and the utility of systemic inflammatory response syndrome

2016 ◽  
Vol 44 (11) ◽  
pp. 1291-1295 ◽  
Author(s):  
Daniel Brooks ◽  
Andrew Smith ◽  
Douglas Young ◽  
Rachael Fulton ◽  
Malcolm G. Booth
2018 ◽  
Vol 6 (1) ◽  
pp. 56-61
Author(s):  
Manisha Shrestha ◽  
Anand Kumar

Systemic inflammatory response syndrome (SIRS) is a frequent and serious problem faced by clinicians in day to day practice and is a major factor of intensive care morbidity and mortality. The American College of Chest Physicians and the American Society of Critical Care Medicine in 1991 published definitions and criteria for systemic inflammatory response syndrome.  Since then many researches have been undertaken  to better understand the pathophysiology of systemic inflammatory response syndrome and to determine the accuracy of its diagnostic criteria. The criteria set by the 1991 consensus  is still popularly  used  today. However,  with  the current  knowledge   on this matter many researchers have put forward the need of refinement in the criteria of systemic inflammatory response syndrome defined by 1991 consensus. This article aims to review  the epidemiology, etiology, pathophysiology, laboratory diagnosis,  treatment and the current views regarding SIRS.Journal of Universal College of Medical SciencesVol. 6, No. 1, 2018, Page: 56-61


2009 ◽  
Vol 18 (4) ◽  
pp. 339-346 ◽  
Author(s):  
E. G. NeSmith ◽  
S. P. Weinrich ◽  
J. O. Andrews ◽  
R. S. Medeiros ◽  
M. L. Hawkins ◽  
...  

Author(s):  
Fatih Akkaş ◽  
Emre Sam ◽  
Ahmet Cinislioglu ◽  
İbrahim Karabulut ◽  
Fatih Kursat Yilmazel ◽  
...  

Purpose: The aim of this study is to analyze the preoperative and intraoperative factors that might induce systemic inflammatory response syndrome after semirigid ureteroscopic lithotripsy (SULL) , and to evaluate the impact of duration between preoperative bladder urine culture (PBUC) and surgery on postoperative systemic inflammatory response syndrome (SIRS). Methods: A retrospective review was conducted including patients who underwent SULL in our center between January 2011 and June 2020. Prior to surgery, PBUC were obtained from all patients and postoperatively patients were observed for signs of SIRS. Univariable and multivariable binary logistic regression analysis were implemented to demonstrate the factors that predict SIRS postoperatively. Results: The entire study included a cohort of 572 patients. The rate of SIRS following SULL was 1.7%. Predictive factors for SIRS were listed as stone volume, surgical time, and history of recurrent urinary tract infection. No significant difference was detected in terms of the duration between PBUC and SULL when comparing the SIRS group with the other group. Conclusion: The duration between PBUC and SULL is not an efficacious factor for SIRS. It may be useful to conduct prospective studies to enlighten this issues as endourologists deal with this duration dilemma often in daily practice. Keywords: Semirigid ureteroscopic lithotripsy, Systemic inflammatory response syndrome, Preoperative bladder urine culture


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