Document Detail


Alterations of acute phase reaction and cytokine production in patients following severe burn injury.
MedLine Citation:
PMID:  12220910     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To determine the acute immunologic reaction, mediated by cytokines, interleukines (ILs) and growth factors and the susceptibility to infections and sepsis after severe burn injury a prospective, single unit, longitudinal study of acute phase reactants and mediators who performed. After approval by the ethics committee of our hospital, we investigated the plasma concentrations of IL-2, -6, -8, -10, and -13, the soluble IL-2 receptor (sIL-2R), and the acute phase proteins procalcitonin (PCT) and C-reactive protein (CRP) at admission and every 3 days in 24 patients over a time course of 28 days after thermal injury and categorized by percent burn: < or =30% (group 1; n=12) and >30% (group 2; n=12). Shortly after burn injury we found higher concentrations of IL-2, -6, -10 and PCT in those patients >30% TBSA. During the study period, we found significant higher levels of acute phase proteins, IL-6 and -8 in patients >30% TBSA. The incidence of SIRS and MODS was three times increased in patients >30% TBSA. Our results show different patterns of cytokines and acute phase proteins in patients with different burned surface areas over a long time and continuous monitoring of a more distinct inflammatory response in these patients.
Authors:
Marius G Dehne; Armin Sablotzki; Andreas Hoffmann; Jörg Mühling; Friedrich E Dietrich; Gunter Hempelmann
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Burns : journal of the International Society for Burn Injuries     Volume:  28     ISSN:  0305-4179     ISO Abbreviation:  Burns     Publication Date:  2002 Sep 
Date Detail:
Created Date:  2002-09-10     Completed Date:  2003-01-09     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8913178     Medline TA:  Burns     Country:  England    
Other Details:
Languages:  eng     Pagination:  535-42     Citation Subset:  IM    
Affiliation:
Department of Anaesthesiology and Intensive Care Medicine, Justus-Liebig-University of Giessen, Rudolf-Buchheim-Strasse 7, Germany. marius.g.dehne@chiru.med.uni-giessen.de
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MeSH Terms
Descriptor/Qualifier:
Acute-Phase Proteins / analysis
Acute-Phase Reaction / blood*
Adult
Analysis of Variance
Burns / blood*
Calcitonin / blood
Cytokines / biosynthesis*,  blood
Enzyme-Linked Immunosorbent Assay
Female
Humans
Male
Middle Aged
Prospective Studies
Protein Precursors / blood
Time Factors
Chemical
Reg. No./Substance:
0/Acute-Phase Proteins; 0/Cytokines; 0/Protein Precursors; 56645-65-9/procalcitonin; 9007-12-9/Calcitonin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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