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Gram-positive and Gram-negative Sepsis: Two Disease Entities?

  • S. Leaver
  • A. Burke Gaffney
  • T. W. Evans

Abstract

Sepsis and its sequelae are the leading causes of death among critically ill patients in non-coronary intensive care units (ICUs). Paradoxically, despite a fall in the mortality rate, the incidence of sepsis has increased, with about 750,000 cases annually resulting in about 215,000 deaths a year [1, 2]. This is, in part, a consequence of increased provision of intensive care facilities in the UK and elsewhere [3]. Many factors contribute to the increasing incidence of sepsis and its sequelae including improved chemotherapy for malignancies leading to greater numbers of immunosuppressed patients; more organ transplantations and cardiac surgery; and also the increased use of internal devices such as prostheses, chest drains and endotracheal tubes [3]. Moreover, 40–60% of patients with severe sepsis develop acute lung injury (ALI) or its extreme manifestation, acute respiratory distress syndrome (ARDS), which is associated with a particularly high mortality [4, 5].

Keywords

Severe Sepsis Acute Lung Injury Systemic Inflammatory Response Syndrome Invasive Pneumococcal Disease Drotrecogin Alfa 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science + Business Media Inc. 2008

Authors and Affiliations

  • S. Leaver
    • 1
  • A. Burke Gaffney
    • 1
  • T. W. Evans
    • 1
  1. 1.Department of Critical CareRoyal Brompton HospitalLondonUK

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