Sepsis pp 261-268 | Cite as

Ernährungstherapie bei Sepsis: Gesichertes und Perspektiven

  • F. B. Cerra


Infektion und die systemische Antwort darauf (Sepsis) ist immer noch eine hauptsächliche Ursache für Morbidität und Mortalität bei chirurgischen Patienten [25]. Diese Morbidität und Mortalität resultieren vorwiegend aus dem mit Organversagen einhergehenden Syndrom des Hypermetabolismus, das häufig einer septischen Episode folgt [10]. Die mittlere Aufenthaltsdauer auf der Intensivstation beträgt 21 Tage. Daraus ergeben sich Kosten von im Durchschnitt 81 000 US-Dollar [25]. Die überlebenden Patienten benötigen zusätzlich 8–12 Monate Rehabilitation, was im Durchschnitt 250 000 US-Dollar zusätzlich kostet. Das Mortalitätsrisiko bei Hypermetabolismus liegt nach wie vor bei ca. 25% mit einem scharfen Anstieg auf 40–50% bei frühem und 80–100% bei spätem Organversagen [10].


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© Springer-Verlag Berlin Heidelberg 1989

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  • F. B. Cerra

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