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The Level of Oxidative Neutrophil Response When Determining Endotoxin Activity Assay: A New Biomarker for Defining the Indications and Effectiveness of Intensive Care in Patients with Sepsis

Background. To analyse the clinical informativity of the neutrophil oxidative response level (“Response”) during an Endotoxin Activity Assay (EAA) as a new biomarker defining the indications and effectiveness of intensive care in cardiac surgical patients with septic complications. Methods. Blood sa...

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Published in:International Journal of Inflammation 2017-01, Vol.2017 (2017), p.51-56
Main Authors: Samsonova, Nataliya, Klimovich, Ludmila, Plyushch, Marina, Rogalskaya, Ekaterina, Yaroustovsky, Michael, Abramyan, Marina
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container_issue 2017
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container_title International Journal of Inflammation
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creator Samsonova, Nataliya
Klimovich, Ludmila
Plyushch, Marina
Rogalskaya, Ekaterina
Yaroustovsky, Michael
Abramyan, Marina
description Background. To analyse the clinical informativity of the neutrophil oxidative response level (“Response”) during an Endotoxin Activity Assay (EAA) as a new biomarker defining the indications and effectiveness of intensive care in cardiac surgical patients with septic complications. Methods. Blood samples were taken from 198 adult patients who were admitted to the ICU after cardiac surgery (SIRS: 34, MODS: 36, and sepsis: 128). The composite of laboratory studies included CRP, PCT, EAA with “Response” level, and presepsin. Results. 83% of patients had a “normal” neutrophil response, 12% of patients had a low neutrophil response, and 5% of patients had a critically low neutrophil response. Patients with critically low responses had the lowest values of the EAA and the highest concentrations of PSP and D-dimer (p 0.5 has a negative predictive value; the EAA < 0.6 at “Response” < 0.5 may indicate a high level of endotoxaemia.
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L. ; B L Slomiany</contributor><creatorcontrib>Samsonova, Nataliya ; Klimovich, Ludmila ; Plyushch, Marina ; Rogalskaya, Ekaterina ; Yaroustovsky, Michael ; Abramyan, Marina ; Slomiany, B. L. ; B L Slomiany</creatorcontrib><description>Background. To analyse the clinical informativity of the neutrophil oxidative response level (“Response”) during an Endotoxin Activity Assay (EAA) as a new biomarker defining the indications and effectiveness of intensive care in cardiac surgical patients with septic complications. Methods. Blood samples were taken from 198 adult patients who were admitted to the ICU after cardiac surgery (SIRS: 34, MODS: 36, and sepsis: 128). The composite of laboratory studies included CRP, PCT, EAA with “Response” level, and presepsin. Results. 83% of patients had a “normal” neutrophil response, 12% of patients had a low neutrophil response, and 5% of patients had a critically low neutrophil response. Patients with critically low responses had the lowest values of the EAA and the highest concentrations of PSP and D-dimer (p&lt;0.05). Conclusions. EAA results should be interpreted with the level of neutrophil response. “Response” &gt; 0.5 has a negative predictive value; the EAA &lt; 0.6 at “Response” &lt; 0.5 may indicate a high level of endotoxaemia.</description><identifier>ISSN: 2042-0099</identifier><identifier>ISSN: 2090-8040</identifier><identifier>EISSN: 2042-0099</identifier><identifier>DOI: 10.1155/2017/3495293</identifier><identifier>PMID: 28487809</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Limiteds</publisher><subject>Adsorption ; Bacteria ; Bibliographic data bases ; Biomarkers ; Cardiac patients ; Cardiovascular disease ; Gram-negative bacteria ; Infection ; Inflammation ; Intensive care ; Laboratories ; Microorganisms ; Mortality ; Neutrophils ; Patients ; Postoperative period ; Sepsis</subject><ispartof>International Journal of Inflammation, 2017-01, Vol.2017 (2017), p.51-56</ispartof><rights>Copyright © 2017 Michael Yaroustovsky et al.</rights><rights>COPYRIGHT 2017 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2017 Michael Yaroustovsky et al. 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L.</au><au>B L Slomiany</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Level of Oxidative Neutrophil Response When Determining Endotoxin Activity Assay: A New Biomarker for Defining the Indications and Effectiveness of Intensive Care in Patients with Sepsis</atitle><jtitle>International Journal of Inflammation</jtitle><addtitle>Int J Inflam</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>2017</volume><issue>2017</issue><spage>51</spage><epage>56</epage><pages>51-56</pages><issn>2042-0099</issn><issn>2090-8040</issn><eissn>2042-0099</eissn><abstract>Background. To analyse the clinical informativity of the neutrophil oxidative response level (“Response”) during an Endotoxin Activity Assay (EAA) as a new biomarker defining the indications and effectiveness of intensive care in cardiac surgical patients with septic complications. Methods. Blood samples were taken from 198 adult patients who were admitted to the ICU after cardiac surgery (SIRS: 34, MODS: 36, and sepsis: 128). The composite of laboratory studies included CRP, PCT, EAA with “Response” level, and presepsin. Results. 83% of patients had a “normal” neutrophil response, 12% of patients had a low neutrophil response, and 5% of patients had a critically low neutrophil response. Patients with critically low responses had the lowest values of the EAA and the highest concentrations of PSP and D-dimer (p&lt;0.05). Conclusions. EAA results should be interpreted with the level of neutrophil response. “Response” &gt; 0.5 has a negative predictive value; the EAA &lt; 0.6 at “Response” &lt; 0.5 may indicate a high level of endotoxaemia.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Limiteds</pub><pmid>28487809</pmid><doi>10.1155/2017/3495293</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-1849-4745</orcidid><oa>free_for_read</oa></addata></record>
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source Publicly Available Content Database; Wiley Open Access; PubMed Central
subjects Adsorption
Bacteria
Bibliographic data bases
Biomarkers
Cardiac patients
Cardiovascular disease
Gram-negative bacteria
Infection
Inflammation
Intensive care
Laboratories
Microorganisms
Mortality
Neutrophils
Patients
Postoperative period
Sepsis
title The Level of Oxidative Neutrophil Response When Determining Endotoxin Activity Assay: A New Biomarker for Defining the Indications and Effectiveness of Intensive Care in Patients with Sepsis
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