Cited by 260Sepsis Diagnosis and TreatmentInflammation biomarkers and pathwaysAcute Kidney Injury Research

The Clinical Challenge of Sepsis Identification and Monitoring

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Vincent, Jean-Louis·2016·PLOS Medicine

Abstract

Points• Early treatment of sepsis is associated with improved outcomes so that rapid diagnosis is important.• The diagnosis of sepsis in critically ill patients is challenging, because it can be complicated by the presence of inflammation as a result of other underlying disease processes and prior use of antibiotics making cultures negative.• Culture-dependent diagnosis of infection is slow, and biomarkers may provide a more rapid means of ruling in or out infection.• Given the complexities of the sepsis response, no one biomarker will be sufficient to diagnose sepsis.Combinations of biomarkers are needed, and new technology is helping to speed the development of such panels.• However, such tools cannot be used alone, and they must be seen as complementary to a careful clinical assessment and other laboratory signs.

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Authors
Vincent, J.-L.
Affiliations
Université Libre de Bruxelles (BE)
Corresponding author
Vincent, Jean-Louis
Venue
PLOS Medicine
Published
2016-05-17
Volume
13
Issue
5
Pages
e1002022
ISSN
  • 1549-1277 (ISSN-L)
  • 1549-1676
OpenAlex
W2398222323
Cited by
259
References
61
Citations by year
2026: 14 · 2025: 23 · 2024: 21 · 2023: 35 · 2022: 31 · 2021: 33 · 2020: 44 · 2019: 29 · 2018: 16 · 2017: 11 · 2016: 1
FWCI
17.82
Type
journal article
Language
en
Open access
Locations
  • PLoS Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion, other-oa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
  • Life Sciences › Immunology and Microbiology › Immunology › Inflammation biomarkers and pathways
  • Health Sciences › Medicine › Nephrology › Acute Kidney Injury Research
Keywords
sepsis, sepsis diagnosis, sepsis monitoring, biomarkers, biomarker panel, critically ill patients, inflammation, antibiotic use, early treatment, clinical evaluation
MeSH terms
Humans, Biomarkers, Sepsis

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