The Clinical Challenge of Sepsis Identification and Monitoring
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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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Early clinical recognition of sepsis can be challenging due to disease complexity and heterogeneity of the septic population.
“Early clinical recognition of sepsis can be challenging.”
From Machine learning for the prediction of sepsis: a systematic review and meta-analysis of diagnostic test accuracy (2020) · cites this paper as [9]
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- Authors
- Vincent, J.-L.
- Affiliations
- Université Libre de Bruxelles (BE)
- Corresponding author
- Vincent, Jean-Louis
- ORCID
- Vincent, Jean-Louis
- Venue
- PLOS Medicine
- Publisher
- Public Library of Science (PLoS)
- Published
- 2016-05-17
- Volume
- 13
- Issue
- 5
- Pages
- e1002022
- ISSN
- 1549-1277 (ISSN-L)
- 1549-1676
- PMC
- PMC4871479
- 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
- gold
- doi.org
- Licence
- 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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