The host response to sepsis and developmental impact

James Wynn, Timothy T. Cornell, Hector R. Wong, Thomas P. Shanley, Derek S. Wheeler

Research output: Contribution to journalReview article

117 Scopus citations

Abstract

Invasion of the human by a pathogen necessitates an immune response to control and eradicate the microorganism. When this response is inadequately regulated, systemic manifestations can result in physiologic changes described as "sepsis." Recognition, diagnosis, and management of sepsis remain among the greatest challenges shared by the fields of neonatology and pediatric critical care medicine. Sepsis remains among the leading causes of death in both developed and underdeveloped countries and has an incidence that is predicted to increase each year. Despite these sobering statistics, promising therapies derived from preclinical models have universally failed to obviate the substantial mortality and morbidity associated with sepsis. Thus, there remains a need for well-designed epidemiologic and mechanistic studies of neonatal and pediatric sepsis to improve our understanding of the causes (both early and late) of deaths attributed to the syndrome. In reviewing the definitions and epidemiology, developmental influences, and regulation of the host response to sepsis, it is anticipated that an improved understanding of this host response will assist clinician-investigators in identifying improved therapeutic strategies.

Original languageEnglish (US)
Pages (from-to)1031-1041
Number of pages11
JournalPediatrics
Volume125
Issue number5
DOIs
StatePublished - May 2010

Keywords

  • Coagulation cascade
  • Developmental influence
  • Hemodynamics
  • Immune function
  • Sepsis
  • Septic shock

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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