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【转载】The microbiome and critical illness  

2016-01-18 21:01:02|  分类: 医学知识 |  标签: |举报 |字号 订阅

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Review

The microbiome and critical illness

Published Online: 11 December 2015
Article has an altmetric score of 52

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Publication History
Published Online:11 December 2015
? 2016 Elsevier Ltd. All rights reserved.
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Robert Dickson discusses the role of microbiome and the care and treatment of critically ill patients.

Jump to SectionThe forgotten organ in multiorgan failureThe ecological effects of critical illnessGut-derived sepsis: the inarguable and the unknownThe radically altered ecology of the injured alveolusExacerbations of chronic lung disease are not acute bacterial infectionsImportant clinical lessons and areas for further studyConclusionsSearch strategy and selection criteriaSupplementary MaterialReferences

Summary

The central role of the microbiome in critical illness is supported by a half century of experimental and clinical study. The physiological effects of critical illness and the clinical interventions of intensive care substantially alter the microbiome. In turn, the microbiome predicts patients' susceptibility to disease, and manipulation of the microbiome has prevented or modulated critical illness in animal models and clinical trials. This Review surveys the microbial ecology of critically ill patients, presents the facts and unanswered questions surrounding gut-derived sepsis, and explores the radically altered ecosystem of the injured alveolus. The revolution in culture-independent microbiology has provided the tools needed to target the microbiome rationally for the prevention and treatment of critical illness, holding great promise to improve the acute and chronic outcomes of the critically ill.

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