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Recent recommendations in Nutritional support to patients with sepsis in ICU

Article

Last updated: 28 Dec 2024

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Abstract

Despite recent advances in detection and treatment approaches, sepsis remains a significant cause of mortality globally. According to the Third International Agreement for Sepsis (Septic-3) consensus, the term "septic shock" is a subset of the more general term "sepsis" since it includes hypotension or an elevated lactate level despite attempts to revive the patient. Sepsis is caused by a variety of organisms, including Gram-positive and Gram-negative bacteria that produce toxins, an immune-compromised host, and maybe a genetic predisposition. When sepsis strikes, the body's response is immune-inflammatory, accompanied by the release of pro-inflammatory cytokines, which in turn triggers a neuro-endocrine cascade that leads to metabolic dysfunction and organ dysfunction. Cellular abnormalities such as mitochondrial damage and cytopathic hypoxia are also present. Taking 200 mg thiamine for a week post-ICU with high-dose short-term vitamin C and a 5-day Vitamin D supplementation for deficient individuals appears to be the most sensible course of action. It is a series of coordinated efforts used to establish the best kind, dosage and duration of nutrition treatment to achieve the highest therapeutic result, prevent side effects, and save costs. the following: Nutritional Stewardship and pharmaconutrition play a critical role in the treatment of sepsis, as well as the implementation of Nutritional Stewardship in the clinical context

DOI

10.21608/bjas.2022.244799

Keywords

nutritional support, recommendations, Sepsis, ICU

Authors

First Name

Abd El-Maqsoud

Last Name

O.M.

MiddleName

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Affiliation

Anesthesiology and critical care, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Orcid

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First Name

Shabob

Last Name

I.A.

MiddleName

-

Affiliation

Anesthesiology and critical care, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

El-Sayed

Last Name

M.A.

MiddleName

-

Affiliation

Anesthesiology and critical care, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Volume

7

Article Issue

3

Related Issue

34934

Issue Date

2022-03-01

Receive Date

2022-03-19

Publish Date

2022-03-01

Page Start

23

Page End

29

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_244799.html

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https://bjas.journals.ekb.eg/service?article_code=244799

Order

4

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Recent recommendations in Nutritional support to patients with sepsis in ICU

Details

Type

Article

Created At

23 Jan 2023