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Published in: Critical Care 1/2018

Open Access 01-12-2018 | Letter

Can a simple chemical help to both prevent and treat sepsis

Author: Anitra C. Carr

Published in: Critical Care | Issue 1/2018

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Excerpt

I was pleased to read the commentary by Kempker et al., ‘Sepsis is a preventable public health problem’ (Crit Care, 2018, 22:116). Prevention of a critical illness such as sepsis is always preferable, for both the individual patients and the health system in general, with the cost of treating sepsis and its long-term health disabilities contributing a significant personal and societal burden. It has long been known that individuals who are vitamin C deficient are more prone to severe illnesses such as acute respiratory infections, with pneumonia being a major cause of death for individuals with the deficiency disease scurvy [1]. Acute illnesses, such as sepsis, can also impact negatively on vitamin C status, despite recommended enteral and parenteral intakes [2]. Due to the increased demand and utilization of vitamin C during critical illness, administration of at least 2–3 g/day of vitamin C is required to replete the plasma of these patients. Thus, inadequate vitamin C status may be both a contributor to and a consequence of severe illness. …
Literature
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go back to reference Carr AC, Rosengrave PC, Bayer S, Chambers S, Mehrtens J, Shaw GM. Hypovitaminosis C and vitamin C deficiency in critically ill patients despite recommended enteral and parenteral intakes. Crit Care. 2017;21:300.CrossRef Carr AC, Rosengrave PC, Bayer S, Chambers S, Mehrtens J, Shaw GM. Hypovitaminosis C and vitamin C deficiency in critically ill patients despite recommended enteral and parenteral intakes. Crit Care. 2017;21:300.CrossRef
3.
go back to reference Carr AC, Shaw GM, Fowler AA, Natarajan R. Ascorbate-dependent vasopressor synthesis: a rationale for vitamin C administration in severe sepsis and septic shock? Crit Care. 2015;19:e418.CrossRef Carr AC, Shaw GM, Fowler AA, Natarajan R. Ascorbate-dependent vasopressor synthesis: a rationale for vitamin C administration in severe sepsis and septic shock? Crit Care. 2015;19:e418.CrossRef
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go back to reference Hemila H, Chalker E. Vitamin C for preventing and treating the common cold. Cochrane Database Syst Rev. 2013;1:CD000980. Hemila H, Chalker E. Vitamin C for preventing and treating the common cold. Cochrane Database Syst Rev. 2013;1:CD000980.
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go back to reference Hemila H, Louhiala P. Vitamin C for preventing and treating pneumonia. Cochrane Database Syst Rev. 2013;8:Cd005532. Hemila H, Louhiala P. Vitamin C for preventing and treating pneumonia. Cochrane Database Syst Rev. 2013;8:Cd005532.
Metadata
Title
Can a simple chemical help to both prevent and treat sepsis
Author
Anitra C. Carr
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2018
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-018-2161-3

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