Published in:
Open Access
01-03-2013 | Year in Review 2012
Year in review in Intensive Care Medicine 2012. II: Pneumonia and infection, sepsis, coagulation, hemodynamics, cardiovascular and microcirculation, critical care organization, imaging, ethics and legal issues
Authors:
Massimo Antonelli, Marc Bonten, Maurizio Cecconi, Jean Chastre, Giuseppe Citerio, Giorgio Conti, J. Randall Curtis, Goran Hedenstierna, Michael Joannidis, Duncan Macrae, Salvatore M. Maggiore, Jordi Mancebo, Alexandre Mebazaa, Jean-Charles Preiser, Patricia Rocco, Jean-François Timsit, Jan Wernerman, Haibo Zhang
Published in:
Intensive Care Medicine
|
Issue 3/2013
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Excerpt
Different pathogens, variable virulence in different strains of microorganisms, increasing age, and underlying diseases undoubtedly have an important impact on community-acquired pneumonia (CAP) morbidity and mortality, but genetic variability affecting the host response may also influence susceptibility and outcome [
1]. This is why Martin-Loeches and colleagues [
2] assessed the genetic variability at
IL6 in a large cohort of 1,227 white Spanish patients with CAP, of whom 306 had pneumococcal CAP (P-CAP). In patients with P-CAP multivariate analysis adjusted for age, gender, co-morbidity, hospital of origin, and severity showed that the
IL6 −174 GG genotype was protective against the development of ARDS, septic shock, and multiple organ dysfunction syndrome. This effect was higher than that observed in patients with CAP, irrespective of the causal pathogen involved. …