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Precision medicine in sepsis and septic shock: From omics to clinical tools.

Authors :
Ruiz-Rodriguez JC
Plata-Menchaca EP
Chiscano-Camón L
Ruiz-Sanmartin A
Pérez-Carrasco M
Palmada C
Ribas V
Martínez-Gallo M
Hernández-González M
Gonzalez-Lopez JJ
Larrosa N
Ferrer R
Source :
World journal of critical care medicine [World J Crit Care Med] 2022 Jan 09; Vol. 11 (1), pp. 1-21. Date of Electronic Publication: 2022 Jan 09 (Print Publication: 2022).
Publication Year :
2022

Abstract

Sepsis is a heterogeneous disease with variable clinical course and several clinical phenotypes. As it is associated with an increased risk of death, patients with this condition are candidates for receipt of a very well-structured and protocolized treatment. All patients should receive the fundamental pillars of sepsis management, which are infection control, initial resuscitation, and multiorgan support. However, specific subgroups of patients may benefit from a personalized approach with interventions targeted towards specific pathophysiological mechanisms. Herein, we will review the framework for identifying subpopulations of patients with sepsis, septic shock, and multiorgan dysfunction who may benefit from specific therapies. Some of these approaches are still in the early stages of research, while others are already in routine use in clinical practice, but together will help in the effective generation and safe implementation of precision medicine in sepsis.<br />Competing Interests: Conflict-of-interest statement: The authors declare having no conflicts of interest.<br /> (©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.)

Details

Language :
English
ISSN :
2220-3141
Volume :
11
Issue :
1
Database :
MEDLINE
Journal :
World journal of critical care medicine
Publication Type :
Academic Journal
Accession number :
35433311
Full Text :
https://doi.org/10.5492/wjccm.v11.i1.1