Mechanistic Inflammatory Sub-study Embedded Within the Albumin vs Balanced Crystalloid Trial
SepsisMIS-ABC Sepsis is a sub-study looking to understand how the immune response in patients with infection changes during the early stages of the illness, as well as after intravenous fluid treatment. Participants in the main trial will be given one of two types of fluid (Human Albumin Solution (HAS) and Balanced Crystalloid) via a drip when they present to the hospital with severe infection (sepsis). The main trial is assessing which fluid is better, and we are going to take three blood samples around the time people come to hospital to see what happens to their immune system as a result of the infection and fluid treatment. We hope our findings will explain why one fluid might be better than another. It may also give us an important information about whether we can predict which people might get sicker despite treatment.
Evaluating the Use of Polymyxin B Cartridge Hemoperfusion for Patients With Septic Shock and COVID...
Septic ShockEndotoxemia4 moreProspective, observational, clinical investigation of PMX cartridge use in COVID 19 patients with septic shock
Sepsis Post Market Observational Study and Potential Reduction of Time to Antibiotics - Washington...
SepsisAdult Disease2 moreThe purpose of this study is to demonstrate that addition of the Monocyte Width Distribution (MDW) parameter to current standard of care improves a clinician's ability to recognize sepsis in the Emergency Department, resulting in earlier decision to administer antibiotics from time of ED presentation for sepsis patients (simulated primary endpoint), with concomitant reductions in length of stay and in-hospital mortality for those patients (secondary endpoints).
Leukocyte MOrphology and CORticosteroids Response in SEPtic Patients (MOCORSEP)
SepsisSeptic Shock2 moreNon-interventional, prospective, monocentric study on the exploration of leukocyte morphological parameters according to the infectious condition and response to corticosteroid therapy of septic patients.
Diagnosis of Bacteremia/Septicemia and Culture Negative Endocarditis by the Karius Sequencing-Based...
BacteremiaSepticemiaProspective study at Duke University Hospital comparing the Karius Infectious Disease Diagnostic Sequencing Assay to blood culture results in admitted patients with bacteremia/septicemia.
High-Flow Needleless Valve and DualCap Disinfection Devices Associate With Catheter-related Bloodstream...
Catheter-related Bloodstream InfectionThe purpose of this study is to investigate whether the usage of High-Flow Needleless Valve and DualCap Disinfection Devices would reduce the incidence of catheter-related bloodstream infection in hemodialysis patients.
Monitoring Devices in Prediction of Fluid Responsiveness in Severe Sepsis and Septic Shock
Severe SepsisSeptic ShockComparison of noninvasive cardiac output monitor (NICOM, Cheetah Medical) with Edwards FloTrac minimally-invasive cardiac output monitor in predicting fluid responsiveness in sepsis and septic shock.
The Role of Dysfunctional HDL in Sepsis
SepsisSeptic ShockTo determine the role of dysfunctional high density lipoprotein (Dys-HDL) in predicting or mediating progression to chronic critical illness or morbid long-term outcomes in patients being treated for community-acquired or hospital-acquired sepsis.
The Relation Between the Renal Resistive Index and Glomerular Hyper Filtration
TraumaSepsisAim of the present study is to determine whether RRI can predict glomerular hyperfiltration; glomerular hyperfiltration is associated with low renal resistive index; glomerular hyperfiltration/low RRI are associated with accelerated flow in the sublingual microcirculation; glomerular hyperfiltration/low RRI are related to fluid status as quantified with bioimpedance analysis.
Genetic Polymorphisms & The Risk for Sepsis After Trauma
TraumaThe specific aim of this is to establish a cohort of severely injured patients admitted to our trauma center. Investigators will collect DNA, utilizing discarded blood samples, from 3000 injury victims in an effort to identify perhaps 50 - 100 single-nucleotide polymorphisms (SNP) (out of 1000s) that can be used, when taken together, to identify patients at highest risk for developing complicated sepsis and death.