Skip to main content
Download PDF

Volume 15 Supplement 1

31st International Symposium on Intensive Care and Emergency Medicine

  • Poster presentation
  • Open access
  • Published:

Kinetics of immunoglobulins in septic shock patients

Critical Care volume 15, Article number: P269 (2011) Cite this article

Introduction

The mechanisms of sepsis are not understood in all aspects. We decided to measure the IgG and IgM serum level in these patients and tried to correlate our results with the mortality rate and also to establish the medium time in the blood of these immunoglobulins.

Methods

We selected patients according to the Bonne and colleagues classification of septic shock. As soon as the patients were selected we took samples at entrance, day 1, day 4 and day 8. We measured the serum level of IgG and IgM of all patients. There were 189 patients studied from 360 with septic shock. We excluded 171 patients for three reasons: they were neutropenic, had transfusions for <1 month or had recently undergone chemotherapy. Septic patients represented 17% of all patients in the ICU.

Results

From these 189 selected patients we had a mortality rate of 59 patients, which means 31%. From these patients 29 had combined deficiency of IgG and IgM levels, 17 had only IgG deficiency and 13 had IgM deficiency. We considered a deficient value as levels less than the minimum level for immunoglobulins according to our nephelometry measurement.

Conclusions

Despite the fact that we had a small number of patients we can conclude that these measurements could be considered good prognostic markers, not only in terms of mortality rate but also to demonstrate that IgG and IgM levels do not have the 21 and 7 days of medium time in the circulation we can see in normal patients. Probably in the near future we could include immunoglobulin determination on a routine basis for septic shock patients.

References

  1. Marshall J, Cohen J: Immune Response in the Critically Ill. Springer Verlag; 2002.

    Google Scholar 

  2. Ulevitch RL: Endotoxin opens the tollgates to innate immunity. Nat Med 1999, 5: 144-145.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University Hospital, Rio de Janeiro, Brazil

    C Siqueira, C David & C David

Authors
  1. C Siqueira
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. C David
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C David
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Reprints and permissions

About this article

Cite this article

Siqueira, C., David, C. & David, C. Kinetics of immunoglobulins in septic shock patients. Crit Care 15 (Suppl 1), P269 (2011). https://doi.org/10.1186/cc9689

Download citation

  • Published:

  • DOI: https://doi.org/10.1186/cc9689

Keywords

Critical Care

ISSN: 1364-8535