Evidence map›Paper›PMID 27879561›Full record

ArticleShock (Augusta, Ga.)2017

Late Therapeutic Intervention with Antibiotics and Fluid Resuscitation Allows for a Prolonged Disease Course with High Survival in a Severe Murine Model of Sepsis.

Allison M Steele, Marlene E Starr, Hiroshi Saito

Abstract read
In one paragraph

Article in Shock (Augusta, Ga.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
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  7. Review
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  9. Article
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  11. Article
  12. Mouse Models of Sepsis.Current protocols · 2024
    Article
  13. Article
  14. Article
  15. Resolving neutrophils due to TRAM deletion renders protection against experimental sepsis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2023
    Article
  16. Article
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Allison M Steele*Department of Physiology †Department of Surgery ‡Markey Cancer Center, University of Kentucky, Lexington, Kentucky.
Marlene E Starr
Hiroshi Saito
University of Kentucky · US

Funding

University of Kentucky Markey Cancer Center Support Grant ECIA SupplementP30CA177558 · NCI · UNIVERSITY OF KENTUCKY · PI Bernard Mark Evers · 2013 to 2026
$38.3M
Kentucky Center for Clinical and Translational ScienceUL1TR001998 · NCATS · UNIVERSITY OF KENTUCKY · PI HARTMANN, KATHERINE E, KERN, PHILIP A · 2016 to 2025
$34.2M
Visceral fat gamma delta T cells in sepsis pathogenesisR01GM129532 · NIGMS · UNIVERSITY OF KENTUCKY · PI STARR, MARLENE ELENA · 2018 to 2022
$1.6M
The Role of Adipose Tissue in Age-dependent Sensitivity to Critical IllnessR01AG039732 · NIA · UNIVERSITY OF KENTUCKY · PI SAITO, HIROSHI · 2011 to 2015
$1.5M
Analysis of chronic muscle weakness in post-septic mice using a novel resuscitation protocolF31GM117868 · NIGMS · UNIVERSITY OF KENTUCKY · PI OWEN, ALLISON M. · 2016 to 2017
$55k
NCATS NIH HHS UL1 TR001998NCI NIH HHS P30 CA177558NIA NIH HHS R01 AG039732NIGMS NIH HHS F31 GM117868NIGMS NIH HHS R01 GM129532
6 · The paper itself

Abstract

Current animal models of sepsis often incorporate antibiotics to be consistent with clinical standards for treatment of patients in the intensive care unit. However, such experimental intervention is commonly initiated very early after infectious insult, which likely blunts the progression of systemic inflammation and downstream pathology. The objective of this study was to establish an animal model of sepsis with delayed therapeutic intervention, allowing a longer disease course and downstream pathology, but still resulting in a high survival rate. Severe lethal abdominal infection was initiated in young adult (17-18-week-old) C57BL/6 mice by cecal slurry (CS) injection. When initiated early (1- or 6-h post-CS injection), antibiotic treatment (imipenem, 1.5 mg/mouse i.p., twice/day for 5 days) rescued the majority of mice; however, few of these mice showed evidence of bacteremia, cytokinemia, or organ injury. When antibiotic treatment was delayed until late time-points (12- or 24-h post-CS injection) the majority of animals did not survive beyond 48 h. When fluid resuscitation (physiological saline, s.c.) was performed in combination with antibiotic treatment (twice daily) beginning at these late time-points, the majority of mice survived (75%) and showed bacteremia, cytokinemia, organ dysfunction, and prolonged body weight loss (<90% for 4 weeks). We recommend that this new repeated combination treatment with antibiotics and fluids resuscitation be initiated at a late time point after bacteremia becomes evident because this model more closely mimics the downstream pathological characteristics of severe clinical sepsis yet maintains a high survival rate. This model would be advantageous for studies on severe sepsis and postintensive care illness.

Indexed as

AnimalsAnti-Bacterial AgentsBacteremiaCytokinesDisease Models, AnimalFluid TherapyImipenemMaleMiceMice, Inbred C57BLSepsisAnti-Bacterial AgentsCytokinesImipenem

Identifiers

PMID27879561
PMCPMC5432399
OpenAlexW2549474173

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.