Glucocorticosteroid in Treatment of Severe Pneumonia

被引:14
作者
Ariani, Felinda [1 ]
Liu, Kaixiong [2 ]
Jing, Zhang [3 ]
Qu, Jieming [1 ]
机构
[1] Fudan Univ, Dept Resp Med, Huadong Hosp, Shanghai Med Sch, Shanghai 200040, Peoples R China
[2] Fujian Med Univ, Affiliated Hosp 1, Dept Resp Dis, Fuzhou 350005, Peoples R China
[3] Fudan Univ, Dept Pulm Med, Zhongshan Hosp, Shanghai Med Sch, Shanghai 200032, Peoples R China
关键词
COMMUNITY-ACQUIRED PNEUMONIA; PNEUMOCYSTIS-CARINII-PNEUMONIA; ACUTE RESPIRATORY SYNDROME; LOW-DOSE HYDROCORTISONE; SEPTIC SHOCK; INFLAMMATORY RESPONSE; STEROID-THERAPY; SEVERE SEPSIS; ADJUNCTIVE CORTICOSTEROIDS; JIROVECI PNEUMONIA;
D O I
10.1155/2013/865635
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Airway diseases such as pneumonia constitute a major health burden on a global scale; untreated pneumonia may develop to severe pneumonia and consequently lead to to fatal episodes of mortality and morbidity. The balance between inflammatory mediators is key for the outcome of the pulmonary infection; elimination of invading pathogen was marked by the release of cytokines and other inflammatory mediators from alveolar macrophages and glucocorticoid steroids (GCs) acting on the inflammatory component. Treatments of severe pneumonia with GCs have been developing for years with inconclusive results. In many cases GCs have been administered empirically without clinical evidence. Recent studies assess beneficial impact on treatment of severe pneumonia by suggesting specific dosage, period of administration, and tapered dosage.
引用
收藏
页数:8
相关论文
共 89 条
[1]  
Abdel-Ghafar AN, 2008, NEW ENGL J MED, V358, P261, DOI 10.1056/NEJMra0707279
[2]   Genomic and non-genomic actions of glucocorticoids in asthma [J].
Alangari, Abdullah A. .
ANNALS OF THORACIC MEDICINE, 2010, 5 (03) :133-139
[3]   Epidemiology of sepsis and infection in ICU patients from an international multicentre cohort study [J].
Alberti, C ;
Brun-Buisson, C ;
Burchardi, H ;
Martin, C ;
Goodman, S ;
Artigas, A ;
Sicignano, A ;
Palazzo, M ;
Moreno, R ;
Boulmé, R ;
Lepage, E ;
Le Gall, JR .
INTENSIVE CARE MEDICINE, 2002, 28 (02) :108-121
[4]   Anti-inflammatory effects of clarithromycin in ventilator-induced lung injury [J].
Amado-Rodriguez, Laura ;
Gonzalez-Lopez, Adrin ;
Lopez-Alonso, Ines ;
Aguirre, Alina ;
Astudillo, Aurora ;
Batalla-Solis, Estefania ;
Blazquez-Prieto, Jorge ;
Garcia-Prieto, Emilio ;
Albaiceta, Guillermo M. .
RESPIRATORY RESEARCH, 2013, 14
[5]   Corticosteroids for severe sepsis and septic shock: a systematic review and meta-analysis [J].
Annane, D ;
Bellissant, E ;
Bollaert, PE ;
Briegel, J ;
Keh, D ;
Kupfer, Y .
BMJ-BRITISH MEDICAL JOURNAL, 2004, 329 (7464) :480-484
[6]   Effect of treatment with low doses of hydrocortisone and fludrocortisone on mortality in patients with septic shock [J].
Annane, D ;
Sébille, V ;
Charpentier, C ;
Bollaert, PE ;
François, B ;
Korach, JM ;
Capellier, G ;
Cohen, Y ;
Azoulay, E ;
Troché, G ;
Chaumet-Riffaut, P ;
Bellissant, E .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (07) :862-871
[7]   Steroid replacement in sepsis: An unexplored side of a multifaceted drug class [J].
Annane, D ;
Raphael, JC ;
Gajdos, P .
CRITICAL CARE MEDICINE, 1996, 24 (05) :899-900
[8]   Corticosteroids in sepsis: From bench to bedside? [J].
Annane, D ;
Cavaillon, JM .
SHOCK, 2003, 20 (03) :197-207
[9]   Corticosteroids in the Treatment of Severe Sepsis and Septic Shock in Adults A Systematic Review [J].
Annane, Djillali ;
Bellissant, Eric ;
Bollaert, Pierre-Edouard ;
Briegel, Josef ;
Confalonieri, Marco ;
De Gaudio, Raffaele ;
Keh, Didier ;
Kupfer, Yizhak ;
Oppert, Michael ;
Meduri, G. Umberto .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2009, 301 (22) :2362-2375
[10]  
[Anonymous], 2013, The top 10 causes of death