Persistent low serum zinc is associated with recurrent sepsis in critically ill patients - A pilot study

dc.contributor.authorHoeger, Janine
dc.contributor.authorSimon, Tim-Philipp
dc.contributor.authorBeeker, Thorben
dc.contributor.authorMarx, Gernot
dc.contributor.authorHaase, Hajo
dc.contributor.authorSchürholz, Tobias
dc.date.accessioned2020-11-26T17:01:27Z
dc.date.available2020-11-26T17:01:27Z
dc.date.issued2017-05-04
dc.description.abstractZinc is an essential trace element for both pathogens and hosts. Hypozincemia is a well known phenomenon in sepsis patients and represents the innate immune systems attempt to deprive pathogens of zinc. However little is known about course, restitution and prognostic value of serum zinc levels in sepsis patients. We performed a prospective observational single-center study set in a tertiary care university hospital intensive care unit. Serum zinc levels were singularly measured of healthy controls and sequentially of surgical sepsis patients and surgical patients over a 8-day period. Throughout the study period, we report significantly decreased serum zinc levels in surgical and surgical sepsis patients compared to healthy controls. Lower serum zinc levels in surgical sepsis patients were associated with a higher susceptibility to a recurrent sepsis episode. Furthermore, surgical sepsis patients with a higher number of organ dysfunctions and increased in-hospital mortality at day 28 and 90 showed lower serum zinc levels at admission. We report serum zinc levels as a promising biomarker in the diagnosis and evaluation of sepsis patients. However, it is still unclear whether these findings are caused by an over-amplified redistribution of zinc during acute-phase response, or whether the critically ill patients were zinc deficient before sepsis.en
dc.identifier.eissn1932-6203
dc.identifier.urihttps://depositonce.tu-berlin.de/handle/11303/12076
dc.identifier.urihttp://dx.doi.org/10.14279/depositonce-10950
dc.language.isoenen
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en
dc.subject.ddc610 Medizin und Gesundheiten
dc.subject.ddc540 Chemie und zugeordnete Wissenschaftenen
dc.subject.othersepsisen
dc.subject.otherintensive careen
dc.subject.otherzincen
dc.subject.otherbiomarkeren
dc.subject.otherpatienten
dc.subject.othersurgeryen
dc.titlePersistent low serum zinc is associated with recurrent sepsis in critically ill patients - A pilot studyen
dc.typeArticleen
dc.type.versionpublishedVersionen
dcterms.bibliographicCitation.articlenumbere0176069
dcterms.bibliographicCitation.doi10.1371/journal.pone.0176069
dcterms.bibliographicCitation.issue5
dcterms.bibliographicCitation.journaltitlePLOS ONEen
dcterms.bibliographicCitation.originalpublishernamePublic Library of Science (PLOS)en
dcterms.bibliographicCitation.originalpublisherplaceSan Francisco, Calif.en
dcterms.bibliographicCitation.volume12
tub.accessrights.dnbfreeen
tub.affiliationFak. 3 Prozesswissenschaften::Inst. Lebensmitteltechnologie und Lebensmittelchemie::FG Lebensmittelchemie und Toxikologiede
tub.affiliation.facultyFak. 3 Prozesswissenschaftende
tub.affiliation.groupFG Lebensmittelchemie und Toxikologiede
tub.affiliation.instituteInst. Lebensmitteltechnologie und Lebensmittelchemiede
tub.publisher.universityorinstitutionTechnische Universität Berlinen

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