Probiotics for the Management of Sepsis: Advances in Animal Models and Intensive Care Unit Environments
Autor: | José Bruno Nunes Ferreira Silva, Vinicios Ribas dos Santos, Gabriela Oliveira de Carvalho |
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Rok vydání: | 2021 |
Předmět: |
Microbiology (medical)
medicine.medical_specialty cecal ligation Inflammation Biology intensive care unit Microbiology law.invention sepsis Sepsis 03 medical and health sciences Probiotic Immune system Animal model law Intensive care microbiota medicine Intensive care medicine Molecular Biology 030304 developmental biology 0303 health sciences cecal puncture 030306 microbiology Critically ill medicine.disease Intensive care unit QR1-502 probiotics medicine.symptom |
Zdroj: | Microbiology Research, Vol 12, Iss 39, Pp 553-566 (2021) |
ISSN: | 2036-7481 |
DOI: | 10.3390/microbiolres12030039 |
Popis: | Sepsis frequently leads to multiple organ failure and is a major cause of morbidity and mortality in critically ill patients. Although intensive care protocols and antibiotic therapy have improved sepsis treatment, specific management is lacking with respect to efficient protection from tissue damage and long-term outcomes. Probiotics are live microbes that modulate the immune system and inflammation and colonize the gut. In this narrative review, we have traced the evolution of the administration of probiotics in an animal model of sepsis and treatment alternatives in the intensive care unit setting. First, probiotics are categorized by species before describing their modulation of the microbiota, repair of tissue-specific damage, immune response, and molecular pathways to prevent complications. The impact on therapy for infant and adult patients is also addressed. Finally, we have emphasized the challenges and gaps in current studies as well as future perspectives for further investigation. The present review can open up avenues for new strategies that employ promising probiotic strains for the treatment of sepsis and discusses their ability to prevent disease-associated long-term complications. |
Databáze: | OpenAIRE |
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