Skip to main content

Advertisement

Log in

Could lung bacterial dysbiosis predict ICU mortality in patients with extra-pulmonary sepsis? A proof-of-concept study

  • Letter
  • Published:
Intensive Care Medicine Aims and scope Submit manuscript

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Data availability

The datasets analyzed during the current study are available from the corresponding author on reasonable request.

References

  1. Singer M, Deutschman CS, Seymour CW et al (2016) The third international consensus definitions for sepsis and septic shock (Sepsis-3). JAMA 315:801–810. https://doi.org/10.1001/jama.2016.0287

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Vincent J-L, Opal SM, Marshall JC (2010) Ten reasons why we should NOT use severity scores as entry criteria for clinical trials or in our treatment decisions. Crit Care Med 38:283–287. https://doi.org/10.1097/CCM.0b013e3181b785a2

    Article  PubMed  Google Scholar 

  3. Dickson RP (2016) The microbiome and critical illness. Lancet Respir Med 4:59–72. https://doi.org/10.1016/S2213-2600(15)00427-0

    Article  PubMed  Google Scholar 

  4. Gosiewski T, Ludwig-Galezowska AH, Huminska K et al (2017) Comprehensive detection and identification of bacterial DNA in the blood of patients with sepsis and healthy volunteers using next-generation sequencing method—the observation of DNAemia. Eur J Clin Microbiol Infect Dis 36:329–336. https://doi.org/10.1007/s10096-016-2805-7

    Article  CAS  PubMed  Google Scholar 

  5. Lamarche D, Johnstone J, Zytaruk N et al (2018) Microbial dysbiosis and mortality during mechanical ventilation: a prospective observational study. Respir Res 19:245. https://doi.org/10.1186/s12931-018-0950-5

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Tan X, Liu H, Long J et al (2019) Septic patients in the intensive care unit present different nasal microbiotas. Future Microbiol 14:383–395. https://doi.org/10.2217/fmb-2018-0349

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Dickson RP, Singer BH, Newstead MW et al (2016) Enrichment of the lung microbiome with gut bacteria in sepsis and the acute respiratory distress syndrome. Nat Microbiol 1:16113. https://doi.org/10.1038/nmicrobiol.2016.113

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Alagna L, Bandera A, Patruno A et al (2019) Microbiota in ICU, not only a gut problem. Intensive Care Med 45:733–737

    Article  CAS  PubMed  Google Scholar 

  9. Dickson RP, Schultz MJ, Van Der Poll T et al (2020) Lung microbiota predict clinical outcomes in critically ill patients. Am J Respir Crit Care Med 201:555–563. https://doi.org/10.1164/rccm.201907-1487OC

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

We would like to thank the Sepsis Lung Microbiome Study Group members for their efforts: Beatriz Guillen-Guio, Tamara Hernandez-Beeftink, Laura Ciuffreda, Héctor Rodríguez-Pérez, Almudena Corrales, Carlos Flores: Research Unit, Hospital Universitario N.S. de Candelaria, Universidad de La Laguna, Santa Cruz de Tenerife, Spain; Tamara Hernandez-Beeftink, Jesús Villar: Research Unit, Hospital Universitario Dr. Negrin, Las Palmas de Gran Canaria, Spain; David Domínguez, David Viera Camacho, Gabriela Noemí González, Elena Espinosa, Department of Anesthesiology, Hospital Universitario N.S. de Candelaria, Santa Cruz de Tenerife, Spain; Adrian Baez-Ortega, Department of Veterinary Medicine, University of Cambridge, Cambridge, United Kingdom; Almudena Corrales, Jesús Villar, Carlos Flores, CIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain; Marina Soro: Department of Anesthesia, Critical Care and Pain Therapy. Hospital Clínico Universitario de Valencia, Valencia, Spain; Julia Alcoba-Florez: Department of Microbiology, Hospital Universitario N.S. de Candelaria, Santa Cruz de Tenerife, Spain; Rafaela González-Montelongo, Carlos Flores: Genomics Division, Instituto Tecnológico y de Energías Renovables (ITER), Santa Cruz de Tenerife, Spain; Jesús Villar: Keenan Research Center for Biomedical Sciences at the Knowledge Institute, St. Michael’s Hospital, Toronto, Canada; Carlos Flores: Instituto de Tecnologías Biomédicas (ITB), Universidad de La Laguna, Santa Cruz de Tenerife, Spain

Funding

Funded by Instituto de Salud Carlos III (PI14/00844; PI16/00049; PI17/00610; FI17/00177; FI18/00230), the Spanish Ministry of Science and Innovation (grant RTC-2017–6471-1; AEI/FEDER, UE), and co-financed by the European Regional Development Funds, “A way of making Europe” from the European Union, Cabildo Insular de Tenerife (CGIEU0000219140), Fundación Canaria Instituto de Investigación Sanitaria de Canarias (PIFUN48/18); and by the agreement OA17/008 with Instituto Tecnológico y de Energías Renovables (ITER) to strengthen scientific and technological education, training, research, development and innovation in Genomics, Personalized Medicine and Biotechnology. BGG was supported by a fellowship from the ACIISI (TESIS2015010057) co-funded by European Social Fund.

Author information

Authors and Affiliations

Consortia

Contributions

CF designed and supervised the study. BG-G, TH-B, LC, HR-P, AB-O, and RG-M performed the analyses and data interpretation. DD, AC, RH-B, JA, LS, DVC, GNG, MS, EE, JA-F, and JV participated in data acquisition. BG-G, LC, and CF wrote the draft of the manuscript. All authors contributed to the critical revision and final approval of the manuscript.

Ethics declarations

Conflicts of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical standards

The study was approved by the Research Ethics Committee of the hospital and performed according to The Code of Ethics of the World Medical Association (Declaration of Helsinki). An informed consent was obtained from all patients or from their legal representatives.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

The members of the Sepsis Lung Microbiome Study Group are listed in the Acknowledgements.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary file1 (PDF 1181 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sepsis Lung Microbiome Study Group. Could lung bacterial dysbiosis predict ICU mortality in patients with extra-pulmonary sepsis? A proof-of-concept study. Intensive Care Med 46, 2118–2120 (2020). https://doi.org/10.1007/s00134-020-06190-4

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00134-020-06190-4

Navigation