Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Open the intensive care unit doors to HIV-infected patients with sepsis. | Available online http content 9 6 629 Commentary Open the intensive care unit doors to HIV-infected patients with sepsis Jean-Franọois Timsit Group of Epidemiology of Cancer and Severe Diseases INSERM U 578 Medical ICU University Hospital Albert Michallon 38000 Grenoble France Corresponding author Jean-Franọois Timsit jftimsit@ Published online 22 November 2005 This article is online at http content 9 6 629 2005 BioMed Central Ltd Critical Care 2005 9 629-630 DOI cc3923 See related research by Mrus et al. in this issue http content 9 6 R623 Abstract Severe sepsis is more and more frequent especially because of an increased rate of immunocompromised patients. Despite the improvement in the overall prognosis of HIV AIDS patients and the improvement of global ICU care the prognosis of HIV ADS patients hospitalized in ICU with severe sepsis remained poor. This situation is partly due to the increased proportion of HIV AIDS patients with limited access to health care and to a reluctance of ICU physicians in admitting HIV infected patients. However medical literature suggests that ICU prognosis of immunocompromised especially cancer patients should be largely improved by early ICU admission and by an early institution of supportive techniques. This strategy should be used in HIV AIDS patients with severe sepsis. In recent years several papers have noted important modifications in the epidemiology of sepsis and septic shock 1 2 . In the USA the annual incidence of sepsis increased 2 with sepsis more frequent among non-white people and men. Possible reasons for the real increase in the incidence of sepsis include the increased number of immunocompromised patients HIV infected patients represent more than 10 of patients hospitalized in teaching hospitals with severe sepsis and 6 of patients hospitalized with septic shock 1 . In industrialized countries the introduction of highly active antiretroviral therapy .
