[Cytokines in the treatment of a generalized surgical infection]

Anesteziol Reanimatol. 2000 Mar-Apr:(2):27-30.
[Article in Russian]

Abstract

A novel approach to the treatment of surgical sepsis has been tried: cytokine-based immunotherapy. Human recombinant interleukin-2 (IL-2) and a mixture of native cytokines obtained by arteriovenous perfusion of xenospleen were used as a source of proinflammatory cytokines. Extracorporeal immunotherapy of 62 patients with surgical sepsis with mononuclear cells treated by autologous IL-2 resulted in a significant decrease of endotoxicosis and effective immunocorrection. Cytokine-based immunotherapy notably decreased the mortality of patients with generalized surgical infection--to 14.6%, which was lower than the expected mortality (35%) and the mortality in the control group (34.5%).

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Aged
  • Combined Modality Therapy
  • Cytokines / therapeutic use*
  • Humans
  • Immunity, Cellular
  • Immunotherapy / methods
  • Interleukin-2 / therapeutic use
  • Middle Aged
  • Recombinant Proteins / therapeutic use
  • Soft Tissue Infections / drug therapy*
  • Soft Tissue Infections / immunology
  • Soft Tissue Infections / surgery
  • Sorption Detoxification / methods
  • Spleen
  • Systemic Inflammatory Response Syndrome / drug therapy*
  • Systemic Inflammatory Response Syndrome / immunology
  • Systemic Inflammatory Response Syndrome / surgery

Substances

  • Cytokines
  • Interleukin-2
  • Recombinant Proteins