Cecal Ligation and Puncture as a Model of Sepsis in the Rat: Influence of the Puncture Size on Mortality, Bacteremia, Endotoxemia and Tumor Necrosis Factor Alpha Levels

Background: Cecal ligation and puncture is a widely used experimental model of sepsis. Aim of the Study: The present study was aimed to evaluate the influence of the size of the cecal puncture on mortality, bacteremia, endotoxemia and plasma TNF-α levels. Materials and Methods: Female Sprague-Dawley...

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Veröffentlicht in:European surgical research 2001, Vol.33 (2), p.77-79
Hauptverfasser: Otero-Antón, E., González-Quintela, A., López-Soto, A., López-Ben, S., Llovo, J., Pérez, L.F.
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container_end_page 79
container_issue 2
container_start_page 77
container_title European surgical research
container_volume 33
creator Otero-Antón, E.
González-Quintela, A.
López-Soto, A.
López-Ben, S.
Llovo, J.
Pérez, L.F.
description Background: Cecal ligation and puncture is a widely used experimental model of sepsis. Aim of the Study: The present study was aimed to evaluate the influence of the size of the cecal puncture on mortality, bacteremia, endotoxemia and plasma TNF-α levels. Materials and Methods: Female Sprague-Dawley rats underwent cecal ligation and puncture, divided into the following groups, defined by the diameter of the cecal puncture: 0.5-cm blade incision (n = 25), 13-gauge (n = 25), 16-gauge (n = 25), 18-gauge puncture (n = 25) and 4 punctures with a 22-gauge needle (n = 25). A sham operation was performed in another 25 rats. Three animals of each group were sacrificed 5 h after the procedure for blood cultures as well as determination of plasma endotoxin and TNF-α. The remaining animals were followed up for a week after cecal ligation and puncture for evaluation of mortality. Results: Five hours after cecal ligation and puncture, bacteremia was present in all animals, independently of the puncture size. Endotoxemia and plasma TNF levels tended to increase along with the diameter of the cecal puncture. Mortality gradually increased with the puncture size, from 27% with a 22-gauge needle to 95% with the blade incision. Conclusions: The severity of sepsis obtained with cecal ligation and puncture in rats can be easily modulated varying the size of the puncture.
doi_str_mv 10.1159/000049698
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Aim of the Study: The present study was aimed to evaluate the influence of the size of the cecal puncture on mortality, bacteremia, endotoxemia and plasma TNF-α levels. Materials and Methods: Female Sprague-Dawley rats underwent cecal ligation and puncture, divided into the following groups, defined by the diameter of the cecal puncture: 0.5-cm blade incision (n = 25), 13-gauge (n = 25), 16-gauge (n = 25), 18-gauge puncture (n = 25) and 4 punctures with a 22-gauge needle (n = 25). A sham operation was performed in another 25 rats. Three animals of each group were sacrificed 5 h after the procedure for blood cultures as well as determination of plasma endotoxin and TNF-α. The remaining animals were followed up for a week after cecal ligation and puncture for evaluation of mortality. Results: Five hours after cecal ligation and puncture, bacteremia was present in all animals, independently of the puncture size. Endotoxemia and plasma TNF levels tended to increase along with the diameter of the cecal puncture. Mortality gradually increased with the puncture size, from 27% with a 22-gauge needle to 95% with the blade incision. Conclusions: The severity of sepsis obtained with cecal ligation and puncture in rats can be easily modulated varying the size of the puncture.</description><identifier>ISSN: 0014-312X</identifier><identifier>EISSN: 1421-9921</identifier><identifier>DOI: 10.1159/000049698</identifier><identifier>PMID: 11399872</identifier><identifier>CODEN: EUSRBM</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Animals ; Bacteremia - complications ; Bacteroides Infections - etiology ; Biological and medical sciences ; Cecum ; Disease Models, Animal ; Emergency and intensive care: infection, septic shock ; Endotoxemia - complications ; Gram-Negative Bacterial Infections - etiology ; Infection - blood ; Infection - etiology ; Infection - mortality ; Intensive care medicine ; Ligation ; Medical sciences ; Original Paper ; Peritonitis - microbiology ; Punctures ; Rats ; Rats, Sprague-Dawley ; Survival Analysis ; Tumor Necrosis Factor-alpha - metabolism</subject><ispartof>European surgical research, 2001, Vol.33 (2), p.77-79</ispartof><rights>2001 S. Karger AG, Basel</rights><rights>2001 INIST-CNRS</rights><rights>Copyright 2001 S. Karger AG, Basel</rights><rights>Copyright (c) 2001 S. 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Aim of the Study: The present study was aimed to evaluate the influence of the size of the cecal puncture on mortality, bacteremia, endotoxemia and plasma TNF-α levels. Materials and Methods: Female Sprague-Dawley rats underwent cecal ligation and puncture, divided into the following groups, defined by the diameter of the cecal puncture: 0.5-cm blade incision (n = 25), 13-gauge (n = 25), 16-gauge (n = 25), 18-gauge puncture (n = 25) and 4 punctures with a 22-gauge needle (n = 25). A sham operation was performed in another 25 rats. Three animals of each group were sacrificed 5 h after the procedure for blood cultures as well as determination of plasma endotoxin and TNF-α. The remaining animals were followed up for a week after cecal ligation and puncture for evaluation of mortality. Results: Five hours after cecal ligation and puncture, bacteremia was present in all animals, independently of the puncture size. Endotoxemia and plasma TNF levels tended to increase along with the diameter of the cecal puncture. Mortality gradually increased with the puncture size, from 27% with a 22-gauge needle to 95% with the blade incision. Conclusions: The severity of sepsis obtained with cecal ligation and puncture in rats can be easily modulated varying the size of the puncture.</description><subject>Anesthesia. Intensive care medicine. Transfusions. 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Aim of the Study: The present study was aimed to evaluate the influence of the size of the cecal puncture on mortality, bacteremia, endotoxemia and plasma TNF-α levels. Materials and Methods: Female Sprague-Dawley rats underwent cecal ligation and puncture, divided into the following groups, defined by the diameter of the cecal puncture: 0.5-cm blade incision (n = 25), 13-gauge (n = 25), 16-gauge (n = 25), 18-gauge puncture (n = 25) and 4 punctures with a 22-gauge needle (n = 25). A sham operation was performed in another 25 rats. Three animals of each group were sacrificed 5 h after the procedure for blood cultures as well as determination of plasma endotoxin and TNF-α. The remaining animals were followed up for a week after cecal ligation and puncture for evaluation of mortality. Results: Five hours after cecal ligation and puncture, bacteremia was present in all animals, independently of the puncture size. Endotoxemia and plasma TNF levels tended to increase along with the diameter of the cecal puncture. Mortality gradually increased with the puncture size, from 27% with a 22-gauge needle to 95% with the blade incision. Conclusions: The severity of sepsis obtained with cecal ligation and puncture in rats can be easily modulated varying the size of the puncture.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>11399872</pmid><doi>10.1159/000049698</doi><tpages>3</tpages></addata></record>
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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Animals
Bacteremia - complications
Bacteroides Infections - etiology
Biological and medical sciences
Cecum
Disease Models, Animal
Emergency and intensive care: infection, septic shock
Endotoxemia - complications
Gram-Negative Bacterial Infections - etiology
Infection - blood
Infection - etiology
Infection - mortality
Intensive care medicine
Ligation
Medical sciences
Original Paper
Peritonitis - microbiology
Punctures
Rats
Rats, Sprague-Dawley
Survival Analysis
Tumor Necrosis Factor-alpha - metabolism
title Cecal Ligation and Puncture as a Model of Sepsis in the Rat: Influence of the Puncture Size on Mortality, Bacteremia, Endotoxemia and Tumor Necrosis Factor Alpha Levels
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