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Vitamin C status, oxidative stress, hyperglycaemia and endothelial function in critically ill patients with septic shock : an observational study

Includes bibliographical references.

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Main Author: Katundu, Kondwani
Other Authors: Hill, Lauren
Format: Thesis
Language:English
Published: Department of Human Biology 2015
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access_status_str Open Access
author Katundu, Kondwani
author2 Hill, Lauren
author_browse Hill, Lauren
Katundu, Kondwani
author_facet Hill, Lauren
Katundu, Kondwani
author_sort Katundu, Kondwani
collection Thesis
description Includes bibliographical references.
format Thesis
id oai:open.uct.ac.za:11427/13286
institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:31:31.816Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2015
publishDateRange 2015
publishDateSort 2015
publisher Department of Human Biology
publisherStr Department of Human Biology
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/13286 Vitamin C status, oxidative stress, hyperglycaemia and endothelial function in critically ill patients with septic shock : an observational study Katundu, Kondwani Hill, Lauren Davids, Lester Nutrition Includes bibliographical references. Septic shock is associated with oxidative stress, reduced levels of plasma vitamin C and stress hyperglycaemia – all factors that may influence endothelial, and therefore, organ function. Vitamin C is an important antioxidant in human plasma; and it has been implicated in maintaining normal endothelial function during oxidative stress. The vitamin C status of critically ill patients in South African ICUs has not been well investigated; neither has the relationship between vitamin C status, oxidative stress, hyperglycaemia and endothelial function been studied in this patient group. In a prospective, cross-sectional study investigating these factors in critically ill patients with septic shock on inotropic support, serial blood samples from 25 patients were taken at days zero and one, following inotrope initiation, and on day seven after inotrope cessation. These samples were analysed for plasma vitamin C, thiobarbituric acid-reactive substances (TBARS) - as a biomarker of oxidative stress - and soluble vascular cell adhesion molecule-1 (sVCAM-1), and E-selectin, as markers of endothelial dysfunction. The plasma glucose to vitamin C ratios were also calculated. Daily clinical measures in the patients included Sequential Organ Failure Assessment (SOFA) score, mean arterial blood pressure, blood glucose, fluid balance and inotropic support. The clinical outcomes were recorded. 2015-07-02T08:37:25Z 2015-07-02T08:37:25Z 2014 Master Thesis Masters MSc (Med) http://hdl.handle.net/11427/13286 eng application/pdf Department of Human Biology Faculty of Health Sciences University of Cape Town
spellingShingle Nutrition
Katundu, Kondwani
Vitamin C status, oxidative stress, hyperglycaemia and endothelial function in critically ill patients with septic shock : an observational study
thesis_degree_str Master's
title Vitamin C status, oxidative stress, hyperglycaemia and endothelial function in critically ill patients with septic shock : an observational study
title_full Vitamin C status, oxidative stress, hyperglycaemia and endothelial function in critically ill patients with septic shock : an observational study
title_fullStr Vitamin C status, oxidative stress, hyperglycaemia and endothelial function in critically ill patients with septic shock : an observational study
title_full_unstemmed Vitamin C status, oxidative stress, hyperglycaemia and endothelial function in critically ill patients with septic shock : an observational study
title_short Vitamin C status, oxidative stress, hyperglycaemia and endothelial function in critically ill patients with septic shock : an observational study
title_sort vitamin c status oxidative stress hyperglycaemia and endothelial function in critically ill patients with septic shock an observational study
topic Nutrition
url http://hdl.handle.net/11427/13286
work_keys_str_mv AT katundukondwani vitamincstatusoxidativestresshyperglycaemiaandendothelialfunctionincriticallyillpatientswithsepticshockanobservationalstudy