Parenteral nutrition facilitates activation of coagulation but not of fibrinolysis during human endotoxemia

Tom Van Der Poll, Marcel Levi, Carla C. Braxton, Susette M. Coyle, Marc Roth, Jan W. Ten Cate, Stephen F. Lowry

Research output: Contribution to journalArticlepeer-review

Abstract

Venous thrombosis and bacterial infections are common complications of parenteral nutrition. To test the hypothesis that infection facilitates activation of coagulation during parenteral nutrition, healthy subjects were intravenously injected with endotoxin (2 ng/kg) after they had received either 1 week of standard parenteral nutrition (n = 7) or normal enteral feeding (n = 8). Compared with enteral feeding, parenteral nutrition was associated with a selectively enhanced activation of the coagulation system (plasma levels of thrombin-antithrombin III complexes) during endotoxemia. Activation of the fibrinolytic system (plasminogen activator activity, tissue-type plasminogen activator, plasminogen activator inhibitor type 1) proceeded similarly in both study groups. In patients receiving parenteral nutrition, one common complication (bacterial infection) may facilitate the occurrence of another common complication (venous thrombosis) by synergistic stimulation of the coagulation system.

Original languageEnglish (US)
Pages (from-to)793-795
Number of pages3
JournalJournal of Infectious Diseases
Volume177
Issue number3
DOIs
StatePublished - 1998

ASJC Scopus subject areas

  • Immunology and Allergy
  • Infectious Diseases

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