Table 1.
Pros | Cons | |
---|---|---|
Bacterial and Fungal Infection | Selected pathogens of choice can be tested, lack of surgical insult, and ability to study progression of infection in relation to severity. | Strain, dose, and route dependence on severity; single pathogen may not reflect human sepsis. |
Bacteria Clot Implantation | Allows slow pathogen release, produces progressive sepsis, and prolonged immunometabolic dysregulation. | Reproducibility depends on clot standardization. |
Endotoxemia | Simple procedure, reproducibility, and acute response. | Dependence on toxin, dose, and route. Differs from clinical sepsis. |
Intraperitoneal | ||
Cecal Ligation and Puncture | Polymicrobial sepsis. Cardio-metabolic and immune response similar to clinical sepsis. Organ dysfunction. Simple surgical procedure. | Variability of the model (needle size, number of punctures, ligated cecum length). Surgical insult. |
Cecal Slurry | Reproducibility, ease of use, lack of surgical trauma, and organ dysfunction. | Batch-to-batch variation in the slurry. |
Colon Ascendens Stent Peritonitis |
Polymicrobial infection, organ dysfunction, and inflammatory response. | Surgical insult, variability due to stent size, and challenging surgical model. |
Two-Hit (e.g., CLP followed by lung infection) | Mimics biphasic multiorgan failure. | Variability depending on duration between hits, nature of each hit, and sequence of hits. |