{"id":1079,"date":"2026-11-14T22:08:51","date_gmt":"2026-11-14T21:08:51","guid":{"rendered":"https:\/\/www.sepsisnet.nl\/onderzoeksnetwerk\/wetenschapsdag-2026\/"},"modified":"2026-11-14T22:08:51","modified_gmt":"2026-11-14T21:08:51","slug":"wetenschapsdag-2026","status":"publish","type":"page","link":"https:\/\/www.sepsisnet.nl\/en\/onderzoeksnetwerk\/wetenschapsdag-2026\/","title":{"rendered":"Science Day 2026"},"content":{"rendered":"<div class=\"snl-kb\" data-no-translation><section class=\"snl-kb-sec hero\" id=\"intro\"><div class=\"snl-kb-in\"><p class=\"lbl\">Looking back<\/p><h1>SepsisNet Science Day 2026<\/h1><p class=\"lead\">Highlights of the SepsisNet Science Day on 5 November 2026 in Utrecht: recognition, subtypes, resuscitation and post-sepsis care, with sources.<\/p><\/div><\/section><section class=\"snl-kb-sec alt\" id=\"verslag\"><div class=\"snl-kb-in\"><p>On 5 November 2026, more than 80 researchers, clinicians and partners came together at the Winkel van Sinkel in Utrecht for the annual SepsisNet Science Day. Four themes were central: recognition, subtypes and targeted therapy, antimicrobial and haemodynamic resuscitation, and post-sepsis care. Below is a selection of the highlights, with sources.<\/p><h2>Recognition outside the hospital<\/h2><p>Feike Loots showed that many patients with sepsis are in contact with primary care before admission, and that unrecognised infection is associated with higher mortality <a class=\"snl-cite\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30224394\/\" target=\"_blank\" rel=\"noopener\" data-ref=\"@loots\" data-pmid=\"30224394\">Loots, BMJ Open 2018<\/a>. During out-of-hours home visits, GPs counted the respiratory rate in 25% of patients; estimation missed many elevated respiratory rates <a class=\"snl-cite\" href=\"https:\/\/doi.org\/10.3399\/BJGPO.2022.0029\" target=\"_blank\" rel=\"noopener\" data-ref=\"Loots FJ, Dekker I, Wang RC, et al. The accuracy and feasibility of respiratory rate measurements in acutely ill adult patients by GPs: a mixed-methods study. BJGP Open 2022;6. PMID 35944945.\" data-pmid=\"35944945\">Loots, BJGP Open 2022<\/a>. A simple sepsis score for general practice is now being tested in a stepped-wedge study in six regions.<\/p><h2>Subtypes and targeted therapy<\/h2><p>Olaf Cremer, Joost Wiersinga and Matthijs Kox discussed the shift from a single disease entity to biologically defined subtypes. Despite hundreds of immunomodulation trials, the guideline still contains no targeted host-directed therapy <a class=\"snl-cite\" href=\"https:\/\/doi.org\/10.1186\/s13054-024-04964-6\" target=\"_blank\" rel=\"noopener\" data-ref=\"Slim MA, van Mourik N, Bakkerus L, et al. Towards personalized medicine: a scoping review of immunotherapy in sepsis. Crit Care 2024;28:183. PMID 38807151.\" data-pmid=\"38807151\">Slim, Crit Care 2024<\/a>. New consensus frameworks describe transcriptomic and immunological subtypes across large cohorts <a class=\"snl-cite\" href=\"https:\/\/doi.org\/10.1038\/s41591-025-03964-5\" target=\"_blank\" rel=\"noopener\" data-ref=\"Scicluna BP, Cano-Gamez K, Burnham KL, et al. A consensus blood transcriptomic framework for sepsis. Nat Med 2025;31:4119-4130. PMID 41028542.\" data-pmid=\"41028542\">Scicluna, Nat Med 2025<\/a> <a class=\"snl-cite\" href=\"https:\/\/doi.org\/10.1038\/s41591-025-03956-5\" target=\"_blank\" rel=\"noopener\" data-ref=\"Moore AR, Zheng H, Ganesan A, et al. A consensus immune dysregulation framework for sepsis and critical illnesses. Nat Med 2025;31:4084-4096. PMID 41028543.\" data-pmid=\"41028543\">Moore, Nat Med 2025<\/a>. In ImmunoSep, more than half of the screened patients could not be classified using ferritin and HLA-DR <a class=\"snl-cite\" href=\"https:\/\/doi.org\/10.1001\/jama.2025.24175\" target=\"_blank\" rel=\"noopener\" data-ref=\"Giamarellos-Bourboulis EJ, Kotsaki A, Kotsamidi I, et al; ImmunoSep Study Group. Precision immunotherapy to improve sepsis outcomes: the ImmunoSep randomized clinical trial. JAMA 2026;335(9):775-786.\" data-pmid=\"41359996\">ImmunoSep, JAMA 2025<\/a>. Examples of biomarker-guided enrichment are ASTONISH with sTREM-1 <a class=\"snl-cite\" href=\"https:\/\/doi.org\/10.1016\/S2213-2600(23)00158-3\" target=\"_blank\" rel=\"noopener\" data-ref=\"Fran\u00e7ois B, Lambden S, Fivez T, et al. Prospective evaluation of the efficacy, safety, and optimal biomarker enrichment strategy for nangibotide, a TREM-1 inhibitor, in patients with septic shock (ASTONISH): a double-blind, randomised, controlled, phase 2b trial. Lancet Respir Med 2023;11:894-904. PMID 37269870.\" data-pmid=\"37269870\">Fran\u00e7ois, Lancet Respir Med 2023<\/a> and an IFN-\u03b3-driven endotype <a class=\"snl-cite\" href=\"https:\/\/doi.org\/10.1016\/j.ebiom.2024.105414\" target=\"_blank\" rel=\"noopener\" data-ref=\"Giamarellos-Bourboulis EJ, Antonelli M, Bloos F, et al. Interferon-gamma driven elevation of CXCL9: a new sepsis endotype independently associated with mortality. EBioMedicine 2024;109:105414. PMID 39447386.\" data-pmid=\"39447386\">Giamarellos-Bourboulis, EBioMedicine 2024<\/a>.<\/p><h2>Antimicrobials and haemodynamics<\/h2><p>Geert Groeneveld discussed the role of oral antibiotics and pharmacokinetics in severe infections. Jan Bakker and Sanne ter Horst put 25 years of resuscitation trials into perspective <a class=\"snl-cite\" href=\"https:\/\/doi.org\/10.1186\/s13054-026-06201-8\" target=\"_blank\" rel=\"noopener\" data-ref=\"Hernandez G, Hunsicker O, de Backer D, et al. Twenty-five years of septic shock hemodynamic resuscitation trials: a conceptual perspective. Crit Care 2026;30. PMID 42482139.\" data-pmid=\"42482139\">Hernandez, Crit Care 2026<\/a>. ARISE FLUIDS showed no difference between early vasopressors and more liberal fluids, but less pulmonary oedema with less fluid <a class=\"snl-cite\" href=\"https:\/\/doi.org\/10.1056\/NEJMoa2516225\" target=\"_blank\" rel=\"noopener\" data-ref=\"ARISE FLUIDS Investigators. Vasopressors or Fluids in Early Septic Shock. N Engl J Med 2026. PMID 42274006.\" data-pmid=\"42274006\">ARISE FLUIDS, NEJM 2026<\/a>. Resuscitation guided by capillary refill time was further supported in ANDROMEDA-SHOCK-2 <a class=\"snl-cite\" href=\"https:\/\/doi.org\/10.1001\/jama.2025.20402\" target=\"_blank\" rel=\"noopener\" data-ref=\"ANDROMEDA-SHOCK-2 Investigators. Personalized Hemodynamic Resuscitation Targeting Capillary Refill Time in Early Septic Shock: the ANDROMEDA-SHOCK-2 randomized clinical trial. JAMA 2025. PMID 41159835.\" data-pmid=\"41159835\">ANDROMEDA-SHOCK-2, JAMA 2025<\/a>. In Groningen, the FLUIDS trial is investigating individualised fluid administration in the emergency department <a class=\"snl-cite\" href=\"https:\/\/doi.org\/10.1371\/journal.pone.0338504\" target=\"_blank\" rel=\"noopener\" data-ref=\"Ter Horst S, Ter Avest E, van Everdink J, et al. FLUid management and InDividualized resuscitation in Sepsis (FLUIDS)-A Study protocol for a single-centre, open-label, randomized clinical trial. PLoS One 2025;20:e0338504. PMID 41417807.\" data-pmid=\"41417807\">ter Horst, PLoS One 2025<\/a>.<\/p><h2>After sepsis<\/h2><p>Lonneke van Vught and Wouter van der Heijden showed the scale of long-term consequences: many survivors receive a new diagnosis or become care-dependent <a class=\"snl-cite\" href=\"https:\/\/doi.org\/10.1001\/jamanetworkopen.2021.34290\" target=\"_blank\" rel=\"noopener\" data-ref=\"Fleischmann-Struzek C, Rose N, Freytag A, et al. Epidemiology and Costs of Postsepsis Morbidity, Nursing Care Dependency, and Mortality in Germany, 2013 to 2017. JAMA Netw Open 2021;4:e2134290. PMID 34767025.\" data-pmid=\"34767025\">Fleischmann-Struzek, JAMA Netw Open 2021<\/a>, cardiovascular risk is increased <a class=\"snl-cite\" href=\"https:\/\/doi.org\/10.1161\/JAHA.122.027813\" target=\"_blank\" rel=\"noopener\" data-ref=\"Jentzer JC, Lawler PR, Van Houten HK, et al. Cardiovascular Events Among Survivors of Sepsis Hospitalization: A Retrospective Cohort Analysis. J Am Heart Assoc 2023;12:e027813. PMID 36722388.\" data-pmid=\"36722388\">Jentzer, J Am Heart Assoc 2023<\/a> and readmissions are often infection-related <a class=\"snl-cite\" href=\"https:\/\/doi.org\/10.1001\/jama.2015.1410\" target=\"_blank\" rel=\"noopener\" data-ref=\"Prescott HC, Langa KM, Iwashyna TJ. Readmission diagnoses after hospitalization for severe sepsis and other acute medical conditions. JAMA 2015;313:1055-7. PMID 25756444.\" data-pmid=\"25756444\">Prescott, JAMA 2015<\/a>. A definition of post-sepsis syndrome helps to organise follow-up care in a targeted way <a class=\"snl-cite\" href=\"https:\/\/doi.org\/10.2147\/IDR.S390947\" target=\"_blank\" rel=\"noopener\" data-ref=\"van der Slikke EC, Beumeler LFE, Holmqvist M, et al. Understanding Post-Sepsis Syndrome: How Can Clinicians Help? Infect Drug Resist 2023;16:6493-6511. PMID 37795206.\" data-pmid=\"37795206\">van der Slikke, Infect Drug Resist 2023<\/a>.<\/p><h2>Speed round<\/h2><p>Early-career researchers presented ongoing work, including long-term sepsis outcomes in Acutelines and MARS, a prediction model for blood culture results, point-of-care HLA-DR measurement and diagnostic discordance in the emergency department. These results have not yet been published.<\/p><p>Thank you to all speakers and participants. The date of the next Science Day has not yet been set; sign up for the <a href=\"\/#snl-nieuwsbrief\">newsletter<\/a> so you do not miss the announcement. Do you do sepsis research yourself? <a href=\"\/onderzoeksnetwerk\/#snl-profiel\">Add your profile<\/a> to the research network.<\/p><\/div><\/section><\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":652,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1079","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.sepsisnet.nl\/en\/wp-json\/wp\/v2\/pages\/1079","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.sepsisnet.nl\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.sepsisnet.nl\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.sepsisnet.nl\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.sepsisnet.nl\/en\/wp-json\/wp\/v2\/comments?post=1079"}],"version-history":[{"count":0,"href":"https:\/\/www.sepsisnet.nl\/en\/wp-json\/wp\/v2\/pages\/1079\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.sepsisnet.nl\/en\/wp-json\/wp\/v2\/pages\/652"}],"wp:attachment":[{"href":"https:\/\/www.sepsisnet.nl\/en\/wp-json\/wp\/v2\/media?parent=1079"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}