RESUMO
Posttransfusion positive dipsticks for occult blood do not differentiate hemoglobinuria from myoglobinuria, relatively common events in infants admitted to the neonatal intensive care unit. We studied posttransfusion plasma and urine hemoglobin and myoglobin in relation to occult blood positivity in the urine dipsticks, in 48 consecutive transfusions with packed RBC (28 neonates, birth weight 850-3,700 g, postnatal age 3-167 days). Urine dipsticks show a low sensitivity for detecting hemoglobin and also undervalue myoglobin, both possible in different amounts in the plasma and urine of ill neonates. However, posttransfusion occult blood positive urine dipsticks due to myoglobinuria are present in 10% of transfused neonates.
Assuntos
Transfusão de Sangue , Hemoglobinúria , Recém-Nascido Prematuro , Mioglobinúria , Rabdomiólise , Transfusão de Eritrócitos , Feminino , Hemoglobinas/análise , Humanos , Recém-Nascido , Masculino , Mioglobina/sangue , Estudos Prospectivos , Fitas ReagentesRESUMO
The purpose of the present study was to evaluate the potential capacity of infant formulae based, respectively, on hydrolyzed casein and on hydrolyzed whey proteins to induce sensitization in guinea pigs. This potential capacity was tested by intravenous challenges with centrifuged formulae and by passive cutaneous anaphylaxis. The results showed that neither formula was sensitizing, therefore suggesting that protein hydrolyzates can be considered a suitable cow's milk substitute for infants with cow's milk protein intolerance. However, further studies are necessary in order to investigate whether these hydrolyzates are not allergenic in infants as well.