Pentaglobin (immunoglobulin M-enriched immunoglobulin) as adjuvant therapy for premature and very low-birth-weight neonates with sepsis.
Indian J Pharmacol
; 53(5): 364-370, 2021.
Article
en En
| MEDLINE
| ID: mdl-34854404
ABSTRACT
OBJECTIVES:
The purpose of this research was to determine the effectiveness of Pentaglobin® as adjuvant therapy in the treatment of sepsis in preterm newborns. MATERIALS ANDMETHODS:
It was a prospective, observational, randomized study for 272 premature neonates and very low birth weight (VLBW) that were diagnosed with sepsis carried at neonatal intensive care units. The patients randomized into control group who received standard sepsis antibiotic treatments, and an intervention group who received Pentaglobin® 5 ml/kg daily for 3 consecutive days as an adjunct therapy to a standard sepsis antibiotic treatment.RESULTS:
Multiple organisms that isolated from culture specimens were Gram-negative bacteria, Gram-positive, and candida (56.25%, 42.28%, and 1.47%, respectively). The disease duration was distinctively longer in patients who were treated by the standard antibiotic protocol (mean ± standard deviation [SD] 30.76 ± 3.97, odds ratio [OR] 30.76, 95% confidence interval [CI] 30.051, 31.473) comparing to the patients who received Pentaglobin adjuvant therapy (mean ± SD 26.48 ± 5.55, OR 26.48, 95% CI 25.489, 27.477) (P < 0.000). Patients treated by standard antibiotic protocol were associated to a substantially increased risk of death (11.76%, hazard ratio 4.400, 95% CI 1.432, 13.529, P = 0.009).CONCLUSION:
Neonatal sepsis is more common in premature and VLBW newborns, and Pentaglobin® management of newborn nosocomial sepsis might be used in addition to other therapies.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Inmunoglobulina A
/
Inmunoglobulina M
/
Recien Nacido Prematuro
/
Inmunoglobulinas Intravenosas
/
Sepsis
/
Recién Nacido de muy Bajo Peso
Tipo de estudio:
Clinical_trials
/
Guideline
/
Observational_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Newborn
/
Pregnancy
País/Región como asunto:
Asia
Idioma:
En
Revista:
Indian J Pharmacol
Año:
2021
Tipo del documento:
Article
País de afiliación:
Irak