Treatment of Neonatal Sepsis with Immune Globulin

To the Editor: The International Neonatal Immunotherapy Study (INIS) Collaborative Group (Sept. 29 issue) 1 reports that therapy with intravenous immune globulin was not associated with decreased mortality in neonatal sepsis. However, many patients who were included in this study had cultures growin...

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Veröffentlicht in:The New England journal of medicine 2012-01, Vol.366 (1), p.91-91
Hauptverfasser: Oba, Yuichiro, Iwata, Kentaro, Stenson, Ben, Brocklehurst, Peter, King, Andrew
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container_issue 1
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container_title The New England journal of medicine
container_volume 366
creator Oba, Yuichiro
Iwata, Kentaro
Stenson, Ben
Brocklehurst, Peter
King, Andrew
description To the Editor: The International Neonatal Immunotherapy Study (INIS) Collaborative Group (Sept. 29 issue) 1 reports that therapy with intravenous immune globulin was not associated with decreased mortality in neonatal sepsis. However, many patients who were included in this study had cultures growing coagulase-negative staphylococci, which are usually less pathogenic and are associated with a better outcome than are coagulase-positive staphylococci. In addition, such cultures often contain contaminants from skin. Since severe sepsis was not strictly defined in this study, many patients could have conditions that were falsely diagnosed as sepsis, with relatively mild symptoms and a false positive blood culture. . . .
doi_str_mv 10.1056/NEJMc1112575
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However, many patients who were included in this study had cultures growing coagulase-negative staphylococci, which are usually less pathogenic and are associated with a better outcome than are coagulase-positive staphylococci. In addition, such cultures often contain contaminants from skin. 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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; New England Journal of Medicine
subjects Blood culture
Coagulase
Contaminants
Female
Globulins
Humans
Immunoglobulins
Immunoglobulins, Intravenous - therapeutic use
Immunologic Factors - therapeutic use
Immunotherapy
Intravenous administration
Male
Neonates
Patients
Sepsis
Sepsis - drug therapy
Skin
title Treatment of Neonatal Sepsis with Immune Globulin
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