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静脉注射免疫球蛋白治疗新生儿败血症:治疗策略与实验室研究

Intravenous immunoglobulin in the treatment of neonatal sepsis: therapeutic strategies and laboratory studies.

作者信息

Fischer G W, Hemming V G, Hunter K W, Gloser H, Bachmayer H, Von Pilar C E, Helting T, Weisman L E, Wilson S R, Baron P A

出版信息

Pediatr Infect Dis. 1986 May-Jun;5(3 Suppl):S171-5.

PMID:3520501
Abstract

IGIV appears to have a promising future in treating and perhaps preventing neonatal bacterial infections. However, all IGIV lots do not contain equal amounts of pathogen-specific IgG with functional opsonic activity. To ensure effective therapy it will be important to inform physicians that the IGIV lots available for use contain functional antibacterial antibody to the responsible pathogens. To optimize therapy IGIV may need to be given early in the infection and doses may need to be repeated if pathogen-specific antibody is rapidly depleted. Further, clinical studies will be necessary to determine if IGIV will be a valuable adjunct to antibiotic therapy in neonatal GBS infections.

摘要

静脉注射免疫球蛋白(IGIV)在治疗甚至预防新生儿细菌感染方面似乎有着光明的前景。然而,并非所有批次的IGIV都含有等量具有功能性调理活性的病原体特异性IgG。为确保治疗有效,告知医生可用的IGIV批次含有针对相关病原体的功能性抗菌抗体非常重要。为优化治疗,可能需要在感染早期给予IGIV,并且如果病原体特异性抗体迅速消耗,可能需要重复给药。此外,有必要进行临床研究以确定IGIV在新生儿B族链球菌感染中是否会成为抗生素治疗的有价值辅助手段。

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Intravenous immunoglobulin in the treatment of neonatal sepsis: therapeutic strategies and laboratory studies.静脉注射免疫球蛋白治疗新生儿败血症:治疗策略与实验室研究
Pediatr Infect Dis. 1986 May-Jun;5(3 Suppl):S171-5.
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引用本文的文献

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Intravenous immunoglobulin for preventing infection in preterm and/or low birth weight infants.静脉注射免疫球蛋白预防早产和/或低出生体重儿感染
Cochrane Database Syst Rev. 2020 Jan 29;1(1):CD000361. doi: 10.1002/14651858.CD000361.pub4.
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Measurement of human antibodies to type III group B Streptococcus.人类抗B族链球菌III型抗体的检测
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Infect Immun. 1998 Dec;66(12):5848-53. doi: 10.1128/IAI.66.12.5848-5853.1998.
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Intravenous immunoglobulin inhibits staphylococcal toxin-induced human mononuclear phagocyte tumor necrosis factor alpha production.静脉注射免疫球蛋白可抑制葡萄球菌毒素诱导的人单核吞噬细胞肿瘤坏死因子α的产生。
Infect Immun. 1997 Feb;65(2):366-72. doi: 10.1128/iai.65.2.366-372.1997.
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Use of intravenous immune globulin in newborn infants.静脉注射免疫球蛋白在新生儿中的应用。
Clin Exp Immunol. 1994 Jul;97 Suppl 1(Suppl 1):73-7.
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Current status of intravenous immunoglobulin in preventing or treating neonatal bacterial infections.
Clin Rev Allergy. 1992 Spring-Summer;10(1-2):13-28. doi: 10.1007/978-1-4612-0417-6_2.