Intravenous immunoglobulin G therapy in streptococcal toxic shock syndrome: A European randomized, double-blind, placebo-controlled trial

Intravenous immunoglobulin G therapy in streptococcal toxic shock syndrome : A European randomized, double-blind, placebo-controlled trial

The efficacy and safety of high-dose intravenous polyspecific immunoglobulin G (IVIG) as adjunctive therapy in streptococcal toxic shock syndrome (STSS) were evaluated in a multicenter, randomized, double-blind, placebo-controlled trial. The trial was prematurely terminated because of slow patient recruitment, and results were obtained from 21 enrolled patients (10 IVIG recipients and 11 placebo recipients). The primary end point was mortality at 28 days, and a 3.6-fold higher mortality rate was found in the placebo group. A significant decrease in the sepsis-related organ failure assessment score at days 2 (P = .02) and 3 (P = .04) was noted in the IVIG group. Furthermore, a significant increase in plasma neutralizing activity against superantigens expressed by autologous isolates was noted in the IVIG group after treatment (P = .03). Although statistical significance was not reached in the primary end point, the trial provides further support for IVIG as an efficacious adjunctive therapy in STSS.

Ihendyane, N (author)
Sjölin, JUppsala universitet,Institutionen för medicinska vetenskaper,Infektion, Göran Friman (author)
Aufwerber, E (author)
Haidl, SvenLund University,Lunds universitet,Enheten för infektionssjukdomar,Forskargrupper vid Lunds universitet,Infectious Diseases Research Unit,Lund University Research Groups(Swepub:lu)inf-sha (author)
Follin, Per,1953-Östergötlands Läns Landsting,Linköpings universitet,Hälsouniversitetet,Infektionsmedicin,Infektionskliniken i Östergötland(Swepub:liu)perfo43 (author)
Andersson, JKarolinska Institutet (author)
Norrby-Teglund, AKarolinska Institutet (author)
Streptlg Study, Group (author)
Karolinska InstitutetInstitutionen för medicinska vetenskaper (creator_code:org_t)

In:Clinical Infectious Diseases: Oxford University Press (OUP)37, s. 333-1058-48381537-6591
In:Clin Infect Dis: Oxford University Press (OUP)37, s. 333-

By the author/editor: Darenberg, J; Ihendyane, N; Sjölin, J; Aufwerber, E; Haidl, Sven; Follin, Per, 195 ...; show more...; Andersson, J; Norrby-Teglund, ...; Streptlg Study, ...; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Infectious Medic ...

By the university: Linköping University; Lund University; Karolinska Institutet; Uppsala University

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