1991
DOI: 10.1097/00003246-199109000-00003
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Treatment of Gram-negative septic shock with an immunoglobulin preparation

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Cited by 224 publications
(58 citation statements)
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“…Stehr et al (26) emphasized the benefits of polyclonal IgM-enriched solution by using a rabbit model of bacteremia. Clinical trials showed that IgM-enriched preparations were able to significantly decrease endotoxin levels in plasma (23) and even reduce mortality (22) during the early phase of septic shock. Norrby-Teglund et al (47) showed that IgM-enriched Immune complexes between bacteria and human plasma-derived pIgA, SIgA, mIgA, IgG, IgM, SigM, or anti-Shigella LPS-specific SIgAC5 monoclonal Ab were formed for 1 h as described under "Experimental procedures," and the expression of virulence factors was induced by Congo red.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Stehr et al (26) emphasized the benefits of polyclonal IgM-enriched solution by using a rabbit model of bacteremia. Clinical trials showed that IgM-enriched preparations were able to significantly decrease endotoxin levels in plasma (23) and even reduce mortality (22) during the early phase of septic shock. Norrby-Teglund et al (47) showed that IgM-enriched Immune complexes between bacteria and human plasma-derived pIgA, SIgA, mIgA, IgG, IgM, SigM, or anti-Shigella LPS-specific SIgAC5 monoclonal Ab were formed for 1 h as described under "Experimental procedures," and the expression of virulence factors was induced by Congo red.…”
Section: Discussionmentioning
confidence: 99%
“…Preclinical and clinical studies have underscored the efficacy against various infectious agents of polyclonal IgM-enriched preparations administered by the systemic route (22)(23)(24)(25)(26). Similar to SIgA, SIgM can be seen as a valid candidate immunoglobulin for mucosal application, given its ability to bind antigens with strong avidity, its potential to ensure long term protection (27), its capacity to survive low pH conditions (28), as well as its resistance to proteases (29).…”
mentioning
confidence: 99%
“…[42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58] The studies included in our review were very similar to those in the recently updated Cochrane review; 15 however, Just et al 40 was omitted and Spannbrucker et al 49 included.…”
Section: Literature Searching/inclusion Criteriamentioning
confidence: 99%
“…The data extracted from the 17 included studies [42][43][44][45][46][47][48][49][50][51][52][53][54][55] are summarised in Tables 7-13. 42,[48][49][50][52][53][54][55] out of the 17 studies (47%) explicitly reported that they were carried out in a critical-care unit setting; however, our assessment of the patient characteristics for inclusion in the other studies indicated a population with severe sepsis in each case, and so it was inferred that these studies would have been conducted in a critical-care unit setting.…”
Section: Data Extractionmentioning
confidence: 99%
“…But our results showed no significant clinical effect in short term prognosis. On the other hand, previous studies from overseas have used even higher doses [15][16][17][18][19][20][21][22][23][24] than that used in this study, and there may also be a need to conduct analyses in Japan using these higher doses on prognosis of severe sepsis and septic shock.…”
Section: Discussionmentioning
confidence: 97%