Evidence map›Paper›PMID 34854404›Full record

Trial reportIndian journal of pharmacology

Pentaglobin (immunoglobulin M-enriched immunoglobulin) as adjuvant therapy for premature and very low-birth-weight neonates with sepsis.

Kawthar F Nassir, Yasir Ibrahim Al-Saddi, Hassan M Abbas, Qutaiba Ahmed Al Khames Aga, Luma Ahmed Al Khames Aga, Ameer A Oudah

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Indian journal of pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Kawthar F NassirTherapeutic Drug Monitoring Center, Bagdad Teaching Hospital, Mosul, Iraq.
Yasir Ibrahim Al-SaddiDepartment of Clinical Pharmacy, Welfare Teaching Hospital, Mosul, Iraq.
Hassan M AbbasMinistry of Health, Baghdad, Department of Clinical Pharmacy, Mosul, Iraq.
Qutaiba Ahmed Al Khames AgaDepartment of Pharmaceutical Sciences, Faculty of Pharmacy, Philadelphia University, Amman, Jordan.
Luma Ahmed Al Khames AgaMinistry of Health, Nineveh Health Directorate, Department of Gynecology, Mosul, Iraq.
Ameer A OudahDepartment of Clinical Pharmacy, Bagdad Teaching Hospital, Medical City, Mosul, Iraq.
Philadelphia University · JOUniversity of Mosul · IQBaghdad Medical City · IQMinistry of Health · IQ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe purpose of this research was to determine the effectiveness of Pentaglobin® as adjuvant therapy in the treatment of sepsis in preterm newborns. MATERIALS AND

methodsIt 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.

resultsMultiple 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).

conclusionNeonatal sepsis is more common in premature and VLBW newborns, and Pentaglobin® management of newborn nosocomial sepsis might be used in addition to other therapies.

Indexed as

Infant, PrematureInfant, Very Low Birth WeightAnti-Bacterial AgentsChemotherapy, AdjuvantFemaleHumansImmunoglobulin AImmunoglobulin MImmunoglobulins, IntravenousIndiaInfant, NewbornIntensive Care Units, NeonatalLength of StayPregnancyProspective StudiesSepsisAnti-Bacterial AgentsImmunoglobulin AImmunoglobulin MImmunoglobulins, IntravenouspentaglobulinImmunoglobulin M-enriched immunoglobulinneonateprematuresepsisvery low birth weight

Identifiers

PMID34854404
PMCPMC8641746
OpenAlexW3217299443

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.