Thursday, September 16, 2010

Protein C Concentrate As Adjuvant Treatment in Neonates With Sepsis-Induced Coagulopathy: A Pilot Study

http://journals.lww.com/shockjournal/Abstract/2010/10000/Protein_C_Concentrate_As_Adjuvant_Treatment_in.4.aspx

After 24 h of treatment, PC activity levels increased from an average of 19% to 57%, and they were within normal limits before the last PCConc bolus. During the treatment period, a shortening of PT (P = 0.04) and activated partial thromboplastin time (P = 0.02), and an increase in antithrombin levels (P <>P = 0.005) and NTISS values (P = 0.003). No adverse events were observed. This pilot study shows that in neonatal severe sepsis, normalization of PC levels is safe and probably effective in modulating the inflammatory response and in controlling coagulopathy. However, for the potential beneficial effects of PCConc administration on morbidity and mortality, a placebo-controlled, double-blind study is required.

Just a preliminary study.


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