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Related Experiment Videos

Pentoxifylline for neonatal sepsis.

K Haque1, P Mohan

  • 1Epsom & St Helier NHS Trust, Division of Neonatology, Department of Child Health, Queen Mary's Hospital for Children, Wrythe Lane, Carshalton, Surrey, UK, SM5 1AA.

The Cochrane Database of Systematic Reviews
|October 30, 2003
PubMed
Summary

Pentoxifylline, an anti-inflammatory drug, may reduce mortality in newborn infants with sepsis when used with antibiotics. Further large-scale trials are needed to confirm these findings and assess safety in neonatal sepsis treatment.

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Reply.

AJNR. American journal of neuroradiology·2015

Area of Science:

  • Neonatal Medicine
  • Pharmacology
  • Infectious Diseases

Background:

  • Neonatal sepsis mortality remains high, especially in preterm infants.
  • Antibiotic resistance necessitates novel strategies to enhance newborn host defenses.
  • Pentoxifylline, a phosphodiesterase inhibitor, modulates inflammation and is being investigated for sepsis.

Purpose of the Study:

  • To evaluate the efficacy and safety of intravenous pentoxifylline as an adjunct to antibiotics in neonates with sepsis.
  • To assess the impact of pentoxifylline on mortality and adverse events in neonatal sepsis.

Main Methods:

  • Systematic review of randomized and quasi-randomized trials comparing pentoxifylline plus antibiotics versus placebo/no intervention.
  • Searched multiple databases (CENTRAL, MEDLINE, EMBASE, CINAHL) and other sources up to March 2003.

Related Experiment Videos

  • Included trials reporting on mortality, neurological development, hospital stay, ventilation, chronic lung disease, necrotizing enterocolitis, or adverse events.
  • Main Results:

    • Two RCTs involving 107 neonates with confirmed sepsis were analyzed.
    • Pentoxifylline adjunct therapy showed a significant reduction in all-cause mortality during hospital stay (RR 0.14, NNT 6).
    • No adverse effects were reported in the included trials; other outcomes were not reported.

    Conclusions:

    • Pentoxifylline shows potential in reducing mortality in neonatal sepsis when used with antibiotics, with no observed adverse effects.
    • The current evidence is based on a small number of neonates and trials with methodological weaknesses, requiring cautious interpretation.
    • Larger, well-designed trials are recommended to confirm efficacy and explore comparisons with other anti-inflammatory adjuncts.