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Sublingual Immunotherapy as an Alternative to Induce Protection Against Acute Respiratory Infections
Published on: August 30, 2014
Oral immunoglobulins for treatment of acute rotaviral gastroenteritis
A Guarino1, R B Canani, S Russo
1Department of Pediatrics, University Federico II, Naples, Italy.
Insights
Oral immunoglobulin significantly speeds recovery for children with rotavirus gastroenteritis. This treatment reduces diarrhea duration and hospital stays, offering a faster return to health.
Area of Science:
- Pediatrics
- Infectious Diseases
- Immunology
Background:
- Preliminary evidence suggests oral human serum immunoglobulin has an antirotavirus effect.
- Rotavirus acute gastroenteritis is a common cause of illness in children, necessitating effective treatments.
Purpose of the Study:
- To evaluate the efficacy of oral immunoglobulin treatment in children with rotavirus acute gastroenteritis.
Main Methods:
- A prospective, double-blind, placebo-controlled study involving 98 children with acute gastroenteritis.
- Children received either oral human serum immunoglobulin (300 mg/kg) or a placebo.
- Efficacy was assessed by clinical condition, stool characteristics, diarrhea duration, viral excretion, and hospital stay. Antirotaviral activity of the immunoglobulin was confirmed via neutralization assay.
Main Results:
- In children with rotaviral gastroenteritis (71/98), the immunoglobulin group showed significantly faster clinical improvement and stool pattern normalization compared to the placebo group.
- Mean diarrhea duration was reduced from 131 hours (placebo) to 76 hours (immunoglobulin) (P < .01).
- Viral excretion and hospital stay were also significantly shorter in the immunoglobulin group (P < .01).
Conclusions:
- Oral immunoglobulin administration is associated with accelerated recovery from rotavirus acute gastroenteritis in children.
- This treatment should be considered for children hospitalized with this condition.
- The study confirms the presence of neutralizing antibodies against rotavirus in the immunoglobulin preparation.
Objective:
Preliminary evidence has been reported on the antirotavirus effect of human serum immunoglobulin administered orally. The aim was to see whether such treatment might be effective in rotavirus acute gastroenteritis.
Methods:
A prospective, double-blind, placebo-controlled study was performed. Ninety-eight children admitted with acute gastroenteritis were enrolled and randomly assigned to groups A (treated) and B (control). Children in group A received a single oral dose of 300 mg/kg body weight of human serum immunoglobulin. Parameters of efficacy were clinical condition, frequency and consistency of stools, duration of diarrhea, duration of viral excretion, and length of hospital stay. Antirotaviral activity was determined in the immunoglobulin preparation by a specific neutralization assay.
Results:
Seventy-one of the 98 children enrolled had rotaviral gastroenteritis; 36 belonged to group A. Children who received immunoglobulin had significantly faster clinical improvement of clinical condition and stool pattern than control children. Mean total duration of rotaviral diarrhea was 76 hours in group A and 131 in group B (P < .01). Viral excretion lasted 114 and 180 hours, respectively (P < .01). Hospital stay was significantly reduced in children in group A. Neutralizing antibodies against rotavirus were detected in the immunoglobulin preparation.
Conclusion:
Oral administration of immunoglobulin is associated with a faster recovery from acute gastroenteritis and should be given to children hospitalized with this illness.
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