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Sen Yavuz B, Kaya R, Kodaman Dokumacigil N, Ozgur EG, Bekiroglu N, Kargul B. Clinical performance of short fiber reinforced composite and glass hybrid on hypomineralized molars: A 36-month randomized split-mouth study. J Dent 2024; 144:104919. [PMID: 38431187 DOI: 10.1016/j.jdent.2024.104919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Revised: 02/19/2024] [Accepted: 02/29/2024] [Indexed: 03/05/2024] Open
Abstract
OBJECTIVES This study aimed to assess the clinical performance outcome at 36 months of molars with molar incisor hypomineralization and carious lesions, treated with two different restorative approaches following selective caries removal. METHODS The children aged 6 to 12 years (18 female, 13 male) included in the study had at least two carious permanent first molars diagnosed with molar incisor hypomineralization. Sixty-two molars were restored in a split-mouth design. In all subjects, selective caries removal was performed so that caries was completely removed from the cavosurface walls and only soft dentin was left above the pulp chamber. Short fiber reinforced composite (SFRC; EverX Flow™) covered by micro-hybrid composite (G-Aenial® posterior composite) and Glass Hybrid (GH; Equia Forte® HT) were used as restorative materials. The restorations were evaluated according to modified United States Public Health Service (USPHS) criteria at baseline, 6, 12, 18, 24, and 36 month follow-ups. RESULTS During the 36-month follow-up, eight GH and four SFRC restorations failed. The clinical success of both restorations decreased statistically over time (p < 0.001 for both). When variables such as restoration type, sex, age, tooth type, and time were included in the model, the risk of failure of the restorations of the left lower first molar was statistically significantly higher than that of the left upper first molar (p < 0.002). CONCLUSION Direct composite restorations with SFRC and GH restorations perform similar clinical success with selective caries removal in the management of permanent molars affected by molar incisor hypomineralization. CLINICAL SIGNIFICANCE SFRC or GH restorations with similar clinical success might be preferred for the management of MIH-affected molars.
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Affiliation(s)
- Betul Sen Yavuz
- Department of Pediatric Dentistry, Faculty of Dentistry, Marmara University, Basibuyuk yolu, 9/3, Maltepe, Istanbul 34854, Turkey.
| | | | - Nur Kodaman Dokumacigil
- Department of Pediatric Dentistry, Faculty of Dentistry, Marmara University, Basibuyuk yolu, 9/3, Maltepe, Istanbul 34854, Turkey
| | - Emrah Gokay Ozgur
- Department of Biostatistics, Faculty of Medicine, Marmara University, Istanbul, Turkey
| | - Nural Bekiroglu
- Department of Biostatistics, Faculty of Medicine, Marmara University, Istanbul, Turkey
| | - Betul Kargul
- Department of Pediatric Dentistry, Faculty of Dentistry, Marmara University, Basibuyuk yolu, 9/3, Maltepe, Istanbul 34854, Turkey
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Şen Yavuz B, Sezer B, Kaya R, Tuğcu N, Kargül B. Is there an association between molar incisor hypomineralization and developmental dental anomalies? A case-control study. BMC Oral Health 2023; 23:776. [PMID: 37865729 PMCID: PMC10590512 DOI: 10.1186/s12903-023-03540-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 10/13/2023] [Indexed: 10/23/2023] Open
Abstract
BACKGROUND The aim of this study was to determine whether there is any association between molar incisor hypomineralization and developmental dental anomalies. METHODS Two pediatric dentists evaluated panoramic radiographs of 429 children aged 8-14 years with molar incisor hypomineralization (study group) and 437 children without molar incisor hypomineralization (control group) in terms of developmental dental anomalies. Twelve different developmental dental anomalies were categorized into four types: size (microdontia, macrodontia); position (ectopic eruption of maxillary permanent first molars, infraocclusion of primary molars); shape (fusion, gemination, dilaceration, taurodontism, peg-shaped maxillary lateral incisors); and number (hypodontia, oligodontia, hyperdontia) anomalies. RESULTS No significant difference was observed in the frequencies of developmental dental anomalies between the study and control groups in total, females, and males (p > 0.05). A statistically significant difference was found between the distribution of developmental size, position, shape, and number anomalies between the study and control groups (p = 0.024). The most common anomaly in both groups was hypodontia (6.3% and 5.9%, respectively). There was a significant difference between the study and control groups in terms of subtypes of shape anomaly in all children and females (p = 0.045 and p = 0.05, respectively). CONCLUSIONS While a significant difference was observed between the distributions of types of developmental dental anomalies between individuals with and without molar incisor hypomineralization, there was no difference in terms of the frequency of developmental dental anomalies.
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Affiliation(s)
- Betül Şen Yavuz
- Department of Pediatric Dentistry, School of Dentistry, Marmara University, Istanbul, Türkiye
| | - Berkant Sezer
- Department of Pediatric Dentistry, School of Dentistry, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye.
| | | | | | - Betül Kargül
- Department of Pediatric Dentistry, School of Dentistry, Marmara University, Istanbul, Türkiye
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Kaya R, Yavuz BŞE, Dokumacıgil NK, Kargül B. A Randomized Clinical Trial of Short Fiber Reinforced Composite and Glass Hybrid Restoration for Molars Affected by Molar Hypomineralization. Pediatr Dent 2023; 45:292-300. [PMID: 37605356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/23/2023]
Abstract
Purpose: The purpose of this split-mouth design study was to evaluate the clinical success and survival of glass hybrid (GH) and direct composite with short fiber-reinforced composite (SFRC) after selective caries removal in restorations of permanent first molars that were affected by molar hypomineralization (MH). Methods: Thirty-one children aged six to 12 years with severe MH were randomly assigned as follows: group one equals GH (Equia Forte® HT) and group two equals SFRC (EverX Flow TM ) covered by micro-hybrid composite (G-Aenial® posterior composite). For selective caries removal, only disorganized dentin in the pulpal and the axial wall was removed using low-speed tungsten carbide burs and hand instruments. The restoration longevity was evaluated at baseline and six, 12, and 24 months after treatment according to modified US Public Health Service (USPHS) criteria. Results: Seven GH and two SFRC restorations failed within two years of the follow-up period. The clinical success of all restorations decreased statistically over time for retention and marginal adaptation criteria of USPHS criteria (P<0.001 for both criteria). The direct composite with SFRC was 3.32 times (confidence interval equals 1.26 to 8.79) more successful than GH restorations in terms of retention according to the USPHS criteria (P=0.016). However, survival at 24 months was 93.5 percent (±4.4 standard error [SE]) and 77.4 percent (±7.5 SE) for SFRC and GH restorations, respectively. Conclusion: The retention of the direct composite with short fiber-reinforced composite was superior to glass hybrid restorations at 24 months in the management of molar hypomineralization-affected molars.
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Affiliation(s)
- Remziye Kaya
- Department of Pediatric Dentistry, Marmara University, Istanbul, Turkey
| | - Betül Ş En Yavuz
- Department of Pediatric Dentistry, Marmara University, Istanbul, Turkey
| | | | - Betül Kargül
- Department of Pediatric Dentistry, Marmara University, Istanbul, Turkey
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Sezer B, Kodaman Dokumacıgil N, Kaya R, Güven S, Türkkan ÖN, Çiçek N, Alpay H, Kargül B. Association between serum biomarkers and oral health status in children with chronic kidney disease: A cross-sectional study. Clin Oral Investig 2023:10.1007/s00784-023-04989-1. [PMID: 37014503 DOI: 10.1007/s00784-023-04989-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 03/28/2023] [Indexed: 04/05/2023]
Abstract
OBJECTIVES The aim of this study was to investigate the association between serum biomarkers and oral health parameters in children with chronic kidney disease (CKD). MATERIALS AND METHODS Serum hemoglobin, blood urea nitrogen, serum creatinine, calcium, parathormone, magnesium, and phosphorus levels were measured in 62 children with CKD aged between 4 and 17 years. Intraoral examinations of the patients were performed by two different pediatric dentists. Dental caries was assessed using the decayed-missing-filled-teeth (DMFT/dmft) indexes, and oral hygiene was assessed using the debris (DI), calculus (CI), and simplified oral hygiene (OHI-S) indexes. Spearman's rho coefficient and generalized linear modeling were used to examine the association between serum biomarkers and oral health parameters. RESULTS The results of the study showed that there were negative and statistically significant correlations between serum hemoglobin and creatinine levels and dmft scores in pediatric patients with CKD (p = 0.021 and p = 0.019, respectively). Furthermore, blood urea nitrogen levels and DI and OHI-S scores (p = 0.047 and p = 0.050, respectively); serum creatinine levels and DI, CI, and OHI-S scores (p = 0.005, p = 0.047, p = 0.043, respectively); and parathormone levels and CI and OHI-S scores (p = 0.001 and p = 0.017, respectively) were found to be positively and statistically significantly related. CONCLUSIONS There are associations between various serum biomarker levels and dental caries and oral hygiene parameters in pediatric patients with CKD. CLINICAL RELEVANCE The impact of changes in serum biomarkers on oral and dental health is important for dentists' and medical professionals' approaches to patients' oral and systemic health.
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Affiliation(s)
- Berkant Sezer
- Department of Pediatric Dentistry, School of Dentistry, Çanakkale Onsekiz Mart University, Çanakkale, Türkiye.
| | - Nur Kodaman Dokumacıgil
- Department of Pediatric Dentistry, School of Dentistry, Marmara University, Istanbul, Türkiye
| | - Remziye Kaya
- Department of Pediatric Dentistry, School of Dentistry, Marmara University, Istanbul, Türkiye
| | - Serçin Güven
- Division of Pediatric Nephrology, Department of Pediatrics, School of Medicine, Marmara University, Istanbul, Türkiye
| | - Özde Nisa Türkkan
- Division of Pediatric Nephrology, Department of Pediatrics, School of Medicine, Marmara University, Istanbul, Türkiye
| | - Neslihan Çiçek
- Division of Pediatric Nephrology, Department of Pediatrics, School of Medicine, Marmara University, Istanbul, Türkiye
| | - Harika Alpay
- Division of Pediatric Nephrology, Department of Pediatrics, School of Medicine, Marmara University, Istanbul, Türkiye
| | - Betül Kargül
- Department of Pediatric Dentistry, School of Dentistry, Marmara University, Istanbul, Türkiye
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Kaya R, Tanrıverdi D. The effect on mental well-being, life attitude and depression levels of positive psychology program applied to patients diagnosed with depression. Curr Psychol 2023; 43:1-13. [PMID: 36713620 PMCID: PMC9862237 DOI: 10.1007/s12144-023-04244-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/05/2023] [Indexed: 01/22/2023]
Abstract
Positive psychology (PP) interventions are treatment methods or intentional activities aiming to develop positive feelings, behaviors or cognitions. This study was conducted to determine the effect on mental well-being, life attitude and depression levels of PP program applied to patients diagnosed with depression. The pre, post and follow-up test were conducted as a quasi-experimental study. Patients who diagnosis of depression for at least 6 months constituted the population of the study, and a total of 53 patients, 26 were in the experimental and 27 in the control group. Data were collected using Personal Information Form,Beck Depression Inventory,Warwick-Edinburgh Mental Well-Being Scale and Life Attitude Profile Scale. After the analysis,it has been determined that the online PP program is effective in reducing the level of depression, increasing mental well-being and developing a positive life attitude. It is recommended that the PP program be used by psychiatric nurses in the treatment of depression and the execution of studies comparing online positive psychology practices with face-to-face positive psychology practices are recommended.
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Affiliation(s)
- R. Kaya
- Faculty of Health Sciences, Department of Psychiatric Nursing, Harran University, 63100 Sanliurfa, Turkey
| | - D. Tanrıverdi
- Faculty of Health Sciences, Gaziantep University, Gaziantep, Turkey
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Dogukan M, Bicakcioglu M, Yilmaz N, Duran M, Uludag O, Tutak A, Kaya R, Kilic R. The effect of spinal anesthesia that is performed in sitting or right lateral position on post-spinal headache and intraocular pressure during elective cesarean section. Niger J Clin Pract 2023; 26:90-94. [PMID: 36751829 DOI: 10.4103/njcp.njcp_401_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Background Although spinal anesthesia can be applied in different patient positions, the most frequently used positions are sitting and lateral positions. It is known that different patient positions during spinal anesthesia have effects on hemodynamic parameters, postdural puncture headache, and intraocular pressure. Aim The study aimed to determine the effect of spinal anesthesia performed in either sitting or right lateral position on postspinal headache and intraocular pressure during elective cesarean section. Patients and Methods The study was a randomized controlled study of 104 eligible pregnant women scheduled to undergo elective cesarean section. The women were randomized into two groups. Spinal anesthesia was performed either in the sitting (Group S, n = 53) or the right lateral position (Group L, n = 51). Heart rate and blood pressure were recorded throughout the operation. The participants were informed and monitored for postspinal headaches. Intraocular pressure before and after the operation was measured with Icare PRO. The obtained data were statistically compared between the two groups. Results There was no difference between the groups in terms of demographic data. Postdural puncture headache was observed in five patients in Group S and one patient in Group L (P =0.04). There was no difference between the groups in terms of intraocular pressure (P >.05). Heart rate was not significantly different between the groups; however, there was a significant difference in average blood pressure in 1, 5, 30, and 40 minutes (P <.05). The number of trials administered to patients for spinal anesthesia was significantly higher in Group L (P =0.01). Conclusion Spinal anesthesia performed in the sitting position for cesarean section caused a higher postspinal headache than in the right lateral position, but the position did not affect intraocular pressure.
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Affiliation(s)
- M Dogukan
- Deparment of Anesthesiology and Reanimation, Adiyaman University Faculty of Medicine, Adiyaman, Turkey
| | - M Bicakcioglu
- Deparment of Anesthesiology and Reanimation, Inonü University Faculty of Medicine, Malatya, Turkey
| | - N Yilmaz
- Deparment of Anesthesiology and Reanimation, Adiyaman Training and Research Hospital, Adiyaman, Turkey
| | - M Duran
- Deparment of Anesthesiology and Reanimation, Adiyaman University Faculty of Medicine, Adiyaman, Turkey
| | - O Uludag
- Deparment of Anesthesiology and Reanimation, Adiyaman University Faculty of Medicine, Adiyaman, Turkey
| | - A Tutak
- Deparment of Anesthesiology and Reanimation, Adıyaman Park Hospital, Adiyaman, Turkey
| | - R Kaya
- Deparment of Anesthesiology and Reanimation, New Life Hospital, Osmaniye, Turkey
| | - R Kilic
- Deparment of Anesthesiology and Reanimation, Hatem Hospital, Gaziantep, Turkey
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Ito K, Nakagawa M, Hori K, Tashima L, Goto M, Yanagida S, Suzuki J, Kaya R, Kawabata A, Park J, Nasu H, Nishio S, Kondo E, Kaneda M, Tsubamoto H, Arakawa A, Nagasawa T, Yamada K. 834P A phase II study of gemcitabine, cisplatin, and bevacizumab for first recurrent and refractory ovarian clear-cell carcinoma (KCOG-G1601 trial). Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Asa S, Yılmaz S, Kaya R, Sağer S, Halac M, Kabasakal L. Imaging of multiple brown tumors both in FDG (18F) and 68Ga DOTA-TATE PET/CT studies. Rev Esp Med Nucl Imagen Mol 2013; 32:404-5. [DOI: 10.1016/j.remn.2013.05.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2013] [Revised: 05/12/2013] [Accepted: 05/13/2013] [Indexed: 10/26/2022]
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Kaya R, Baydar O, Sinan UY, Canbolat IP, Kocas C, Abaci O, Uner S, Kucukoglu MS. Bicuspid aortic valve phenotype relationship with aortic root morphology and elasticity. Eur Heart J 2013. [DOI: 10.1093/eurheartj/eht310.p4759] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Kaya R, Pestereli HE, Erdogan G, Gülkesen KH, Karaveli S. Proliferating activity in differential diagnosis of benign phyllodes tumor and cellular fibroadenomas: is it helpful? Pathol Oncol Res 2002; 7:213-6. [PMID: 11692149 DOI: 10.1007/bf03032352] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Benign phyllodes tumors and fibroadenomas are two types of fibroepithelial tumors of breast that are usually difficult to differentiate. The purpose of this study is to evaluate the proliferative activity of these tumors and to find out if it helps in differential diagnosis. Thirty-one benign phyllodes tumors and twelve cellular fibroadenomas were retrieved from the archives of Pathology Department of Akdeniz University, School of Medicine. Proliferating activity of epithelial and stromal cells were evaluated by using labeling index (LI) of proliferating cell nuclear antigen (PCNA) and Ki-67 antigen by immunohistochemistry. The results were compared with other clinicopathologic findings. There was not any significant difference between the proliferating activity of phyllodes tumor and cellular fibroadenomas. Mean LI of PCNA was 28.01 (+/-22.85) in stromal cells and 56.57 (+/-30.98) in epithelial cells of phyllodes tumor where it was 28.92 (+/-24.02) and 62.53 (+/-32.56) in fibroadenomas. Ki-67 indices were 0.05 (+/-0.19) in stromal cells, 2.65 (+/-12.53) in epithelial cells of phyllodes tumors and 0.0 (+/-0) in stromal cells, 0.43 (+/-0.63) in epithelial cells of fibroadenomas. There was no correlation between the diameter of tumors and proliferating activity in both groups. Proliferating activity, determined by immunohistochemistry with PCNA and Ki-67 antibodies did not reveal significant difference between phyllodes tumor and fibroadenoma.
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Affiliation(s)
- R Kaya
- School of Medicine, Department of Pathology, Akdeniz University, Patoloji Anabilim Dali, Arapsuyu, Antalya, Turkey
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Ozbilim G, Karaburun SP, Zorlu G, Kaya R, Erdoğan G, Karaveli S. Immunohistochemical staining properties of PCNA, Ki-67, p53, beta-hCG and HPL in trophoblastic disease. EUR J GYNAECOL ONCOL 2000; 21:200-4. [PMID: 10843487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
OBJECTIVE In this study proliferating markers PCNA (proliferating cell nuclear antigen) Ki-67 and mutation of supressor gene p53 were investigated in gestational trophoblastic disease (GTL). These markers were tested by using immunostaining with beta subunits of human chorionic gonadotropin (hCG) and human placental lactogen (HPL). MATERIAL AND METHODS Twenty curetting samples, 20 spontaneous abortions, 16 hydatidiform moles and two choriocarcinomas were studied and compared. Hydatidiform moles were subdivided into 10 complete and six partial moles by using flow cytometry analysis. All slides were stained with PCNA, Ki-67, p53, hCG, and HPL immunohistochemically. PCNA and Ki-67 stained slides were studied quantitatively to determine the PCNA and Ki-67 index. Other slides that were stained with p53, hCG, HPL were evaluated according to staining percentage and intensity. Staining properties of all groups were compared with each other. Variance analysis and the Mann Whitney U test were used for statistical analysis. Choriocarcinomas were not included in the statistical analysis. Ki-67 and the PCNA index in two choriocarcinoma cases found 81.4% and 41%, and 44% and 64%, respectively. One case was stained in 70% with (++) intensity by p53. While both were stained in 80% with (++) intensity by hCG, one was stained in 30% field (+) intensity by HPL. RESULTS The four groups of complete and incomplete diagnosed hydatiform moles, spontaneous abortions and retention curettage were matched in pairs and evaluated according to the PCNA index. This index showed significant differences among the groups. The differences among the Ki-67 index, p53, hCG and HPL staining properties were not statistically significant. CONCLUSION Our findings showed that PCNA is a significant and useful marker for trophoblastic diseases and can be used as a prognostic factor.
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Affiliation(s)
- G Ozbilim
- Department of Pathology, Akdeniz University School of Medicine, Antalya, Turkey
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Abstract
The purpose of this study was to determine the role of intravenous immunoglobulin (IVIG) administration in preterm neonates with S. typhimurium infection. A randomized trial of 47 preterm neonates with intestinal or extraintestinal S. typhimurium infection was performed. Neonates were randomly divided into two groups: 22 neonates were only given cefoperazone (group 1); 25 neonates were given cefoperazone plus IVIG (group 2). IVIG was given at a dose of 500 mg/kg on days 1, 2, 3, and 8 after entry into the study. Following treatment, bacteremia, complications, mortality rate, recovery time, and duration of antimicrobial therapy were evaluated in two groups. Bacteremia was found in 31.4% in group 1 and 8% in group 2 (P < .05); complications developed in 81.8% in group 1 and 16% in group 2 (P < 0.01); mortality was 40.9% in group 1 and 12% in group 2 (P < .05). Recovery took 15 days in group 1 and 8 days in group 2 (P < .01). The duration of antimicrobial therapy was 20 days in group 1 and 14 days in group 2 (P < .01). We conclude that IVIG treatment in combination with antibiotics in preterm neonates with S. typhimurium infection reduces the complications, mortality rate, and duration of therapy.
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Affiliation(s)
- A S Gökalp
- Department of Pediatrics, Medical Faculty, Cumhuriyet University, Sivas, Turkey
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