Intravenous immunoglobulin treatment of immunodeficiency disorders.

Abstract:

:ADDs can occur as primary genetic disorders or may develop secondary to various other conditions, including infections, trauma, malnutrition, and protein-losing states. Although antibiotics are the first-line therapy for acute infection, using them prophylactically can select for resistant organisms. IM ISG and fresh frozen plasma were the principal agents for antibody-replacement therapy until the advent of IVIG 2 decades ago. IVIG is now the definitive product for antibody-replacement therapy. Although IVIG has a long history of safety regarding the infectious pathogens, the identification of more than 100 patients with non-A, non-B hepatitis apparently acquired from a single product prompted additional modifications, improving the safety profile of IVIG. Despite the excellent safety record of IVIG, the unexpected occurrence of hepatitis in some recipients served as a reminder that IVIG is a biologic product derived from human plasma. Newer products are being developed that may supplement polyvalent IVIG including humanized MAbs and hyperimmune IVIG preparations to address specific clinical requirements.

journal_name

Pediatr Clin North Am

authors

Schwartz SA

doi

10.1016/s0031-3955(05)70275-3

subject

Has Abstract

pub_date

2000-12-01 00:00:00

pages

1355-69

issue

6

eissn

0031-3955

issn

1557-8240

pii

S0031-3955(05)70275-3

journal_volume

47

pub_type

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