The utilization of immunosuppressive agents presents patients with autoimmune nephrosis at a high risk of infection. The present trial was to investigate the efficacy and safety of Broncho-Vaxom on preventing infection in immunosuppressive patients with autoimmune nephrosis. Methods: 40 patients with autoimmune nephrosis were randomly divided into two groups. The control group (20 cases) routinely received corticosteroid and (or) immunosuppressive therapy, while the treatment group (20 cases) received a capsule containing 7mg Broncho-Vaxom daily for the first 10 d of each month for 3 consecutive months on the basis of conventional corticosteroid and (or) immunosuppressive therapy. The condition of infection and blood lymphocyte were assessed. Results: 4 patients in the treatment group and 5 patients in the control group were lost during the follow-up period. 25% of patients in the treatment group and 40% of patients in the control group suffered infection. There was no difference in the incidence of infection between the two groups (p > 0.05), while Broncho-Vaxom treated patients suffered a shorter infection period and of which fewer patients need to receive antibiotics therapy (p < 0.05). After the treatment with Broncho-Vaxom, the total number of blood T lymphocyte, proportion of CD4(+) T lymphocyte, CD4(+)/CD8(+) reduced less and the serum IgG rose more obviously (p < 0.05), but the blood lymphocyte, B lymphocyte, CD8(+) T lymphocyte, IgA and IgM have no differences between the two groups (p > 0.05). Conclusion: Broncho-Vaxom might be a good choice for preventing the respiratory infection in nephrosis, especially in the patients under the therapy of immunosuppressive agents.
第一作者单位:[1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Nephrol, Wuhan 430074, Hubei Province, Peoples R China[2]Wuhan Hosp Tradit Chinese & Western Med, Dept Nephrol, Wuhan, Hubei Province, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Zhang Miao,Luan Hong,Zhang Qian,et al.Prevention of infection in immunosuppressive patients with autoimmune nephrosis by using an immunostimulating bacterial lysate Broncho-vaxom[J].HUMAN VACCINES & IMMUNOTHERAPEUTICS.2012,8(12):1802-1807.doi:10.4161/hv.21874.
APA:
Zhang, Miao,Luan, Hong,Zhang, Qian,Wang, Le,Lv, Yong-Man...&Liu, Qin.(2012).Prevention of infection in immunosuppressive patients with autoimmune nephrosis by using an immunostimulating bacterial lysate Broncho-vaxom.HUMAN VACCINES & IMMUNOTHERAPEUTICS,8,(12)
MLA:
Zhang, Miao,et al."Prevention of infection in immunosuppressive patients with autoimmune nephrosis by using an immunostimulating bacterial lysate Broncho-vaxom".HUMAN VACCINES & IMMUNOTHERAPEUTICS 8..12(2012):1802-1807