References | Subjects and type of study | Drug studied | Observations/conclusions |
---|---|---|---|
Khanal et al., 2011; Bhutta et al., 2009; Bang et al., 1990, 1993, 1999; Qazi, 2002 | Neonates, disease management | Oral SMX-TMP | Significant reduction in mor- tality from sepsis and pneu- monia; no untoward toxicities, including CNS toxicity, were mentioned |
Wadsworth & Suh, 1988 | Pooled cord serum, in vitro study |
52 antimicrobial agents including SMX | Bilirubin displacement compared |
Ho & Juurlink, 2011; Karpman & Kurzrock, 2004; Gutman, 1984; Gimnig et al., 2006; Block et al., 1987; Siegel et al., 1984 | Case reports, articles and reviews that include children ≤2 years of age |
Various drugs including SMX- TMP, oral |
Potentially adverse reactions and risk-benefit issues discussed |
Silverman, 1959; Andersen et al., 1956 | Infants, clinical trial | Sulfisoxazole | Landmark study showing for the first time kernicterus associated with sulfisoxazole |
Tuttle, 1955; Crosse et al., 1955; Odell, 1959 | Sera from infants, in vitro study | Sulfisoxazole | Used ultrafiltration and dialysis techniques to demonstrate uncoupling of protein-bound bilirubin by drug |
Gunn, 1938; Blanc & Johnson, 1959; Maisels, 2006 | Rats, in vivo; also review | Sulfisoxazole, sulfadiazine | Development of rat model for kernicterus, unconjugated bilirubin causing neuronal toxicity |
Springer et al., 1982 | Newborn infants; clinical and in vitro |
Intravenous SMX-TMP | Studied in vitro bilirubin bind- ing, serum drug levels and showed no side effects or kernicterus |
Awasthi et al., 2008; Agweyu et al., 2012; Walter et al., 2006 | Clinical study | Amoxicillin and SMX-TMP comparison |
Lack of serious side effects or toxicity |