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. Author manuscript; available in PMC: 2014 Jul 21.
Published in final edited form as: Drug Chem Toxicol. 2013 Oct 7;37(2):121–129. doi: 10.3109/01480545.2013.834349

Some key references discussed in the review of the use and toxicity of SMX-TMP in neonates and animal studies.

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