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. 2003 Jul 21;2003(3):CD003066. doi: 10.1002/14651858.CD003066

Bilgin 2001.

Methods Single centre, controlled trial, 
 quasi‐randomised (alternate allocation) 
 stratified by growth status (SGA, AGA, LGA)
Participants 60 infants with clinical signs of sepsis and neutropenia. 
 Definition of sepsis for recruitment: New symptons/objective clinical signs of sepsis 
 plus at least 1 positive blood culture, plus neutropenia. 
 Definition of neutropenia for recruitment: Neutrophils < 1.5 x 10(9)/l 
 GA <42w, BW 1100 ‐ 3500g, age < 29d. 
 25 treated and 24 controls had early onset sepsis. 
 1 centre, Turkey. Conducted January 1994 to March 1995.
Interventions 30 infants received 5 mcg/kg GM‐CSF SC daily for 7d 
 30 infants were controls (no placebo used). 
 (Leucomax, Novartis, UK)
Outcomes Mortality to discharge. 
 All surviving infants were discharged on or before day 21 from admission. 
 All neonates tolerated GM‐CSF well with no adverse reactions.
Notes All infants included had positive blood cultures. Was recruitment and randomisation delayed until culture positive sepsis confirmed? Were infants with negative blood cultures excluded post randomisation? If so it is not stated and no information is provided on their outcomes.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? High risk C ‐ Inadequate