New insights into the management of severe sepsis and septic shock
New insights into the management of severe sepsis and septic shock
New insights into the management of severe sepsis and septic shock
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Drotrecogin alfa (activated protein C) With similar concerns <strong>and</strong> sufficient doubt arisingoverseas, <strong>the</strong> European Medicines Agency calledfor a new trial to investigate whe<strong>the</strong>r DrotAAwould reduce mortality in patients with <strong>septic</strong><strong>shock</strong> PROWESS-SHOCK—a r<strong>and</strong>omized, double-blind,placebo-controlled, multicenter trial <strong>of</strong> 1,697patients The researchers found no significant difference inefficacy between patients who received DrotAA<strong>and</strong> those who did not receive treatment. At 28days, 26.4% <strong>of</strong> patients in <strong>the</strong> treatment arm <strong>and</strong>24.2% <strong>of</strong> patients in <strong>the</strong> placebo arm had died.