Efficacy of erythropoietin in premature infants.
OBJECTIVE
To identify the effect of early parental recombinant human erythropoietin and iron administration on the blood transfusion requirement of premature infants.


METHODS
In a controlled clinical trial conducted at the neonatal intensive care unit of Al-Hada Military Hospital, Taif, Kingdom of Saudi Arabia over a 16 months period, we assigned 20 very low birth weight infants with gestational age of (mean +/- standard error of mean) 28.4 +/- 0.5 weeks and birth weight of (mean +/- standard error of mean) 1031 +/- 42 gm, to receive either intravenous recombinant human erythropoietin 200 U/kg/day and iron 1mg/kg/day or conventional therapy over a 21 day study period. Blood transfusion administration undergoes a strict protocol in our nursery.


RESULTS
During the 3 week study period, the hemoglobin and hematocrit remained similar in the 2 groups while the reticulocyte counts were greater in the recombinant human erythropoietin recipients on day 14. The number and volume of blood transfusions were similar in both groups.


CONCLUSIONS
Very low birth weight infants receive fewer blood transfusions than the number previously reported. Strict phlebotomy and transfusion criteria could minimize the need for human recombinant erythropoietin.
Amin
Adnan A
AA
Department of Pediatrics, Neonatal Intensive Care Unit, Al-Hada Military Hospital, Taif, Kingdom of Saudi Arabia. adnamn@hotmail.com
Alzahrani
Daifulah M
DM
D000751:Anemia, Neonatal / Q000188:drug therapy*; D001803:Blood Transfusion; D004359:Drug Therapy, Combination; D004921:Erythropoietin / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D019102:Infant, Very Low Birth Weight; D007262:Infusions, Intravenous; D007501:Iron / Q000627:therapeutic use; D008297:Male; D011994:Recombinant Proteins; D012529:Saudi Arabia
D011994:Recombinant Proteins; D004921:Erythropoietin; D007501:Iron