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Correspondence
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Volume 345:219-221 July 19, 2001 Number 3
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Recombinant Human Activated Protein C for Severe Sepsis

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To the Editor: Bernard and coworkers (March 8 issue)1 conclude that recombinant human activated protein C (drotrecogin alfa [activated]) is efficacious in patients with sepsis. The placebo and treatment groups appeared to be closely matched, with one important exception: the interval between the diagnosis of sepsis and the administration of appropriate antibiotic therapy. The authors state only that appropriate antibiotic therapy was started within 48 hours of the diagnosis of severe sepsis.

It is axiomatic that the more severe the sepsis, the more important the requirement for prompt administration of appropriate antibiotic therapy. In a study of gram-negative bacterial sepsis . . . [Full Text of this Article]

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