Survival of primates in lethal septic shock following delayed treatment with steroid

L. B. Hinshaw, L. T. Archer, B. K. Beller-Todd, B. Benjamin, D. J. Flournoy, R. Passey

Research output: Contribution to journalArticle

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Abstract

We recently developed a methylprednisolone sodium succinate (MPSS)/gentamicin sulfate (GS) regimen that prevented death in baboons given a 2-hour infusion of LD100 E coli. Steroid treatment was begun in that study 30 minutes after initiation of E. coli. Our current aim was to determine if baboons would survive if MPSS treatment was delayed until all E coli were infused and severe hypotension had ensued. Fourteen lightly anesthetized baboons (P.c. cynocephalus) were administered E. coli and seven were then treated with MPS and GS for 10 hours. All non-treated baboons died, while six of seven treated animals survived. In the treated group, hypoglycemia and hypoinsulinemia were reversed, tachycardia was reduced, and neutrophil recovery was improved. Baboons with delayed MPSS, however, evidenced diminished perfusion and recovered more slowly than those with earlier MPSS treatment. In conclusion, primates in septic shock are clearly protected with delayed steroid/antibiotic therapy.

Original languageEnglish
Pages (from-to)291-300
Number of pages10
JournalCirculatory Shock
Volume8
Issue number3
StatePublished - 10 Aug 1981

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Methylprednisolone Hemisuccinate
Papio
Septic Shock
Primates
Steroids
Escherichia coli
Gentamicins
Hypoglycemia
Tachycardia
Hypotension
Neutrophils
Perfusion
Anti-Bacterial Agents

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Hinshaw, L. B., Archer, L. T., Beller-Todd, B. K., Benjamin, B., Flournoy, D. J., & Passey, R. (1981). Survival of primates in lethal septic shock following delayed treatment with steroid. Circulatory Shock, 8(3), 291-300.
Hinshaw, L. B. ; Archer, L. T. ; Beller-Todd, B. K. ; Benjamin, B. ; Flournoy, D. J. ; Passey, R. / Survival of primates in lethal septic shock following delayed treatment with steroid. In: Circulatory Shock. 1981 ; Vol. 8, No. 3. pp. 291-300.
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Hinshaw, LB, Archer, LT, Beller-Todd, BK, Benjamin, B, Flournoy, DJ & Passey, R 1981, 'Survival of primates in lethal septic shock following delayed treatment with steroid', Circulatory Shock, vol. 8, no. 3, pp. 291-300.

Survival of primates in lethal septic shock following delayed treatment with steroid. / Hinshaw, L. B.; Archer, L. T.; Beller-Todd, B. K.; Benjamin, B.; Flournoy, D. J.; Passey, R.

In: Circulatory Shock, Vol. 8, No. 3, 10.08.1981, p. 291-300.

Research output: Contribution to journalArticle

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Hinshaw LB, Archer LT, Beller-Todd BK, Benjamin B, Flournoy DJ, Passey R. Survival of primates in lethal septic shock following delayed treatment with steroid. Circulatory Shock. 1981 Aug 10;8(3):291-300.