id sid tid token lemma pos cord-002240-38aabxh1 1 1 key key NN cord-002240-38aabxh1 1 2 : : : cord-002240-38aabxh1 2 1 cord-002240 cord-002240 NNP cord-002240-38aabxh1 2 2 - - HYPH cord-002240-38aabxh1 2 3 38aabxh1 38aabxh1 JJ cord-002240-38aabxh1 2 4 authors author NNS cord-002240-38aabxh1 2 5 : : : cord-002240-38aabxh1 2 6 Prina Prina NNP cord-002240-38aabxh1 2 7 , , , cord-002240-38aabxh1 2 8 Elena Elena NNP cord-002240-38aabxh1 2 9 ; ; : cord-002240-38aabxh1 2 10 Ceccato Ceccato NNP cord-002240-38aabxh1 2 11 , , , cord-002240-38aabxh1 2 12 Adrian Adrian NNP cord-002240-38aabxh1 2 13 ; ; : cord-002240-38aabxh1 2 14 Torres Torres NNP cord-002240-38aabxh1 2 15 , , , cord-002240-38aabxh1 2 16 Antoni Antoni NNP cord-002240-38aabxh1 2 17 title title NN cord-002240-38aabxh1 2 18 : : : cord-002240-38aabxh1 2 19 New new JJ cord-002240-38aabxh1 2 20 aspects aspect NNS cord-002240-38aabxh1 2 21 in in IN cord-002240-38aabxh1 2 22 the the DT cord-002240-38aabxh1 2 23 management management NN cord-002240-38aabxh1 2 24 of of IN cord-002240-38aabxh1 2 25 pneumonia pneumonia NN cord-002240-38aabxh1 2 26 date date NN cord-002240-38aabxh1 2 27 : : : cord-002240-38aabxh1 2 28 2016 2016 CD cord-002240-38aabxh1 2 29 - - SYM cord-002240-38aabxh1 2 30 10 10 CD cord-002240-38aabxh1 2 31 - - HYPH cord-002240-38aabxh1 2 32 01 01 CD cord-002240-38aabxh1 2 33 journal journal NN cord-002240-38aabxh1 2 34 : : : cord-002240-38aabxh1 3 1 Crit Crit NNP cord-002240-38aabxh1 3 2 Care Care NNP cord-002240-38aabxh1 3 3 DOI doi NN cord-002240-38aabxh1 3 4 : : : cord-002240-38aabxh1 3 5 10.1186 10.1186 CD cord-002240-38aabxh1 3 6 / / SYM cord-002240-38aabxh1 3 7 s13054 s13054 NN cord-002240-38aabxh1 3 8 - - HYPH cord-002240-38aabxh1 3 9 016 016 CD cord-002240-38aabxh1 3 10 - - HYPH cord-002240-38aabxh1 3 11 1442-y 1442-y CD cord-002240-38aabxh1 4 1 sha sha NNP cord-002240-38aabxh1 4 2 : : : cord-002240-38aabxh1 4 3 f04ed0b001f814e08e669ede76e3a5879eb11630 f04ed0b001f814e08e669ede76e3a5879eb11630 NNP cord-002240-38aabxh1 4 4 doc_id doc_id CD cord-002240-38aabxh1 4 5 : : : cord-002240-38aabxh1 4 6 2240 2240 CD cord-002240-38aabxh1 4 7 cord_uid cord_uid NNS cord-002240-38aabxh1 4 8 : : : cord-002240-38aabxh1 5 1 38aabxh1 38aabxh1 NNP cord-002240-38aabxh1 6 1 Despite despite IN cord-002240-38aabxh1 6 2 improvements improvement NNS cord-002240-38aabxh1 6 3 in in IN cord-002240-38aabxh1 6 4 the the DT cord-002240-38aabxh1 6 5 management management NN cord-002240-38aabxh1 6 6 of of IN cord-002240-38aabxh1 6 7 community community NN cord-002240-38aabxh1 6 8 - - HYPH cord-002240-38aabxh1 6 9 acquired acquire VBN cord-002240-38aabxh1 6 10 pneumonia pneumonia NN cord-002240-38aabxh1 6 11 ( ( -LRB- cord-002240-38aabxh1 6 12 CAP CAP NNP cord-002240-38aabxh1 6 13 ) ) -RRB- cord-002240-38aabxh1 6 14 , , , cord-002240-38aabxh1 6 15 morbidity morbidity NN cord-002240-38aabxh1 6 16 and and CC cord-002240-38aabxh1 6 17 mortality mortality NN cord-002240-38aabxh1 6 18 are be VBP cord-002240-38aabxh1 6 19 still still RB cord-002240-38aabxh1 6 20 high high JJ cord-002240-38aabxh1 6 21 , , , cord-002240-38aabxh1 6 22 especially especially RB cord-002240-38aabxh1 6 23 in in IN cord-002240-38aabxh1 6 24 patients patient NNS cord-002240-38aabxh1 6 25 with with IN cord-002240-38aabxh1 6 26 more more RBR cord-002240-38aabxh1 6 27 severe severe JJ cord-002240-38aabxh1 6 28 disease disease NN cord-002240-38aabxh1 6 29 . . . cord-002240-38aabxh1 7 1 Early early JJ cord-002240-38aabxh1 7 2 and and CC cord-002240-38aabxh1 7 3 appropriate appropriate JJ cord-002240-38aabxh1 7 4 antibiotics antibiotic NNS cord-002240-38aabxh1 7 5 remain remain VBP cord-002240-38aabxh1 7 6 the the DT cord-002240-38aabxh1 7 7 cornerstone cornerstone NN cord-002240-38aabxh1 7 8 in in IN cord-002240-38aabxh1 7 9 the the DT cord-002240-38aabxh1 7 10 treatment treatment NN cord-002240-38aabxh1 7 11 of of IN cord-002240-38aabxh1 7 12 CAP CAP NNP cord-002240-38aabxh1 7 13 . . . cord-002240-38aabxh1 8 1 However however RB cord-002240-38aabxh1 8 2 , , , cord-002240-38aabxh1 8 3 two two CD cord-002240-38aabxh1 8 4 aspects aspect NNS cord-002240-38aabxh1 8 5 seem seem VBP cord-002240-38aabxh1 8 6 to to TO cord-002240-38aabxh1 8 7 contribute contribute VB cord-002240-38aabxh1 8 8 to to IN cord-002240-38aabxh1 8 9 a a DT cord-002240-38aabxh1 8 10 worse bad JJR cord-002240-38aabxh1 8 11 outcome outcome NN cord-002240-38aabxh1 8 12 : : : cord-002240-38aabxh1 8 13 an an DT cord-002240-38aabxh1 8 14 uncontrolled uncontrolled JJ cord-002240-38aabxh1 8 15 inflammatory inflammatory JJ cord-002240-38aabxh1 8 16 reaction reaction NN cord-002240-38aabxh1 8 17 and and CC cord-002240-38aabxh1 8 18 an an DT cord-002240-38aabxh1 8 19 inadequate inadequate JJ cord-002240-38aabxh1 8 20 immune immune JJ cord-002240-38aabxh1 8 21 response response NN cord-002240-38aabxh1 8 22 . . . cord-002240-38aabxh1 9 1 Adjuvant adjuvant JJ cord-002240-38aabxh1 9 2 treatments treatment NNS cord-002240-38aabxh1 9 3 , , , cord-002240-38aabxh1 9 4 such such JJ cord-002240-38aabxh1 9 5 as as IN cord-002240-38aabxh1 9 6 corticosteroids corticosteroid NNS cord-002240-38aabxh1 9 7 and and CC cord-002240-38aabxh1 9 8 intravenous intravenous JJ cord-002240-38aabxh1 9 9 immunoglobulins immunoglobulin NNS cord-002240-38aabxh1 9 10 , , , cord-002240-38aabxh1 9 11 have have VBP cord-002240-38aabxh1 9 12 been be VBN cord-002240-38aabxh1 9 13 proposed propose VBN cord-002240-38aabxh1 9 14 to to TO cord-002240-38aabxh1 9 15 counterbalance counterbalance VB cord-002240-38aabxh1 9 16 these these DT cord-002240-38aabxh1 9 17 effects effect NNS cord-002240-38aabxh1 9 18 . . . cord-002240-38aabxh1 10 1 The the DT cord-002240-38aabxh1 10 2 use use NN cord-002240-38aabxh1 10 3 of of IN cord-002240-38aabxh1 10 4 corticosteroids corticosteroid NNS cord-002240-38aabxh1 10 5 in in IN cord-002240-38aabxh1 10 6 patients patient NNS cord-002240-38aabxh1 10 7 with with IN cord-002240-38aabxh1 10 8 severe severe JJ cord-002240-38aabxh1 10 9 CAP cap NN cord-002240-38aabxh1 10 10 and and CC cord-002240-38aabxh1 10 11 a a DT cord-002240-38aabxh1 10 12 strong strong JJ cord-002240-38aabxh1 10 13 inflammatory inflammatory JJ cord-002240-38aabxh1 10 14 reaction reaction NN cord-002240-38aabxh1 10 15 can can MD cord-002240-38aabxh1 10 16 reduce reduce VB cord-002240-38aabxh1 10 17 the the DT cord-002240-38aabxh1 10 18 time time NN cord-002240-38aabxh1 10 19 to to IN cord-002240-38aabxh1 10 20 clinical clinical JJ cord-002240-38aabxh1 10 21 stability stability NN cord-002240-38aabxh1 10 22 , , , cord-002240-38aabxh1 10 23 the the DT cord-002240-38aabxh1 10 24 risk risk NN cord-002240-38aabxh1 10 25 of of IN cord-002240-38aabxh1 10 26 treatment treatment NN cord-002240-38aabxh1 10 27 failure failure NN cord-002240-38aabxh1 10 28 , , , cord-002240-38aabxh1 10 29 and and CC cord-002240-38aabxh1 10 30 the the DT cord-002240-38aabxh1 10 31 risk risk NN cord-002240-38aabxh1 10 32 of of IN cord-002240-38aabxh1 10 33 progression progression NN cord-002240-38aabxh1 10 34 to to IN cord-002240-38aabxh1 10 35 acute acute JJ cord-002240-38aabxh1 10 36 respiratory respiratory JJ cord-002240-38aabxh1 10 37 distress distress NN cord-002240-38aabxh1 10 38 syndrome syndrome NN cord-002240-38aabxh1 10 39 . . . cord-002240-38aabxh1 11 1 The the DT cord-002240-38aabxh1 11 2 administration administration NN cord-002240-38aabxh1 11 3 of of IN cord-002240-38aabxh1 11 4 intravenous intravenous JJ cord-002240-38aabxh1 11 5 immunoglobulins immunoglobulin NNS cord-002240-38aabxh1 11 6 seems seem VBZ cord-002240-38aabxh1 11 7 to to TO cord-002240-38aabxh1 11 8 reinforce reinforce VB cord-002240-38aabxh1 11 9 the the DT cord-002240-38aabxh1 11 10 immune immune JJ cord-002240-38aabxh1 11 11 response response NN cord-002240-38aabxh1 11 12 to to IN cord-002240-38aabxh1 11 13 the the DT cord-002240-38aabxh1 11 14 infection infection NN cord-002240-38aabxh1 11 15 in in IN cord-002240-38aabxh1 11 16 particular particular JJ cord-002240-38aabxh1 11 17 in in IN cord-002240-38aabxh1 11 18 patients patient NNS cord-002240-38aabxh1 11 19 with with IN cord-002240-38aabxh1 11 20 inadequate inadequate JJ cord-002240-38aabxh1 11 21 levels level NNS cord-002240-38aabxh1 11 22 of of IN cord-002240-38aabxh1 11 23 antibodies antibody NNS cord-002240-38aabxh1 11 24 and and CC cord-002240-38aabxh1 11 25 when when WRB cord-002240-38aabxh1 11 26 an an DT cord-002240-38aabxh1 11 27 enriched enriched JJ cord-002240-38aabxh1 11 28 IgM igm NN cord-002240-38aabxh1 11 29 preparation preparation NN cord-002240-38aabxh1 11 30 has have VBZ cord-002240-38aabxh1 11 31 been be VBN cord-002240-38aabxh1 11 32 used use VBN cord-002240-38aabxh1 11 33 ; ; : cord-002240-38aabxh1 11 34 however however RB cord-002240-38aabxh1 11 35 , , , cord-002240-38aabxh1 11 36 more more JJR cord-002240-38aabxh1 11 37 studies study NNS cord-002240-38aabxh1 11 38 are be VBP cord-002240-38aabxh1 11 39 needed need VBN cord-002240-38aabxh1 11 40 to to TO cord-002240-38aabxh1 11 41 determinate determinate VB cord-002240-38aabxh1 11 42 their -PRON- PRP$ cord-002240-38aabxh1 11 43 impact impact NN cord-002240-38aabxh1 11 44 on on IN cord-002240-38aabxh1 11 45 outcome outcome NN cord-002240-38aabxh1 11 46 and and CC cord-002240-38aabxh1 11 47 to to TO cord-002240-38aabxh1 11 48 define define VB cord-002240-38aabxh1 11 49 the the DT cord-002240-38aabxh1 11 50 population population NN cord-002240-38aabxh1 11 51 that that WDT cord-002240-38aabxh1 11 52 will will MD cord-002240-38aabxh1 11 53 receive receive VB cord-002240-38aabxh1 11 54 more more JJR cord-002240-38aabxh1 11 55 benefit benefit NN cord-002240-38aabxh1 11 56 . . . cord-002240-38aabxh1 12 1 Despite despite IN cord-002240-38aabxh1 12 2 the the DT cord-002240-38aabxh1 12 3 use use NN cord-002240-38aabxh1 12 4 of of IN cord-002240-38aabxh1 12 5 early early JJ cord-002240-38aabxh1 12 6 and and CC cord-002240-38aabxh1 12 7 appropriate appropriate JJ cord-002240-38aabxh1 12 8 antibiotic antibiotic JJ cord-002240-38aabxh1 12 9 treatment treatment NN cord-002240-38aabxh1 12 10 , , , cord-002240-38aabxh1 12 11 mortality mortality NN cord-002240-38aabxh1 12 12 related relate VBN cord-002240-38aabxh1 12 13 to to IN cord-002240-38aabxh1 12 14 community community NN cord-002240-38aabxh1 12 15 - - HYPH cord-002240-38aabxh1 12 16 acquired acquire VBN cord-002240-38aabxh1 12 17 pneumonia pneumonia NN cord-002240-38aabxh1 12 18 ( ( -LRB- cord-002240-38aabxh1 12 19 CAP CAP NNP cord-002240-38aabxh1 12 20 ) ) -RRB- cord-002240-38aabxh1 12 21 is be VBZ cord-002240-38aabxh1 12 22 still still RB cord-002240-38aabxh1 12 23 high high JJ cord-002240-38aabxh1 12 24 [ [ -LRB- cord-002240-38aabxh1 12 25 1 1 CD cord-002240-38aabxh1 12 26 ] ] -RRB- cord-002240-38aabxh1 12 27 , , , cord-002240-38aabxh1 12 28 especially especially RB cord-002240-38aabxh1 12 29 in in IN cord-002240-38aabxh1 12 30 patients patient NNS cord-002240-38aabxh1 12 31 with with IN cord-002240-38aabxh1 12 32 severe severe JJ cord-002240-38aabxh1 12 33 disease disease NN cord-002240-38aabxh1 12 34 . . . cord-002240-38aabxh1 13 1 Previous previous JJ cord-002240-38aabxh1 13 2 studies study NNS cord-002240-38aabxh1 13 3 have have VBP cord-002240-38aabxh1 13 4 shown show VBN cord-002240-38aabxh1 13 5 that that IN cord-002240-38aabxh1 13 6 approximately approximately RB cord-002240-38aabxh1 13 7 18 18 CD cord-002240-38aabxh1 13 8 % % NN cord-002240-38aabxh1 13 9 of of IN cord-002240-38aabxh1 13 10 patients patient NNS cord-002240-38aabxh1 13 11 hospitalized hospitalize VBN cord-002240-38aabxh1 13 12 for for IN cord-002240-38aabxh1 13 13 CAP CAP NNP cord-002240-38aabxh1 13 14 matched match VBD cord-002240-38aabxh1 13 15 the the DT cord-002240-38aabxh1 13 16 criteria criterion NNS cord-002240-38aabxh1 13 17 for for IN cord-002240-38aabxh1 13 18 severe severe JJ cord-002240-38aabxh1 13 19 CAP cap NN cord-002240-38aabxh1 13 20 . . . cord-002240-38aabxh1 14 1 These these DT cord-002240-38aabxh1 14 2 patients patient NNS cord-002240-38aabxh1 14 3 more more RBR cord-002240-38aabxh1 14 4 frequently frequently RB cord-002240-38aabxh1 14 5 present present JJ cord-002240-38aabxh1 14 6 with with IN cord-002240-38aabxh1 14 7 septic septic JJ cord-002240-38aabxh1 14 8 shock shock NN cord-002240-38aabxh1 14 9 and and CC cord-002240-38aabxh1 14 10 need need NN cord-002240-38aabxh1 14 11 for for IN cord-002240-38aabxh1 14 12 * * NFP cord-002240-38aabxh1 14 13 Correspondence correspondence NN cord-002240-38aabxh1 14 14 : : : cord-002240-38aabxh1 14 15 ATORRES@clinic.ub.es atorres@clinic.ub.es NN cord-002240-38aabxh1 14 16 1 1 CD cord-002240-38aabxh1 14 17 Servei Servei NNP cord-002240-38aabxh1 14 18 de de NNP cord-002240-38aabxh1 14 19 Pneumologia Pneumologia NNP cord-002240-38aabxh1 14 20 , , , cord-002240-38aabxh1 14 21 Institut Institut NNP cord-002240-38aabxh1 14 22 del del NNP cord-002240-38aabxh1 14 23 Torax Torax NNP cord-002240-38aabxh1 14 24 , , , cord-002240-38aabxh1 14 25 Hospital Hospital NNP cord-002240-38aabxh1 14 26 Clinic Clinic NNP cord-002240-38aabxh1 14 27 , , , cord-002240-38aabxh1 14 28 IDIBAPS IDIBAPS NNP cord-002240-38aabxh1 14 29 , , , cord-002240-38aabxh1 14 30 Universitat Universitat NNP cord-002240-38aabxh1 14 31 de de NNP cord-002240-38aabxh1 14 32 Barcelona Barcelona NNP cord-002240-38aabxh1 14 33 , , , cord-002240-38aabxh1 14 34 Barcelona Barcelona NNP cord-002240-38aabxh1 14 35 , , , cord-002240-38aabxh1 14 36 Spain Spain NNP cord-002240-38aabxh1 14 37 2 2 CD cord-002240-38aabxh1 14 38 Centro Centro NNP cord-002240-38aabxh1 14 39 de de NNP cord-002240-38aabxh1 14 40 Investigación Investigación NNP cord-002240-38aabxh1 14 41 Biomedica Biomedica NNP cord-002240-38aabxh1 14 42 En En NNP cord-002240-38aabxh1 14 43 Red Red NNP cord-002240-38aabxh1 14 44 - - HYPH cord-002240-38aabxh1 14 45 Enfermedades Enfermedades NNP cord-002240-38aabxh1 14 46 Respiratorias Respiratorias NNP cord-002240-38aabxh1 14 47 ( ( -LRB- cord-002240-38aabxh1 14 48 CibeRes CibeRes NNP cord-002240-38aabxh1 14 49 , , , cord-002240-38aabxh1 14 50 CB06/06/0028 CB06/06/0028 NNP cord-002240-38aabxh1 14 51 ) ) -RRB- cord-002240-38aabxh1 14 52 , , , cord-002240-38aabxh1 14 53 Barcelona Barcelona NNP cord-002240-38aabxh1 14 54 , , , cord-002240-38aabxh1 14 55 Spain Spain NNP cord-002240-38aabxh1 14 56 Full full JJ cord-002240-38aabxh1 14 57 list list NN cord-002240-38aabxh1 14 58 of of IN cord-002240-38aabxh1 14 59 author author NN cord-002240-38aabxh1 14 60 information information NN cord-002240-38aabxh1 14 61 is be VBZ cord-002240-38aabxh1 14 62 available available JJ cord-002240-38aabxh1 14 63 at at IN cord-002240-38aabxh1 14 64 the the DT cord-002240-38aabxh1 14 65 end end NN cord-002240-38aabxh1 14 66 of of IN cord-002240-38aabxh1 14 67 the the DT cord-002240-38aabxh1 14 68 article article NN cord-002240-38aabxh1 14 69 mechanical mechanical JJ cord-002240-38aabxh1 14 70 ventilation ventilation NN cord-002240-38aabxh1 14 71 , , , cord-002240-38aabxh1 14 72 with with IN cord-002240-38aabxh1 14 73 a a DT cord-002240-38aabxh1 14 74 mortality mortality NN cord-002240-38aabxh1 14 75 of of IN cord-002240-38aabxh1 14 76 approximately approximately RB cord-002240-38aabxh1 14 77 29 29 CD cord-002240-38aabxh1 14 78 % % NN cord-002240-38aabxh1 14 79 [ [ -LRB- cord-002240-38aabxh1 14 80 2 2 CD cord-002240-38aabxh1 14 81 ] ] -RRB- cord-002240-38aabxh1 14 82 . . . cord-002240-38aabxh1 15 1 In in IN cord-002240-38aabxh1 15 2 addition addition NN cord-002240-38aabxh1 15 3 to to IN cord-002240-38aabxh1 15 4 the the DT cord-002240-38aabxh1 15 5 infection infection NN cord-002240-38aabxh1 15 6 , , , cord-002240-38aabxh1 15 7 septic septic JJ cord-002240-38aabxh1 15 8 shock shock NN cord-002240-38aabxh1 15 9 is be VBZ cord-002240-38aabxh1 15 10 generally generally RB cord-002240-38aabxh1 15 11 thought think VBN cord-002240-38aabxh1 15 12 to to TO cord-002240-38aabxh1 15 13 be be VB cord-002240-38aabxh1 15 14 caused cause VBN cord-002240-38aabxh1 15 15 by by IN cord-002240-38aabxh1 15 16 an an DT cord-002240-38aabxh1 15 17 excessive excessive JJ cord-002240-38aabxh1 15 18 or or CC cord-002240-38aabxh1 15 19 uncontrolled uncontrolled JJ cord-002240-38aabxh1 15 20 pro pro JJ cord-002240-38aabxh1 15 21 - - JJ cord-002240-38aabxh1 15 22 inflammatory inflammatory JJ cord-002240-38aabxh1 15 23 response response NN cord-002240-38aabxh1 15 24 [ [ -LRB- cord-002240-38aabxh1 15 25 3 3 CD cord-002240-38aabxh1 15 26 ] ] -RRB- cord-002240-38aabxh1 15 27 . . . cord-002240-38aabxh1 16 1 Pneumonia pneumonia NN cord-002240-38aabxh1 16 2 is be VBZ cord-002240-38aabxh1 16 3 a a DT cord-002240-38aabxh1 16 4 complex complex JJ cord-002240-38aabxh1 16 5 disease disease NN cord-002240-38aabxh1 16 6 caused cause VBN cord-002240-38aabxh1 16 7 by by IN cord-002240-38aabxh1 16 8 the the DT cord-002240-38aabxh1 16 9 action action NN cord-002240-38aabxh1 16 10 of of IN cord-002240-38aabxh1 16 11 pathogens pathogen NNS cord-002240-38aabxh1 16 12 and and CC cord-002240-38aabxh1 16 13 the the DT cord-002240-38aabxh1 16 14 local local JJ cord-002240-38aabxh1 16 15 and and CC cord-002240-38aabxh1 16 16 systemic systemic JJ cord-002240-38aabxh1 16 17 inflammatory inflammatory JJ cord-002240-38aabxh1 16 18 responses response NNS cord-002240-38aabxh1 16 19 of of IN cord-002240-38aabxh1 16 20 the the DT cord-002240-38aabxh1 16 21 patient patient NN cord-002240-38aabxh1 16 22 . . . cord-002240-38aabxh1 17 1 A a DT cord-002240-38aabxh1 17 2 stronger strong JJR cord-002240-38aabxh1 17 3 inflammatory inflammatory JJ cord-002240-38aabxh1 17 4 response response NN cord-002240-38aabxh1 17 5 has have VBZ cord-002240-38aabxh1 17 6 been be VBN cord-002240-38aabxh1 17 7 shown show VBN cord-002240-38aabxh1 17 8 to to TO cord-002240-38aabxh1 17 9 be be VB cord-002240-38aabxh1 17 10 associated associate VBN cord-002240-38aabxh1 17 11 with with IN cord-002240-38aabxh1 17 12 treatment treatment NN cord-002240-38aabxh1 17 13 failure failure NN cord-002240-38aabxh1 17 14 and and CC cord-002240-38aabxh1 17 15 mortality mortality NN cord-002240-38aabxh1 17 16 [ [ -LRB- cord-002240-38aabxh1 17 17 4 4 CD cord-002240-38aabxh1 17 18 ] ] -RRB- cord-002240-38aabxh1 17 19 . . . cord-002240-38aabxh1 18 1 In in IN cord-002240-38aabxh1 18 2 particular particular JJ cord-002240-38aabxh1 18 3 , , , cord-002240-38aabxh1 18 4 high high JJ cord-002240-38aabxh1 18 5 levels level NNS cord-002240-38aabxh1 18 6 of of IN cord-002240-38aabxh1 18 7 interleukin interleukin NN cord-002240-38aabxh1 18 8 ( ( -LRB- cord-002240-38aabxh1 18 9 IL)-6 IL)-6 NNP cord-002240-38aabxh1 18 10 , , , cord-002240-38aabxh1 18 11 IL-8 IL-8 NNP cord-002240-38aabxh1 18 12 , , , cord-002240-38aabxh1 18 13 and and CC cord-002240-38aabxh1 18 14 IL-10 IL-10 NNP cord-002240-38aabxh1 18 15 have have VBP cord-002240-38aabxh1 18 16 been be VBN cord-002240-38aabxh1 18 17 detected detect VBN cord-002240-38aabxh1 18 18 in in IN cord-002240-38aabxh1 18 19 patients patient NNS cord-002240-38aabxh1 18 20 with with IN cord-002240-38aabxh1 18 21 severe severe JJ cord-002240-38aabxh1 18 22 pneumonia pneumonia NN cord-002240-38aabxh1 18 23 and and CC cord-002240-38aabxh1 18 24 excess excess JJ cord-002240-38aabxh1 18 25 IL-6 IL-6 NNP cord-002240-38aabxh1 18 26 and and CC cord-002240-38aabxh1 18 27 IL-10 IL-10 NNP cord-002240-38aabxh1 18 28 was be VBD cord-002240-38aabxh1 18 29 associated associate VBN cord-002240-38aabxh1 18 30 with with IN cord-002240-38aabxh1 18 31 increased increase VBN cord-002240-38aabxh1 18 32 mortality mortality NN cord-002240-38aabxh1 18 33 ( ( -LRB- cord-002240-38aabxh1 18 34 from from IN cord-002240-38aabxh1 18 35 4.8 4.8 CD cord-002240-38aabxh1 18 36 to to IN cord-002240-38aabxh1 18 37 11.4 11.4 CD cord-002240-38aabxh1 18 38 % % NN cord-002240-38aabxh1 18 39 ) ) -RRB- cord-002240-38aabxh1 18 40 [ [ -LRB- cord-002240-38aabxh1 18 41 5 5 CD cord-002240-38aabxh1 18 42 , , , cord-002240-38aabxh1 18 43 6 6 CD cord-002240-38aabxh1 18 44 ] ] -RRB- cord-002240-38aabxh1 18 45 . . . cord-002240-38aabxh1 19 1 Moreover moreover RB cord-002240-38aabxh1 19 2 , , , cord-002240-38aabxh1 19 3 in in IN cord-002240-38aabxh1 19 4 some some DT cord-002240-38aabxh1 19 5 patients patient NNS cord-002240-38aabxh1 19 6 with with IN cord-002240-38aabxh1 19 7 CAP cap NN cord-002240-38aabxh1 19 8 , , , cord-002240-38aabxh1 19 9 excessive excessive JJ cord-002240-38aabxh1 19 10 levels level NNS cord-002240-38aabxh1 19 11 of of IN cord-002240-38aabxh1 19 12 cytokines cytokine NNS cord-002240-38aabxh1 19 13 can can MD cord-002240-38aabxh1 19 14 be be VB cord-002240-38aabxh1 19 15 released release VBN cord-002240-38aabxh1 19 16 ( ( -LRB- cord-002240-38aabxh1 19 17 called call VBN cord-002240-38aabxh1 19 18 the the DT cord-002240-38aabxh1 19 19 Jarisch Jarisch NNP cord-002240-38aabxh1 19 20 - - HYPH cord-002240-38aabxh1 19 21 Herxheimerlike Herxheimerlike NNP cord-002240-38aabxh1 19 22 reaction reaction NN cord-002240-38aabxh1 19 23 ) ) -RRB- cord-002240-38aabxh1 19 24 after after IN cord-002240-38aabxh1 19 25 the the DT cord-002240-38aabxh1 19 26 initiation initiation NN cord-002240-38aabxh1 19 27 of of IN cord-002240-38aabxh1 19 28 antibiotics antibiotic NNS cord-002240-38aabxh1 19 29 , , , cord-002240-38aabxh1 19 30 causing cause VBG cord-002240-38aabxh1 19 31 damage damage NN cord-002240-38aabxh1 19 32 similar similar JJ cord-002240-38aabxh1 19 33 to to IN cord-002240-38aabxh1 19 34 other other JJ cord-002240-38aabxh1 19 35 infections infection NNS cord-002240-38aabxh1 19 36 characterized characterize VBN cord-002240-38aabxh1 19 37 by by IN cord-002240-38aabxh1 19 38 high high JJ cord-002240-38aabxh1 19 39 bacterial bacterial JJ cord-002240-38aabxh1 19 40 load load NN cord-002240-38aabxh1 19 41 ( ( -LRB- cord-002240-38aabxh1 19 42 e.g. e.g. RB cord-002240-38aabxh1 19 43 , , , cord-002240-38aabxh1 19 44 meningococcal meningococcal JJ cord-002240-38aabxh1 19 45 meningitis meningitis NN cord-002240-38aabxh1 19 46 ) ) -RRB- cord-002240-38aabxh1 19 47 [ [ -LRB- cord-002240-38aabxh1 19 48 7 7 CD cord-002240-38aabxh1 19 49 , , , cord-002240-38aabxh1 19 50 8 8 CD cord-002240-38aabxh1 19 51 ] ] -RRB- cord-002240-38aabxh1 19 52 . . . cord-002240-38aabxh1 20 1 Another another DT cord-002240-38aabxh1 20 2 aspect aspect NN cord-002240-38aabxh1 20 3 regarding regard VBG cord-002240-38aabxh1 20 4 the the DT cord-002240-38aabxh1 20 5 immune immune JJ cord-002240-38aabxh1 20 6 response response NN cord-002240-38aabxh1 20 7 to to IN cord-002240-38aabxh1 20 8 the the DT cord-002240-38aabxh1 20 9 infection infection NN cord-002240-38aabxh1 20 10 is be VBZ cord-002240-38aabxh1 20 11 that that IN cord-002240-38aabxh1 20 12 low low JJ cord-002240-38aabxh1 20 13 levels level NNS cord-002240-38aabxh1 20 14 of of IN cord-002240-38aabxh1 20 15 immunoglobulins immunoglobulin NNS cord-002240-38aabxh1 20 16 are be VBP cord-002240-38aabxh1 20 17 found find VBN cord-002240-38aabxh1 20 18 , , , cord-002240-38aabxh1 20 19 particularly particularly RB cord-002240-38aabxh1 20 20 in in IN cord-002240-38aabxh1 20 21 patients patient NNS cord-002240-38aabxh1 20 22 with with IN cord-002240-38aabxh1 20 23 recurrent recurrent JJ cord-002240-38aabxh1 20 24 episodes episode NNS cord-002240-38aabxh1 20 25 of of IN cord-002240-38aabxh1 20 26 pneumonia pneumonia NN cord-002240-38aabxh1 20 27 , , , cord-002240-38aabxh1 20 28 and and CC cord-002240-38aabxh1 20 29 may may MD cord-002240-38aabxh1 20 30 be be VB cord-002240-38aabxh1 20 31 responsible responsible JJ cord-002240-38aabxh1 20 32 for for IN cord-002240-38aabxh1 20 33 the the DT cord-002240-38aabxh1 20 34 predisposition predisposition NN cord-002240-38aabxh1 20 35 to to IN cord-002240-38aabxh1 20 36 recurrent recurrent JJ cord-002240-38aabxh1 20 37 infections infection NNS cord-002240-38aabxh1 20 38 and and CC cord-002240-38aabxh1 20 39 worse bad JJR cord-002240-38aabxh1 20 40 outcome outcome NN cord-002240-38aabxh1 20 41 [ [ -LRB- cord-002240-38aabxh1 20 42 9 9 CD cord-002240-38aabxh1 20 43 ] ] -RRB- cord-002240-38aabxh1 20 44 . . . cord-002240-38aabxh1 21 1 Considering consider VBG cord-002240-38aabxh1 21 2 that that IN cord-002240-38aabxh1 21 3 pathogens pathogen NNS cord-002240-38aabxh1 21 4 resistant resistant JJ cord-002240-38aabxh1 21 5 to to IN cord-002240-38aabxh1 21 6 the the DT cord-002240-38aabxh1 21 7 empiric empiric JJ cord-002240-38aabxh1 21 8 antibiotic antibiotic JJ cord-002240-38aabxh1 21 9 treatment treatment NN cord-002240-38aabxh1 21 10 are be VBP cord-002240-38aabxh1 21 11 not not RB cord-002240-38aabxh1 21 12 a a DT cord-002240-38aabxh1 21 13 common common JJ cord-002240-38aabxh1 21 14 cause cause NN cord-002240-38aabxh1 21 15 of of IN cord-002240-38aabxh1 21 16 CAP cap NN cord-002240-38aabxh1 21 17 , , , cord-002240-38aabxh1 21 18 two two CD cord-002240-38aabxh1 21 19 aspects aspect NNS cord-002240-38aabxh1 21 20 seem seem VBP cord-002240-38aabxh1 21 21 to to TO cord-002240-38aabxh1 21 22 contribute contribute VB cord-002240-38aabxh1 21 23 to to IN cord-002240-38aabxh1 21 24 a a DT cord-002240-38aabxh1 21 25 worse bad JJR cord-002240-38aabxh1 21 26 outcome outcome NN cord-002240-38aabxh1 21 27 : : : cord-002240-38aabxh1 21 28 an an DT cord-002240-38aabxh1 21 29 uncontrolled uncontrolled JJ cord-002240-38aabxh1 21 30 inflammatory inflammatory JJ cord-002240-38aabxh1 21 31 reaction reaction NN cord-002240-38aabxh1 21 32 and and CC cord-002240-38aabxh1 21 33 an an DT cord-002240-38aabxh1 21 34 inadequate inadequate JJ cord-002240-38aabxh1 21 35 immune immune JJ cord-002240-38aabxh1 21 36 response response NN cord-002240-38aabxh1 21 37 . . . cord-002240-38aabxh1 22 1 Adjuvant adjuvant JJ cord-002240-38aabxh1 22 2 treatments treatment NNS cord-002240-38aabxh1 22 3 , , , cord-002240-38aabxh1 22 4 such such JJ cord-002240-38aabxh1 22 5 as as IN cord-002240-38aabxh1 22 6 corticosteroids corticosteroid NNS cord-002240-38aabxh1 22 7 and and CC cord-002240-38aabxh1 22 8 intravenous intravenous JJ cord-002240-38aabxh1 22 9 immunoglobulins immunoglobulin NNS cord-002240-38aabxh1 22 10 , , , cord-002240-38aabxh1 22 11 have have VBP cord-002240-38aabxh1 22 12 been be VBN cord-002240-38aabxh1 22 13 proposed propose VBN cord-002240-38aabxh1 22 14 to to TO cord-002240-38aabxh1 22 15 counterbalance counterbalance VB cord-002240-38aabxh1 22 16 these these DT cord-002240-38aabxh1 22 17 effects effect NNS cord-002240-38aabxh1 22 18 . . . cord-002240-38aabxh1 23 1 Glucocorticosteroid Glucocorticosteroid NNP cord-002240-38aabxh1 23 2 drugs drug NNS cord-002240-38aabxh1 23 3 reproduce reproduce VBP cord-002240-38aabxh1 23 4 effects effect NNS cord-002240-38aabxh1 23 5 similar similar JJ cord-002240-38aabxh1 23 6 to to IN cord-002240-38aabxh1 23 7 endogenous endogenous JJ cord-002240-38aabxh1 23 8 cortisol cortisol NN cord-002240-38aabxh1 23 9 : : : cord-002240-38aabxh1 23 10 they -PRON- PRP cord-002240-38aabxh1 23 11 have have VBP cord-002240-38aabxh1 23 12 anti anti JJ cord-002240-38aabxh1 23 13 - - JJ cord-002240-38aabxh1 23 14 inflammatory inflammatory JJ cord-002240-38aabxh1 23 15 activity activity NN cord-002240-38aabxh1 23 16 by by IN cord-002240-38aabxh1 23 17 switching switch VBG cord-002240-38aabxh1 23 18 genes gene NNS cord-002240-38aabxh1 23 19 on on IN cord-002240-38aabxh1 23 20 and and CC cord-002240-38aabxh1 23 21 off off RB cord-002240-38aabxh1 23 22 , , , cord-002240-38aabxh1 23 23 resulting result VBG cord-002240-38aabxh1 23 24 in in IN cord-002240-38aabxh1 23 25 a a DT cord-002240-38aabxh1 23 26 reduction reduction NN cord-002240-38aabxh1 23 27 of of IN cord-002240-38aabxh1 23 28 inflammatory inflammatory JJ cord-002240-38aabxh1 23 29 cytokines cytokine NNS cord-002240-38aabxh1 23 30 and and CC cord-002240-38aabxh1 23 31 chemokines chemokine NNS cord-002240-38aabxh1 23 32 . . . cord-002240-38aabxh1 24 1 Corticosteroids corticosteroid NNS cord-002240-38aabxh1 24 2 have have VBP cord-002240-38aabxh1 24 3 an an DT cord-002240-38aabxh1 24 4 effect effect NN cord-002240-38aabxh1 24 5 on on IN cord-002240-38aabxh1 24 6 structural structural JJ cord-002240-38aabxh1 24 7 cells cell NNS cord-002240-38aabxh1 24 8 of of IN cord-002240-38aabxh1 24 9 the the DT cord-002240-38aabxh1 24 10 respiratory respiratory JJ cord-002240-38aabxh1 24 11 tract tract NN cord-002240-38aabxh1 24 12 : : : cord-002240-38aabxh1 24 13 they -PRON- PRP cord-002240-38aabxh1 24 14 act act VBP cord-002240-38aabxh1 24 15 on on IN cord-002240-38aabxh1 24 16 epithelial epithelial JJ cord-002240-38aabxh1 24 17 cells cell NNS cord-002240-38aabxh1 24 18 by by IN cord-002240-38aabxh1 24 19 inhibiting inhibit VBG cord-002240-38aabxh1 24 20 transcription transcription NN cord-002240-38aabxh1 24 21 factors factor NNS cord-002240-38aabxh1 24 22 such such JJ cord-002240-38aabxh1 24 23 as as IN cord-002240-38aabxh1 24 24 NF NF NNP cord-002240-38aabxh1 24 25 - - HYPH cord-002240-38aabxh1 24 26 kB kB NNP cord-002240-38aabxh1 24 27 , , , cord-002240-38aabxh1 24 28 on on IN cord-002240-38aabxh1 24 29 mucous mucous JJ cord-002240-38aabxh1 24 30 glands gland NNS cord-002240-38aabxh1 24 31 by by IN cord-002240-38aabxh1 24 32 decreasing decrease VBG cord-002240-38aabxh1 24 33 mucus mucus NN cord-002240-38aabxh1 24 34 secretion secretion NN cord-002240-38aabxh1 24 35 , , , cord-002240-38aabxh1 24 36 and and CC cord-002240-38aabxh1 24 37 on on IN cord-002240-38aabxh1 24 38 smooth smooth JJ cord-002240-38aabxh1 24 39 muscle muscle NN cord-002240-38aabxh1 24 40 cells cell NNS cord-002240-38aabxh1 24 41 by by IN cord-002240-38aabxh1 24 42 increasing increase VBG cord-002240-38aabxh1 24 43 β2 β2 NN cord-002240-38aabxh1 24 44 receptors receptor NNS cord-002240-38aabxh1 24 45 [ [ -LRB- cord-002240-38aabxh1 24 46 11 11 CD cord-002240-38aabxh1 24 47 ] ] -RRB- cord-002240-38aabxh1 24 48 . . . cord-002240-38aabxh1 25 1 Another another DT cord-002240-38aabxh1 25 2 aspect aspect NN cord-002240-38aabxh1 25 3 that that WDT cord-002240-38aabxh1 25 4 may may MD cord-002240-38aabxh1 25 5 contribute contribute VB cord-002240-38aabxh1 25 6 to to IN cord-002240-38aabxh1 25 7 the the DT cord-002240-38aabxh1 25 8 beneficial beneficial JJ cord-002240-38aabxh1 25 9 effect effect NN cord-002240-38aabxh1 25 10 of of IN cord-002240-38aabxh1 25 11 corticosteroid corticosteroid NN cord-002240-38aabxh1 25 12 treatment treatment NN cord-002240-38aabxh1 25 13 is be VBZ cord-002240-38aabxh1 25 14 related relate VBN cord-002240-38aabxh1 25 15 to to IN cord-002240-38aabxh1 25 16 the the DT cord-002240-38aabxh1 25 17 presence presence NN cord-002240-38aabxh1 25 18 of of IN cord-002240-38aabxh1 25 19 adrenal adrenal JJ cord-002240-38aabxh1 25 20 insufficiency insufficiency NN cord-002240-38aabxh1 25 21 or or CC cord-002240-38aabxh1 25 22 inadequate inadequate JJ cord-002240-38aabxh1 25 23 adrenal adrenal JJ cord-002240-38aabxh1 25 24 function function NN cord-002240-38aabxh1 25 25 in in IN cord-002240-38aabxh1 25 26 some some DT cord-002240-38aabxh1 25 27 cases case NNS cord-002240-38aabxh1 25 28 of of IN cord-002240-38aabxh1 25 29 severe severe JJ cord-002240-38aabxh1 25 30 CAP cap NN cord-002240-38aabxh1 25 31 [ [ -LRB- cord-002240-38aabxh1 25 32 12 12 CD cord-002240-38aabxh1 25 33 ] ] -RRB- cord-002240-38aabxh1 25 34 . . . cord-002240-38aabxh1 26 1 In in IN cord-002240-38aabxh1 26 2 an an DT cord-002240-38aabxh1 26 3 animal animal NN cord-002240-38aabxh1 26 4 model model NN cord-002240-38aabxh1 26 5 of of IN cord-002240-38aabxh1 26 6 mechanically mechanically RB cord-002240-38aabxh1 26 7 ventilated ventilate VBN cord-002240-38aabxh1 26 8 piglets piglet NNS cord-002240-38aabxh1 26 9 with with IN cord-002240-38aabxh1 26 10 pneumonia pneumonia NN cord-002240-38aabxh1 26 11 due due IN cord-002240-38aabxh1 26 12 to to IN cord-002240-38aabxh1 26 13 Pseudomonas Pseudomonas NNP cord-002240-38aabxh1 26 14 aeruginosa aeruginosa NN cord-002240-38aabxh1 26 15 , , , cord-002240-38aabxh1 26 16 we -PRON- PRP cord-002240-38aabxh1 26 17 demonstrated demonstrate VBD cord-002240-38aabxh1 26 18 the the DT cord-002240-38aabxh1 26 19 presence presence NN cord-002240-38aabxh1 26 20 of of IN cord-002240-38aabxh1 26 21 lower low JJR cord-002240-38aabxh1 26 22 bacterial bacterial JJ cord-002240-38aabxh1 26 23 burden burden NN cord-002240-38aabxh1 26 24 in in IN cord-002240-38aabxh1 26 25 the the DT cord-002240-38aabxh1 26 26 lungs lung NNS cord-002240-38aabxh1 26 27 and and CC cord-002240-38aabxh1 26 28 less less RBR cord-002240-38aabxh1 26 29 severe severe JJ cord-002240-38aabxh1 26 30 histological histological JJ cord-002240-38aabxh1 26 31 pneumonia pneumonia NN cord-002240-38aabxh1 26 32 in in IN cord-002240-38aabxh1 26 33 the the DT cord-002240-38aabxh1 26 34 group group NN cord-002240-38aabxh1 26 35 treated treat VBN cord-002240-38aabxh1 26 36 with with IN cord-002240-38aabxh1 26 37 antibiotics antibiotic NNS cord-002240-38aabxh1 26 38 plus plus CC cord-002240-38aabxh1 26 39 corticosteroids corticosteroid NNS cord-002240-38aabxh1 26 40 in in IN cord-002240-38aabxh1 26 41 comparison comparison NN cord-002240-38aabxh1 26 42 with with IN cord-002240-38aabxh1 26 43 the the DT cord-002240-38aabxh1 26 44 group group NN cord-002240-38aabxh1 26 45 treated treat VBN cord-002240-38aabxh1 26 46 with with IN cord-002240-38aabxh1 26 47 antibiotics antibiotic NNS cord-002240-38aabxh1 26 48 plus plus CC cord-002240-38aabxh1 26 49 placebo placebo NN cord-002240-38aabxh1 26 50 , , , cord-002240-38aabxh1 26 51 suggesting suggest VBG cord-002240-38aabxh1 26 52 a a DT cord-002240-38aabxh1 26 53 potential potential JJ cord-002240-38aabxh1 26 54 beneficial beneficial JJ cord-002240-38aabxh1 26 55 effect effect NN cord-002240-38aabxh1 26 56 of of IN cord-002240-38aabxh1 26 57 corticosteroids corticosteroid NNS cord-002240-38aabxh1 26 58 on on IN cord-002240-38aabxh1 26 59 bacterial bacterial JJ cord-002240-38aabxh1 26 60 burden burden NN cord-002240-38aabxh1 26 61 and and CC cord-002240-38aabxh1 26 62 lung lung NN cord-002240-38aabxh1 26 63 tissue tissue NN cord-002240-38aabxh1 26 64 severity severity NN cord-002240-38aabxh1 26 65 , , , cord-002240-38aabxh1 26 66 in in IN cord-002240-38aabxh1 26 67 addition addition NN cord-002240-38aabxh1 26 68 to to IN cord-002240-38aabxh1 26 69 the the DT cord-002240-38aabxh1 26 70 systemic systemic JJ cord-002240-38aabxh1 26 71 inflammatory inflammatory JJ cord-002240-38aabxh1 26 72 response response NN cord-002240-38aabxh1 26 73 [ [ -LRB- cord-002240-38aabxh1 26 74 13 13 CD cord-002240-38aabxh1 26 75 ] ] -RRB- cord-002240-38aabxh1 26 76 . . . cord-002240-38aabxh1 27 1 In in IN cord-002240-38aabxh1 27 2 acute acute JJ cord-002240-38aabxh1 27 3 respiratory respiratory JJ cord-002240-38aabxh1 27 4 distress distress NN cord-002240-38aabxh1 27 5 syndrome syndrome NN cord-002240-38aabxh1 27 6 ( ( -LRB- cord-002240-38aabxh1 27 7 ARDS ARDS NNP cord-002240-38aabxh1 27 8 ) ) -RRB- cord-002240-38aabxh1 27 9 , , , cord-002240-38aabxh1 27 10 the the DT cord-002240-38aabxh1 27 11 presence presence NN cord-002240-38aabxh1 27 12 of of IN cord-002240-38aabxh1 27 13 high high JJ cord-002240-38aabxh1 27 14 levels level NNS cord-002240-38aabxh1 27 15 of of IN cord-002240-38aabxh1 27 16 cytokines cytokine NNS cord-002240-38aabxh1 27 17 is be VBZ cord-002240-38aabxh1 27 18 associated associate VBN cord-002240-38aabxh1 27 19 with with IN cord-002240-38aabxh1 27 20 a a DT cord-002240-38aabxh1 27 21 higher high JJR cord-002240-38aabxh1 27 22 risk risk NN cord-002240-38aabxh1 27 23 of of IN cord-002240-38aabxh1 27 24 nosocomial nosocomial JJ cord-002240-38aabxh1 27 25 infection infection NN cord-002240-38aabxh1 27 26 because because IN cord-002240-38aabxh1 27 27 the the DT cord-002240-38aabxh1 27 28 inflammatory inflammatory JJ cord-002240-38aabxh1 27 29 biomarkers biomarker NNS cord-002240-38aabxh1 27 30 appear appear VBP cord-002240-38aabxh1 27 31 to to TO cord-002240-38aabxh1 27 32 favor favor VB cord-002240-38aabxh1 27 33 bacterial bacterial JJ cord-002240-38aabxh1 27 34 growth growth NN cord-002240-38aabxh1 27 35 . . . cord-002240-38aabxh1 28 1 Meduri Meduri NNP cord-002240-38aabxh1 28 2 et et NNP cord-002240-38aabxh1 28 3 al al NNP cord-002240-38aabxh1 28 4 . . . cord-002240-38aabxh1 29 1 [ [ -LRB- cord-002240-38aabxh1 29 2 14 14 CD cord-002240-38aabxh1 29 3 ] ] -RRB- cord-002240-38aabxh1 29 4 , , , cord-002240-38aabxh1 29 5 in in IN cord-002240-38aabxh1 29 6 an an DT cord-002240-38aabxh1 29 7 in in FW cord-002240-38aabxh1 29 8 vitro vitro FW cord-002240-38aabxh1 29 9 study study NN cord-002240-38aabxh1 29 10 , , , cord-002240-38aabxh1 29 11 showed show VBD cord-002240-38aabxh1 29 12 that that IN cord-002240-38aabxh1 29 13 the the DT cord-002240-38aabxh1 29 14 addition addition NN cord-002240-38aabxh1 29 15 of of IN cord-002240-38aabxh1 29 16 methylprednisone methylprednisone NN cord-002240-38aabxh1 29 17 to to TO cord-002240-38aabxh1 29 18 monocytes monocyte NNS cord-002240-38aabxh1 29 19 stimulated stimulate VBN cord-002240-38aabxh1 29 20 by by IN cord-002240-38aabxh1 29 21 lipopolysaccharide lipopolysaccharide NN cord-002240-38aabxh1 29 22 can can MD cord-002240-38aabxh1 29 23 increase increase VB cord-002240-38aabxh1 29 24 the the DT cord-002240-38aabxh1 29 25 ability ability NN cord-002240-38aabxh1 29 26 to to TO cord-002240-38aabxh1 29 27 suppress suppress VB cord-002240-38aabxh1 29 28 bacterial bacterial JJ cord-002240-38aabxh1 29 29 replication replication NN cord-002240-38aabxh1 29 30 . . . cord-002240-38aabxh1 30 1 The the DT cord-002240-38aabxh1 30 2 main main JJ cord-002240-38aabxh1 30 3 studies study NNS cord-002240-38aabxh1 30 4 on on IN cord-002240-38aabxh1 30 5 corticosteroids corticosteroid NNS cord-002240-38aabxh1 30 6 in in IN cord-002240-38aabxh1 30 7 pneumonia pneumonia NN cord-002240-38aabxh1 30 8 are be VBP cord-002240-38aabxh1 30 9 summarized summarize VBN cord-002240-38aabxh1 30 10 in in IN cord-002240-38aabxh1 30 11 Table Table NNP cord-002240-38aabxh1 30 12 1 1 CD cord-002240-38aabxh1 30 13 [ [ -LRB- cord-002240-38aabxh1 30 14 15 15 CD cord-002240-38aabxh1 30 15 ] ] -RRB- cord-002240-38aabxh1 30 16 [ [ -LRB- cord-002240-38aabxh1 30 17 16 16 CD cord-002240-38aabxh1 30 18 ] ] -RRB- cord-002240-38aabxh1 30 19 [ [ -LRB- cord-002240-38aabxh1 30 20 17 17 CD cord-002240-38aabxh1 30 21 ] ] -RRB- cord-002240-38aabxh1 31 1 [ [ -LRB- cord-002240-38aabxh1 31 2 18 18 CD cord-002240-38aabxh1 31 3 ] ] -RRB- cord-002240-38aabxh1 31 4 [ [ -LRB- cord-002240-38aabxh1 31 5 19 19 CD cord-002240-38aabxh1 31 6 ] ] -RRB- cord-002240-38aabxh1 31 7 [ [ -LRB- cord-002240-38aabxh1 31 8 20 20 CD cord-002240-38aabxh1 31 9 ] ] -RRB- cord-002240-38aabxh1 31 10 [ [ -LRB- cord-002240-38aabxh1 31 11 21 21 CD cord-002240-38aabxh1 31 12 ] ] -RRB- cord-002240-38aabxh1 32 1 [ [ -LRB- cord-002240-38aabxh1 32 2 22 22 CD cord-002240-38aabxh1 32 3 ] ] -RRB- cord-002240-38aabxh1 32 4 [ [ -LRB- cord-002240-38aabxh1 32 5 23 23 CD cord-002240-38aabxh1 32 6 ] ] -RRB- cord-002240-38aabxh1 33 1 [ [ -LRB- cord-002240-38aabxh1 33 2 24 24 CD cord-002240-38aabxh1 33 3 ] ] -RRB- cord-002240-38aabxh1 33 4 [ [ -LRB- cord-002240-38aabxh1 33 5 25 25 CD cord-002240-38aabxh1 33 6 ] ] -RRB- cord-002240-38aabxh1 33 7 [ [ -LRB- cord-002240-38aabxh1 33 8 26 26 CD cord-002240-38aabxh1 33 9 ] ] -RRB- cord-002240-38aabxh1 33 10 . . . cord-002240-38aabxh1 34 1 Several several JJ cord-002240-38aabxh1 34 2 studies study NNS cord-002240-38aabxh1 34 3 have have VBP cord-002240-38aabxh1 34 4 evaluated evaluate VBN cord-002240-38aabxh1 34 5 the the DT cord-002240-38aabxh1 34 6 effects effect NNS cord-002240-38aabxh1 34 7 of of IN cord-002240-38aabxh1 34 8 corticosteroids corticosteroid NNS cord-002240-38aabxh1 34 9 in in IN cord-002240-38aabxh1 34 10 CAP CAP NNP cord-002240-38aabxh1 34 11 . . . cord-002240-38aabxh1 35 1 The the DT cord-002240-38aabxh1 35 2 first first JJ cord-002240-38aabxh1 35 3 studies study NNS cord-002240-38aabxh1 35 4 and and CC cord-002240-38aabxh1 35 5 meta meta NNP cord-002240-38aabxh1 35 6 - - HYPH cord-002240-38aabxh1 35 7 analyses analysis NNS cord-002240-38aabxh1 35 8 included include VBD cord-002240-38aabxh1 35 9 a a DT cord-002240-38aabxh1 35 10 heterogeneous heterogeneous JJ cord-002240-38aabxh1 35 11 population population NN cord-002240-38aabxh1 35 12 evaluating evaluate VBG cord-002240-38aabxh1 35 13 different different JJ cord-002240-38aabxh1 35 14 outcomes outcome NNS cord-002240-38aabxh1 35 15 , , , cord-002240-38aabxh1 35 16 resulting result VBG cord-002240-38aabxh1 35 17 in in IN cord-002240-38aabxh1 35 18 controversial controversial JJ cord-002240-38aabxh1 35 19 data datum NNS cord-002240-38aabxh1 35 20 . . . cord-002240-38aabxh1 36 1 A a DT cord-002240-38aabxh1 36 2 Cochrane Cochrane NNP cord-002240-38aabxh1 36 3 meta meta NN cord-002240-38aabxh1 36 4 - - HYPH cord-002240-38aabxh1 36 5 analysis analysis NN cord-002240-38aabxh1 36 6 [ [ -LRB- cord-002240-38aabxh1 36 7 19 19 CD cord-002240-38aabxh1 36 8 ] ] -RRB- cord-002240-38aabxh1 36 9 selected select VBN cord-002240-38aabxh1 36 10 six six CD cord-002240-38aabxh1 36 11 randomized randomize VBN cord-002240-38aabxh1 36 12 controlled control VBN cord-002240-38aabxh1 36 13 trails trail NNS cord-002240-38aabxh1 36 14 ( ( -LRB- cord-002240-38aabxh1 36 15 RCTs RCTs NNP cord-002240-38aabxh1 36 16 ) ) -RRB- cord-002240-38aabxh1 36 17 of of IN cord-002240-38aabxh1 36 18 corticosteroids corticosteroid NNS cord-002240-38aabxh1 36 19 in in IN cord-002240-38aabxh1 36 20 pneumonia pneumonia NN cord-002240-38aabxh1 36 21 including include VBG cord-002240-38aabxh1 36 22 a a DT cord-002240-38aabxh1 36 23 total total NN cord-002240-38aabxh1 36 24 of of IN cord-002240-38aabxh1 36 25 437 437 CD cord-002240-38aabxh1 36 26 participants participant NNS cord-002240-38aabxh1 36 27 . . . cord-002240-38aabxh1 37 1 The the DT cord-002240-38aabxh1 37 2 use use NN cord-002240-38aabxh1 37 3 of of IN cord-002240-38aabxh1 37 4 corticosteroids corticosteroid NNS cord-002240-38aabxh1 37 5 accelerated accelerate VBD cord-002240-38aabxh1 37 6 the the DT cord-002240-38aabxh1 37 7 resolution resolution NN cord-002240-38aabxh1 37 8 of of IN cord-002240-38aabxh1 37 9 symptoms symptom NNS cord-002240-38aabxh1 37 10 and and CC cord-002240-38aabxh1 37 11 time time NN cord-002240-38aabxh1 37 12 to to IN cord-002240-38aabxh1 37 13 clinical clinical JJ cord-002240-38aabxh1 37 14 stability stability NN cord-002240-38aabxh1 37 15 ( ( -LRB- cord-002240-38aabxh1 37 16 defined define VBN cord-002240-38aabxh1 37 17 as as IN cord-002240-38aabxh1 37 18 improvement improvement NN cord-002240-38aabxh1 37 19 in in IN cord-002240-38aabxh1 37 20 chest chest NN cord-002240-38aabxh1 37 21 X x NN cord-002240-38aabxh1 37 22 - - NN cord-002240-38aabxh1 37 23 ray ray NN cord-002240-38aabxh1 37 24 and and CC cord-002240-38aabxh1 37 25 normalization normalization NN cord-002240-38aabxh1 37 26 of of IN cord-002240-38aabxh1 37 27 temperature temperature NN cord-002240-38aabxh1 37 28 , , , cord-002240-38aabxh1 37 29 respiratory respiratory JJ cord-002240-38aabxh1 37 30 rate rate NN cord-002240-38aabxh1 37 31 , , , cord-002240-38aabxh1 37 32 and and CC cord-002240-38aabxh1 37 33 inflammatory inflammatory JJ cord-002240-38aabxh1 37 34 markers marker NNS cord-002240-38aabxh1 37 35 ) ) -RRB- cord-002240-38aabxh1 37 36 . . . cord-002240-38aabxh1 38 1 Corticosteroids corticosteroid NNS cord-002240-38aabxh1 38 2 provided provide VBD cord-002240-38aabxh1 38 3 no no DT cord-002240-38aabxh1 38 4 benefit benefit NN cord-002240-38aabxh1 38 5 in in IN cord-002240-38aabxh1 38 6 terms term NNS cord-002240-38aabxh1 38 7 of of IN cord-002240-38aabxh1 38 8 mortality mortality NN cord-002240-38aabxh1 38 9 and and CC cord-002240-38aabxh1 38 10 the the DT cord-002240-38aabxh1 38 11 authors author NNS cord-002240-38aabxh1 38 12 concluded conclude VBD cord-002240-38aabxh1 38 13 that that IN cord-002240-38aabxh1 38 14 it -PRON- PRP cord-002240-38aabxh1 38 15 was be VBD cord-002240-38aabxh1 38 16 not not RB cord-002240-38aabxh1 38 17 possible possible JJ cord-002240-38aabxh1 38 18 to to TO cord-002240-38aabxh1 38 19 make make VB cord-002240-38aabxh1 38 20 any any DT cord-002240-38aabxh1 38 21 definitive definitive JJ cord-002240-38aabxh1 38 22 recommendations recommendation NNS cord-002240-38aabxh1 38 23 because because IN cord-002240-38aabxh1 38 24 the the DT cord-002240-38aabxh1 38 25 studies study NNS cord-002240-38aabxh1 38 26 analyzed analyze VBN cord-002240-38aabxh1 38 27 in in IN cord-002240-38aabxh1 38 28 the the DT cord-002240-38aabxh1 38 29 meta meta NNP cord-002240-38aabxh1 38 30 - - HYPH cord-002240-38aabxh1 38 31 analysis analysis NN cord-002240-38aabxh1 38 32 did do VBD cord-002240-38aabxh1 38 33 not not RB cord-002240-38aabxh1 38 34 provide provide VB cord-002240-38aabxh1 38 35 strong strong JJ cord-002240-38aabxh1 38 36 evidence evidence NN cord-002240-38aabxh1 38 37 . . . cord-002240-38aabxh1 39 1 Another another DT cord-002240-38aabxh1 39 2 meta meta JJ cord-002240-38aabxh1 39 3 - - HYPH cord-002240-38aabxh1 39 4 analysis analysis NN cord-002240-38aabxh1 39 5 [ [ -LRB- cord-002240-38aabxh1 39 6 20 20 CD cord-002240-38aabxh1 39 7 ] ] -RRB- cord-002240-38aabxh1 39 8 including include VBG cord-002240-38aabxh1 39 9 nine nine CD cord-002240-38aabxh1 39 10 RCTs rct NNS cord-002240-38aabxh1 39 11 with with IN cord-002240-38aabxh1 39 12 a a DT cord-002240-38aabxh1 39 13 total total NN cord-002240-38aabxh1 39 14 of of IN cord-002240-38aabxh1 39 15 1001 1001 CD cord-002240-38aabxh1 39 16 patients patient NNS cord-002240-38aabxh1 39 17 showed show VBD cord-002240-38aabxh1 39 18 that that IN cord-002240-38aabxh1 39 19 the the DT cord-002240-38aabxh1 39 20 use use NN cord-002240-38aabxh1 39 21 of of IN cord-002240-38aabxh1 39 22 corticosteroids corticosteroid NNS cord-002240-38aabxh1 39 23 was be VBD cord-002240-38aabxh1 39 24 not not RB cord-002240-38aabxh1 39 25 associated associate VBN cord-002240-38aabxh1 39 26 with with IN cord-002240-38aabxh1 39 27 significantly significantly RB cord-002240-38aabxh1 39 28 lower low JJR cord-002240-38aabxh1 39 29 mortality mortality NN cord-002240-38aabxh1 39 30 considering consider VBG cord-002240-38aabxh1 39 31 all all PDT cord-002240-38aabxh1 39 32 the the DT cord-002240-38aabxh1 39 33 patients patient NNS cord-002240-38aabxh1 39 34 ( ( -LRB- cord-002240-38aabxh1 39 35 odds odd NNS cord-002240-38aabxh1 39 36 ratio ratio NN cord-002240-38aabxh1 39 37 ( ( -LRB- cord-002240-38aabxh1 39 38 OR or CC cord-002240-38aabxh1 40 1 ) ) -RRB- cord-002240-38aabxh1 40 2 0.62 0.62 CD cord-002240-38aabxh1 40 3 , , , cord-002240-38aabxh1 40 4 95 95 CD cord-002240-38aabxh1 40 5 % % NN cord-002240-38aabxh1 40 6 confidence confidence NN cord-002240-38aabxh1 40 7 interval interval NN cord-002240-38aabxh1 40 8 ( ( -LRB- cord-002240-38aabxh1 40 9 CI CI NNP cord-002240-38aabxh1 40 10 ) ) -RRB- cord-002240-38aabxh1 40 11 0.37 0.37 CD cord-002240-38aabxh1 40 12 - - SYM cord-002240-38aabxh1 40 13 1.04 1.04 CD cord-002240-38aabxh1 40 14 ; ; : cord-002240-38aabxh1 40 15 p p NN cord-002240-38aabxh1 40 16 = = SYM cord-002240-38aabxh1 40 17 0.07 0.07 CD cord-002240-38aabxh1 40 18 ) ) -RRB- cord-002240-38aabxh1 40 19 . . . cord-002240-38aabxh1 41 1 However however RB cord-002240-38aabxh1 41 2 , , , cord-002240-38aabxh1 41 3 a a DT cord-002240-38aabxh1 41 4 survival survival NN cord-002240-38aabxh1 41 5 benefit benefit NN cord-002240-38aabxh1 41 6 was be VBD cord-002240-38aabxh1 41 7 detected detect VBN cord-002240-38aabxh1 41 8 in in IN cord-002240-38aabxh1 41 9 the the DT cord-002240-38aabxh1 41 10 subgroup subgroup NN cord-002240-38aabxh1 41 11 of of IN cord-002240-38aabxh1 41 12 patients patient NNS cord-002240-38aabxh1 41 13 with with IN cord-002240-38aabxh1 41 14 severe severe JJ cord-002240-38aabxh1 41 15 CAP cap NN cord-002240-38aabxh1 41 16 ( ( -LRB- cord-002240-38aabxh1 41 17 OR or CC cord-002240-38aabxh1 41 18 0.26 0.26 CD cord-002240-38aabxh1 41 19 , , , cord-002240-38aabxh1 41 20 95 95 CD cord-002240-38aabxh1 41 21 % % NN cord-002240-38aabxh1 41 22 CI CI NNP cord-002240-38aabxh1 41 23 0.11 0.11 CD cord-002240-38aabxh1 41 24 - - HYPH cord-002240-38aabxh1 41 25 0.64 0.64 CD cord-002240-38aabxh1 41 26 ; ; : cord-002240-38aabxh1 41 27 p p NN cord-002240-38aabxh1 41 28 = = SYM cord-002240-38aabxh1 41 29 0.003 0.003 CD cord-002240-38aabxh1 41 30 ) ) -RRB- cord-002240-38aabxh1 41 31 and and CC cord-002240-38aabxh1 41 32 among among IN cord-002240-38aabxh1 41 33 patients patient NNS cord-002240-38aabxh1 41 34 receiving receive VBG cord-002240-38aabxh1 41 35 more more RBR cord-002240-38aabxh1 41 36 prolonged prolong VBN cord-002240-38aabxh1 41 37 corticosteroid corticosteroid NN cord-002240-38aabxh1 41 38 treatment treatment NN cord-002240-38aabxh1 41 39 ( ( -LRB- cord-002240-38aabxh1 41 40 OR or CC cord-002240-38aabxh1 42 1 0.51 0.51 CD cord-002240-38aabxh1 43 1 , , , cord-002240-38aabxh1 43 2 95 95 CD cord-002240-38aabxh1 43 3 % % NN cord-002240-38aabxh1 43 4 CI CI NNP cord-002240-38aabxh1 43 5 0.26 0.26 CD cord-002240-38aabxh1 43 6 - - HYPH cord-002240-38aabxh1 43 7 0.97 0.97 CD cord-002240-38aabxh1 43 8 ; ; : cord-002240-38aabxh1 43 9 p p NN cord-002240-38aabxh1 43 10 = = SYM cord-002240-38aabxh1 43 11 0.04 0.04 CD cord-002240-38aabxh1 43 12 ) ) -RRB- cord-002240-38aabxh1 43 13 . . . cord-002240-38aabxh1 44 1 Prolonged prolonged JJ cord-002240-38aabxh1 44 2 corticosteroid corticosteroid NN cord-002240-38aabxh1 44 3 treatment treatment NN cord-002240-38aabxh1 44 4 was be VBD cord-002240-38aabxh1 44 5 defined define VBN cord-002240-38aabxh1 44 6 as as IN cord-002240-38aabxh1 44 7 more more JJR cord-002240-38aabxh1 44 8 than than IN cord-002240-38aabxh1 44 9 5 5 CD cord-002240-38aabxh1 44 10 days day NNS cord-002240-38aabxh1 44 11 of of IN cord-002240-38aabxh1 44 12 corticosteroid corticosteroid NN cord-002240-38aabxh1 44 13 treatment treatment NN cord-002240-38aabxh1 44 14 and and CC cord-002240-38aabxh1 44 15 a a DT cord-002240-38aabxh1 44 16 maximum maximum NN cord-002240-38aabxh1 44 17 of of IN cord-002240-38aabxh1 44 18 9 9 CD cord-002240-38aabxh1 44 19 days day NNS cord-002240-38aabxh1 44 20 . . . cord-002240-38aabxh1 45 1 In in IN cord-002240-38aabxh1 45 2 terms term NNS cord-002240-38aabxh1 45 3 of of IN cord-002240-38aabxh1 45 4 adverse adverse JJ cord-002240-38aabxh1 45 5 effects effect NNS cord-002240-38aabxh1 45 6 , , , cord-002240-38aabxh1 45 7 corticosteroids corticosteroid NNS cord-002240-38aabxh1 45 8 increased increase VBD cord-002240-38aabxh1 45 9 the the DT cord-002240-38aabxh1 45 10 risk risk NN cord-002240-38aabxh1 45 11 of of IN cord-002240-38aabxh1 45 12 hyperglycemia hyperglycemia NN cord-002240-38aabxh1 45 13 ( ( -LRB- cord-002240-38aabxh1 45 14 OR or CC cord-002240-38aabxh1 45 15 2.64 2.64 CD cord-002240-38aabxh1 45 16 , , , cord-002240-38aabxh1 45 17 95 95 CD cord-002240-38aabxh1 45 18 % % NN cord-002240-38aabxh1 45 19 CI CI NNP cord-002240-38aabxh1 45 20 1.68 1.68 CD cord-002240-38aabxh1 45 21 - - HYPH cord-002240-38aabxh1 45 22 4.15 4.15 CD cord-002240-38aabxh1 45 23 ; ; : cord-002240-38aabxh1 45 24 p p NN cord-002240-38aabxh1 45 25 < < XX cord-002240-38aabxh1 45 26 0.001 0.001 CD cord-002240-38aabxh1 45 27 ) ) -RRB- cord-002240-38aabxh1 45 28 but but CC cord-002240-38aabxh1 45 29 did do VBD cord-002240-38aabxh1 45 30 not not RB cord-002240-38aabxh1 45 31 increase increase VB cord-002240-38aabxh1 45 32 the the DT cord-002240-38aabxh1 45 33 risk risk NN cord-002240-38aabxh1 45 34 of of IN cord-002240-38aabxh1 45 35 superinfection superinfection NN cord-002240-38aabxh1 45 36 ( ( -LRB- cord-002240-38aabxh1 45 37 OR or CC cord-002240-38aabxh1 45 38 1.36 1.36 CD cord-002240-38aabxh1 45 39 , , , cord-002240-38aabxh1 45 40 95 95 CD cord-002240-38aabxh1 45 41 % % NN cord-002240-38aabxh1 45 42 CI CI NNP cord-002240-38aabxh1 45 43 0.65 0.65 CD cord-002240-38aabxh1 45 44 - - HYPH cord-002240-38aabxh1 45 45 2.84 2.84 CD cord-002240-38aabxh1 45 46 ; ; : cord-002240-38aabxh1 45 47 p p NN cord-002240-38aabxh1 45 48 = = SYM cord-002240-38aabxh1 45 49 0.41 0.41 CD cord-002240-38aabxh1 45 50 ) ) -RRB- cord-002240-38aabxh1 45 51 or or CC cord-002240-38aabxh1 45 52 gastroduodenal gastroduodenal JJ cord-002240-38aabxh1 45 53 bleeding bleeding NN cord-002240-38aabxh1 45 54 ( ( -LRB- cord-002240-38aabxh1 45 55 OR or CC cord-002240-38aabxh1 45 56 1.67 1.67 CD cord-002240-38aabxh1 46 1 , , , cord-002240-38aabxh1 46 2 95 95 CD cord-002240-38aabxh1 46 3 % % NN cord-002240-38aabxh1 46 4 CI CI NNP cord-002240-38aabxh1 46 5 0.41 0.41 CD cord-002240-38aabxh1 46 6 - - HYPH cord-002240-38aabxh1 46 7 6.80 6.80 CD cord-002240-38aabxh1 46 8 ; ; : cord-002240-38aabxh1 46 9 p p NN cord-002240-38aabxh1 46 10 = = SYM cord-002240-38aabxh1 46 11 0.47 0.47 CD cord-002240-38aabxh1 46 12 ) ) -RRB- cord-002240-38aabxh1 46 13 . . . cord-002240-38aabxh1 47 1 In in IN cord-002240-38aabxh1 47 2 conclusion conclusion NN cord-002240-38aabxh1 47 3 , , , cord-002240-38aabxh1 47 4 these these DT cord-002240-38aabxh1 47 5 studies study NNS cord-002240-38aabxh1 47 6 were be VBD cord-002240-38aabxh1 47 7 not not RB cord-002240-38aabxh1 47 8 able able JJ cord-002240-38aabxh1 47 9 to to TO cord-002240-38aabxh1 47 10 provide provide VB cord-002240-38aabxh1 47 11 definitive definitive JJ cord-002240-38aabxh1 47 12 results result NNS cord-002240-38aabxh1 47 13 regarding regard VBG cord-002240-38aabxh1 47 14 the the DT cord-002240-38aabxh1 47 15 use use NN cord-002240-38aabxh1 47 16 of of IN cord-002240-38aabxh1 47 17 corticosteroids corticosteroid NNS cord-002240-38aabxh1 47 18 in in IN cord-002240-38aabxh1 47 19 CAP CAP NNP cord-002240-38aabxh1 47 20 . . . cord-002240-38aabxh1 48 1 The the DT cord-002240-38aabxh1 48 2 main main JJ cord-002240-38aabxh1 48 3 limitations limitation NNS cord-002240-38aabxh1 48 4 regarded regard VBD cord-002240-38aabxh1 48 5 the the DT cord-002240-38aabxh1 48 6 inclusion inclusion NN cord-002240-38aabxh1 48 7 of of IN cord-002240-38aabxh1 48 8 a a DT cord-002240-38aabxh1 48 9 heterogeneous heterogeneous JJ cord-002240-38aabxh1 48 10 population population NN cord-002240-38aabxh1 48 11 in in IN cord-002240-38aabxh1 48 12 terms term NNS cord-002240-38aabxh1 48 13 of of IN cord-002240-38aabxh1 48 14 severity severity NN cord-002240-38aabxh1 48 15 ( ( -LRB- cord-002240-38aabxh1 48 16 from from IN cord-002240-38aabxh1 48 17 mild mild JJ cord-002240-38aabxh1 48 18 to to IN cord-002240-38aabxh1 48 19 severe severe JJ cord-002240-38aabxh1 48 20 ) ) -RRB- cord-002240-38aabxh1 48 21 and and CC cord-002240-38aabxh1 48 22 level level NN cord-002240-38aabxh1 48 23 of of IN cord-002240-38aabxh1 48 24 inflammatory inflammatory JJ cord-002240-38aabxh1 48 25 response response NN cord-002240-38aabxh1 48 26 ( ( -LRB- cord-002240-38aabxh1 48 27 e.g. e.g. RB cord-002240-38aabxh1 48 28 , , , cord-002240-38aabxh1 48 29 defined define VBN cord-002240-38aabxh1 48 30 by by IN cord-002240-38aabxh1 48 31 the the DT cord-002240-38aabxh1 48 32 level level NN cord-002240-38aabxh1 48 33 of of IN cord-002240-38aabxh1 48 34 C c NN cord-002240-38aabxh1 48 35 - - HYPH cord-002240-38aabxh1 48 36 reactive reactive JJ cord-002240-38aabxh1 48 37 protein protein NN cord-002240-38aabxh1 48 38 ( ( -LRB- cord-002240-38aabxh1 48 39 CRP CRP NNP cord-002240-38aabxh1 48 40 ) ) -RRB- cord-002240-38aabxh1 48 41 ) ) -RRB- cord-002240-38aabxh1 48 42 and and CC cord-002240-38aabxh1 48 43 the the DT cord-002240-38aabxh1 48 44 use use NN cord-002240-38aabxh1 48 45 , , , cord-002240-38aabxh1 48 46 in in IN cord-002240-38aabxh1 48 47 some some DT cord-002240-38aabxh1 48 48 cases case NNS cord-002240-38aabxh1 48 49 , , , cord-002240-38aabxh1 48 50 of of IN cord-002240-38aabxh1 48 51 inadequate inadequate JJ cord-002240-38aabxh1 48 52 dosage dosage NN cord-002240-38aabxh1 48 53 of of IN cord-002240-38aabxh1 48 54 corticosteroids corticosteroid NNS cord-002240-38aabxh1 48 55 ( ( -LRB- cord-002240-38aabxh1 48 56 low low JJ cord-002240-38aabxh1 48 57 or or CC cord-002240-38aabxh1 48 58 excessively excessively RB cord-002240-38aabxh1 48 59 high high JJ cord-002240-38aabxh1 48 60 ) ) -RRB- cord-002240-38aabxh1 48 61 . . . cord-002240-38aabxh1 49 1 Two two CD cord-002240-38aabxh1 49 2 recent recent JJ cord-002240-38aabxh1 49 3 multicenter multicenter JJ cord-002240-38aabxh1 49 4 RCTs rct NNS cord-002240-38aabxh1 49 5 have have VBP cord-002240-38aabxh1 49 6 been be VBN cord-002240-38aabxh1 49 7 published publish VBN cord-002240-38aabxh1 49 8 regarding regard VBG cord-002240-38aabxh1 49 9 the the DT cord-002240-38aabxh1 49 10 use use NN cord-002240-38aabxh1 49 11 of of IN cord-002240-38aabxh1 49 12 corticosteroids corticosteroid NNS cord-002240-38aabxh1 49 13 in in IN cord-002240-38aabxh1 49 14 CAP CAP NNP cord-002240-38aabxh1 49 15 . . . cord-002240-38aabxh1 50 1 In in IN cord-002240-38aabxh1 50 2 a a DT cord-002240-38aabxh1 50 3 multicenter multicenter JJ cord-002240-38aabxh1 50 4 , , , cord-002240-38aabxh1 50 5 double double JJ cord-002240-38aabxh1 50 6 - - HYPH cord-002240-38aabxh1 50 7 blind blind JJ cord-002240-38aabxh1 50 8 , , , cord-002240-38aabxh1 50 9 randomized randomized JJ cord-002240-38aabxh1 50 10 , , , cord-002240-38aabxh1 50 11 placebocontrolled placebocontrolled JJ cord-002240-38aabxh1 50 12 trial trial NN cord-002240-38aabxh1 50 13 [ [ -LRB- cord-002240-38aabxh1 50 14 24 24 CD cord-002240-38aabxh1 50 15 ] ] -RRB- cord-002240-38aabxh1 50 16 , , , cord-002240-38aabxh1 50 17 a a DT cord-002240-38aabxh1 50 18 total total NN cord-002240-38aabxh1 50 19 of of IN cord-002240-38aabxh1 50 20 785 785 CD cord-002240-38aabxh1 50 21 patients patient NNS cord-002240-38aabxh1 50 22 with with IN cord-002240-38aabxh1 50 23 CAP CAP NNP cord-002240-38aabxh1 50 24 were be VBD cord-002240-38aabxh1 50 25 randomized randomize VBN cord-002240-38aabxh1 50 26 to to TO cord-002240-38aabxh1 50 27 receive receive VB cord-002240-38aabxh1 50 28 oral oral JJ cord-002240-38aabxh1 50 29 corticosteroids corticosteroid NNS cord-002240-38aabxh1 50 30 ( ( -LRB- cord-002240-38aabxh1 50 31 50 50 CD cord-002240-38aabxh1 50 32 mg mg NN cord-002240-38aabxh1 50 33 of of IN cord-002240-38aabxh1 50 34 prednisone prednisone NNP cord-002240-38aabxh1 50 35 for for IN cord-002240-38aabxh1 50 36 7 7 CD cord-002240-38aabxh1 50 37 days day NNS cord-002240-38aabxh1 50 38 ) ) -RRB- cord-002240-38aabxh1 50 39 or or CC cord-002240-38aabxh1 50 40 placebo placebo NN cord-002240-38aabxh1 50 41 as as IN cord-002240-38aabxh1 50 42 adjunctive adjunctive JJ cord-002240-38aabxh1 50 43 treatment treatment NN cord-002240-38aabxh1 50 44 . . . cord-002240-38aabxh1 51 1 The the DT cord-002240-38aabxh1 51 2 corticosteroid corticosteroid NN cord-002240-38aabxh1 51 3 group group NN cord-002240-38aabxh1 51 4 reported report VBD cord-002240-38aabxh1 51 5 a a DT cord-002240-38aabxh1 51 6 shorter short JJR cord-002240-38aabxh1 51 7 time time NN cord-002240-38aabxh1 51 8 to to TO cord-002240-38aabxh1 51 9 reach reach VB cord-002240-38aabxh1 51 10 clinical clinical JJ cord-002240-38aabxh1 51 11 stability stability NN cord-002240-38aabxh1 51 12 in in IN cord-002240-38aabxh1 51 13 comparison comparison NN cord-002240-38aabxh1 51 14 with with IN cord-002240-38aabxh1 51 15 the the DT cord-002240-38aabxh1 51 16 placebo placebo NN cord-002240-38aabxh1 51 17 group group NN cord-002240-38aabxh1 51 18 ( ( -LRB- cord-002240-38aabxh1 51 19 3 3 CD cord-002240-38aabxh1 51 20 days day NNS cord-002240-38aabxh1 51 21 versus versus IN cord-002240-38aabxh1 51 22 4.4 4.4 CD cord-002240-38aabxh1 51 23 days day NNS cord-002240-38aabxh1 51 24 ) ) -RRB- cord-002240-38aabxh1 51 25 . . . cord-002240-38aabxh1 52 1 In in IN cord-002240-38aabxh1 52 2 the the DT cord-002240-38aabxh1 52 3 study study NN cord-002240-38aabxh1 52 4 , , , cord-002240-38aabxh1 52 5 the the DT cord-002240-38aabxh1 52 6 time time NN cord-002240-38aabxh1 52 7 to to IN cord-002240-38aabxh1 52 8 clinical clinical JJ cord-002240-38aabxh1 52 9 stability stability NN cord-002240-38aabxh1 52 10 was be VBD cord-002240-38aabxh1 52 11 defined define VBN cord-002240-38aabxh1 52 12 as as IN cord-002240-38aabxh1 52 13 the the DT cord-002240-38aabxh1 52 14 days day NNS cord-002240-38aabxh1 52 15 until until IN cord-002240-38aabxh1 52 16 reaching reach VBG cord-002240-38aabxh1 52 17 stable stable JJ cord-002240-38aabxh1 52 18 vital vital JJ cord-002240-38aabxh1 52 19 signs sign NNS cord-002240-38aabxh1 52 20 for for IN cord-002240-38aabxh1 52 21 24 24 CD cord-002240-38aabxh1 52 22 h h NN cord-002240-38aabxh1 52 23 or or CC cord-002240-38aabxh1 52 24 longer long RBR cord-002240-38aabxh1 52 25 ( ( -LRB- cord-002240-38aabxh1 52 26 including include VBG cord-002240-38aabxh1 52 27 normalization normalization NN cord-002240-38aabxh1 52 28 of of IN cord-002240-38aabxh1 52 29 temperature temperature NN cord-002240-38aabxh1 52 30 , , , cord-002240-38aabxh1 52 31 heart heart NN cord-002240-38aabxh1 52 32 rate rate NN cord-002240-38aabxh1 52 33 , , , cord-002240-38aabxh1 52 34 spontaneous spontaneous JJ cord-002240-38aabxh1 52 35 respiratory respiratory JJ cord-002240-38aabxh1 52 36 rate rate NN cord-002240-38aabxh1 52 37 , , , cord-002240-38aabxh1 52 38 systolic systolic JJ cord-002240-38aabxh1 52 39 blood blood NN cord-002240-38aabxh1 52 40 pressure pressure NN cord-002240-38aabxh1 52 41 , , , cord-002240-38aabxh1 52 42 mental mental JJ cord-002240-38aabxh1 52 43 status status NN cord-002240-38aabxh1 52 44 , , , cord-002240-38aabxh1 52 45 ability ability NN cord-002240-38aabxh1 52 46 for for IN cord-002240-38aabxh1 52 47 oral oral JJ cord-002240-38aabxh1 52 48 intake intake NN cord-002240-38aabxh1 52 49 , , , cord-002240-38aabxh1 52 50 and and CC cord-002240-38aabxh1 52 51 adequate adequate JJ cord-002240-38aabxh1 52 52 oxygenation oxygenation NN cord-002240-38aabxh1 52 53 on on IN cord-002240-38aabxh1 52 54 room room NN cord-002240-38aabxh1 52 55 air air NN cord-002240-38aabxh1 52 56 ) ) -RRB- cord-002240-38aabxh1 52 57 . . . cord-002240-38aabxh1 53 1 The the DT cord-002240-38aabxh1 53 2 complications complication NNS cord-002240-38aabxh1 53 3 related relate VBN cord-002240-38aabxh1 53 4 to to IN cord-002240-38aabxh1 53 5 pneumonia pneumonia NN cord-002240-38aabxh1 53 6 were be VBD cord-002240-38aabxh1 53 7 not not RB cord-002240-38aabxh1 53 8 significantly significantly RB cord-002240-38aabxh1 53 9 different different JJ cord-002240-38aabxh1 53 10 in in IN cord-002240-38aabxh1 53 11 the the DT cord-002240-38aabxh1 53 12 groups group NNS cord-002240-38aabxh1 53 13 whereas whereas IN cord-002240-38aabxh1 53 14 the the DT cord-002240-38aabxh1 53 15 prednisone prednisone NNP cord-002240-38aabxh1 53 16 group group NN cord-002240-38aabxh1 53 17 more more RBR cord-002240-38aabxh1 53 18 frequently frequently RB cord-002240-38aabxh1 53 19 presented present VBN cord-002240-38aabxh1 53 20 hyperglycemia hyperglycemia NN cord-002240-38aabxh1 53 21 needing need VBG cord-002240-38aabxh1 53 22 insulin insulin NN cord-002240-38aabxh1 53 23 treatment treatment NN cord-002240-38aabxh1 53 24 ( ( -LRB- cord-002240-38aabxh1 53 25 19 19 CD cord-002240-38aabxh1 53 26 versus versus IN cord-002240-38aabxh1 53 27 11 11 CD cord-002240-38aabxh1 53 28 % % NN cord-002240-38aabxh1 53 29 ; ; , cord-002240-38aabxh1 53 30 OR or CC cord-002240-38aabxh1 53 31 1.96 1.96 CD cord-002240-38aabxh1 53 32 ; ; . cord-002240-38aabxh1 54 1 95 95 CD cord-002240-38aabxh1 54 2 % % NN cord-002240-38aabxh1 54 3 CI CI NNP cord-002240-38aabxh1 54 4 1.31 1.31 CD cord-002240-38aabxh1 54 5 - - SYM cord-002240-38aabxh1 54 6 2.93 2.93 CD cord-002240-38aabxh1 54 7 ; ; : cord-002240-38aabxh1 54 8 p p NN cord-002240-38aabxh1 54 9 = = SYM cord-002240-38aabxh1 54 10 0.001 0.001 CD cord-002240-38aabxh1 54 11 ) ) -RRB- cord-002240-38aabxh1 54 12 . . . cord-002240-38aabxh1 55 1 However however RB cord-002240-38aabxh1 55 2 , , , cord-002240-38aabxh1 55 3 other other JJ cord-002240-38aabxh1 55 4 adverse adverse JJ cord-002240-38aabxh1 55 5 events event NNS cord-002240-38aabxh1 55 6 typically typically RB cord-002240-38aabxh1 55 7 associated associate VBN cord-002240-38aabxh1 55 8 with with IN cord-002240-38aabxh1 55 9 corticosteroid corticosteroid NN cord-002240-38aabxh1 55 10 use use NN cord-002240-38aabxh1 55 11 ( ( -LRB- cord-002240-38aabxh1 55 12 such such JJ cord-002240-38aabxh1 55 13 as as IN cord-002240-38aabxh1 55 14 gastrointestinal gastrointestinal JJ cord-002240-38aabxh1 55 15 bleeding bleeding NN cord-002240-38aabxh1 55 16 , , , cord-002240-38aabxh1 55 17 nosocomial nosocomial JJ cord-002240-38aabxh1 55 18 infections infection NNS cord-002240-38aabxh1 55 19 ) ) -RRB- cord-002240-38aabxh1 55 20 were be VBD cord-002240-38aabxh1 55 21 rare rare JJ cord-002240-38aabxh1 55 22 and and CC cord-002240-38aabxh1 55 23 similar similar JJ cord-002240-38aabxh1 55 24 in in IN cord-002240-38aabxh1 55 25 both both DT cord-002240-38aabxh1 55 26 groups group NNS cord-002240-38aabxh1 55 27 . . . cord-002240-38aabxh1 56 1 The the DT cord-002240-38aabxh1 56 2 mortality mortality NN cord-002240-38aabxh1 56 3 rate rate NN cord-002240-38aabxh1 56 4 , , , cord-002240-38aabxh1 56 5 considered consider VBN cord-002240-38aabxh1 56 6 as as IN cord-002240-38aabxh1 56 7 a a DT cord-002240-38aabxh1 56 8 secondary secondary JJ cord-002240-38aabxh1 56 9 outcome outcome NN cord-002240-38aabxh1 56 10 in in IN cord-002240-38aabxh1 56 11 the the DT cord-002240-38aabxh1 56 12 study study NN cord-002240-38aabxh1 56 13 , , , cord-002240-38aabxh1 56 14 was be VBD cord-002240-38aabxh1 56 15 not not RB cord-002240-38aabxh1 56 16 different different JJ cord-002240-38aabxh1 56 17 in in IN cord-002240-38aabxh1 56 18 the the DT cord-002240-38aabxh1 56 19 two two CD cord-002240-38aabxh1 56 20 groups group NNS cord-002240-38aabxh1 57 1 ( ( -LRB- cord-002240-38aabxh1 57 2 n n NN cord-002240-38aabxh1 57 3 = = SYM cord-002240-38aabxh1 57 4 16 16 CD cord-002240-38aabxh1 57 5 ( ( -LRB- cord-002240-38aabxh1 57 6 4 4 CD cord-002240-38aabxh1 57 7 % % NN cord-002240-38aabxh1 57 8 ) ) -RRB- cord-002240-38aabxh1 57 9 in in IN cord-002240-38aabxh1 57 10 the the DT cord-002240-38aabxh1 57 11 prednisone prednisone NNP cord-002240-38aabxh1 57 12 group group NNP cord-002240-38aabxh1 57 13 versus versus IN cord-002240-38aabxh1 57 14 n n NNP cord-002240-38aabxh1 57 15 = = SYM cord-002240-38aabxh1 57 16 13 13 CD cord-002240-38aabxh1 57 17 ( ( -LRB- cord-002240-38aabxh1 57 18 3 3 CD cord-002240-38aabxh1 57 19 % % NN cord-002240-38aabxh1 57 20 ) ) -RRB- cord-002240-38aabxh1 57 21 in in IN cord-002240-38aabxh1 57 22 the the DT cord-002240-38aabxh1 57 23 placebo placebo NN cord-002240-38aabxh1 57 24 group group NN cord-002240-38aabxh1 57 25 ; ; : cord-002240-38aabxh1 57 26 p p NN cord-002240-38aabxh1 57 27 = = SYM cord-002240-38aabxh1 57 28 0.57 0.57 CD cord-002240-38aabxh1 57 29 ) ) -RRB- cord-002240-38aabxh1 57 30 . . . cord-002240-38aabxh1 58 1 This this DT cord-002240-38aabxh1 58 2 study study NN cord-002240-38aabxh1 58 3 presented present VBD cord-002240-38aabxh1 58 4 some some DT cord-002240-38aabxh1 58 5 limitations limitation NNS cord-002240-38aabxh1 58 6 , , , cord-002240-38aabxh1 58 7 in in IN cord-002240-38aabxh1 58 8 particular particular JJ cord-002240-38aabxh1 58 9 the the DT cord-002240-38aabxh1 58 10 use use NN cord-002240-38aabxh1 58 11 of of IN cord-002240-38aabxh1 58 12 a a DT cord-002240-38aabxh1 58 13 weak weak JJ cord-002240-38aabxh1 58 14 outcome outcome NN cord-002240-38aabxh1 58 15 such such JJ cord-002240-38aabxh1 58 16 as as IN cord-002240-38aabxh1 58 17 clinical clinical JJ cord-002240-38aabxh1 58 18 stability stability NN cord-002240-38aabxh1 58 19 , , , cord-002240-38aabxh1 58 20 which which WDT cord-002240-38aabxh1 58 21 included include VBD cord-002240-38aabxh1 58 22 some some DT cord-002240-38aabxh1 58 23 items item NNS cord-002240-38aabxh1 58 24 such such JJ cord-002240-38aabxh1 58 25 as as IN cord-002240-38aabxh1 58 26 temperature temperature NN cord-002240-38aabxh1 58 27 that that WDT cord-002240-38aabxh1 58 28 could could MD cord-002240-38aabxh1 58 29 be be VB cord-002240-38aabxh1 58 30 influenced influence VBN cord-002240-38aabxh1 58 31 by by IN cord-002240-38aabxh1 58 32 the the DT cord-002240-38aabxh1 58 33 use use NN cord-002240-38aabxh1 58 34 of of IN cord-002240-38aabxh1 58 35 corticosteroids corticosteroid NNS cord-002240-38aabxh1 58 36 . . . cord-002240-38aabxh1 59 1 Moreover moreover RB cord-002240-38aabxh1 59 2 , , , cord-002240-38aabxh1 59 3 the the DT cord-002240-38aabxh1 59 4 majority majority NN cord-002240-38aabxh1 59 5 of of IN cord-002240-38aabxh1 59 6 patients patient NNS cord-002240-38aabxh1 59 7 had have VBD cord-002240-38aabxh1 59 8 a a DT cord-002240-38aabxh1 59 9 mild mild JJ cord-002240-38aabxh1 59 10 disease disease NN cord-002240-38aabxh1 59 11 presentation presentation NN cord-002240-38aabxh1 59 12 , , , cord-002240-38aabxh1 59 13 thereby thereby RB cord-002240-38aabxh1 59 14 decreasing decrease VBG cord-002240-38aabxh1 59 15 result result NN cord-002240-38aabxh1 59 16 validation validation NN cord-002240-38aabxh1 59 17 for for IN cord-002240-38aabxh1 59 18 the the DT cord-002240-38aabxh1 59 19 most most RBS cord-002240-38aabxh1 59 20 severe severe JJ cord-002240-38aabxh1 59 21 diseases disease NNS cord-002240-38aabxh1 59 22 . . . cord-002240-38aabxh1 60 1 We -PRON- PRP cord-002240-38aabxh1 60 2 recently recently RB cord-002240-38aabxh1 60 3 published publish VBD cord-002240-38aabxh1 60 4 a a DT cord-002240-38aabxh1 60 5 multicentre multicentre NN cord-002240-38aabxh1 60 6 RCT RCT NNP cord-002240-38aabxh1 60 7 [ [ -LRB- cord-002240-38aabxh1 60 8 23 23 CD cord-002240-38aabxh1 60 9 ] ] -RRB- cord-002240-38aabxh1 60 10 where where WRB cord-002240-38aabxh1 60 11 we -PRON- PRP cord-002240-38aabxh1 60 12 compared compare VBD cord-002240-38aabxh1 60 13 patients patient NNS cord-002240-38aabxh1 60 14 with with IN cord-002240-38aabxh1 60 15 severe severe JJ cord-002240-38aabxh1 60 16 CAP cap NN cord-002240-38aabxh1 60 17 and and CC cord-002240-38aabxh1 60 18 strong strong JJ cord-002240-38aabxh1 60 19 inflammatory inflammatory JJ cord-002240-38aabxh1 60 20 response response NN cord-002240-38aabxh1 60 21 ( ( -LRB- cord-002240-38aabxh1 60 22 defined define VBN cord-002240-38aabxh1 60 23 by by IN cord-002240-38aabxh1 60 24 a a DT cord-002240-38aabxh1 60 25 CRP crp NN cord-002240-38aabxh1 60 26 > > SYM cord-002240-38aabxh1 60 27 150 150 CD cord-002240-38aabxh1 60 28 mg mg NNP cord-002240-38aabxh1 60 29 / / SYM cord-002240-38aabxh1 60 30 L L NNP cord-002240-38aabxh1 60 31 ) ) -RRB- cord-002240-38aabxh1 60 32 treated treat VBN cord-002240-38aabxh1 60 33 with with IN cord-002240-38aabxh1 60 34 corticosteroids corticosteroid NNS cord-002240-38aabxh1 60 35 plus plus CC cord-002240-38aabxh1 60 36 antibiotics antibiotic NNS cord-002240-38aabxh1 60 37 versus versus IN cord-002240-38aabxh1 60 38 placebo placebo NN cord-002240-38aabxh1 60 39 plus plus CC cord-002240-38aabxh1 60 40 antibiotics antibiotic NNS cord-002240-38aabxh1 60 41 . . . cord-002240-38aabxh1 61 1 We -PRON- PRP cord-002240-38aabxh1 61 2 used use VBD cord-002240-38aabxh1 61 3 intravenous intravenous JJ cord-002240-38aabxh1 61 4 methylprednisolone methylprednisolone NN cord-002240-38aabxh1 61 5 at at IN cord-002240-38aabxh1 61 6 a a DT cord-002240-38aabxh1 61 7 dose dose NN cord-002240-38aabxh1 61 8 of of IN cord-002240-38aabxh1 61 9 0.5 0.5 CD cord-002240-38aabxh1 61 10 / / SYM cord-002240-38aabxh1 61 11 mg mg NNP cord-002240-38aabxh1 61 12 / / SYM cord-002240-38aabxh1 61 13 kg kg NNP cord-002240-38aabxh1 61 14 every every DT cord-002240-38aabxh1 61 15 12 12 CD cord-002240-38aabxh1 61 16 h h NN cord-002240-38aabxh1 61 17 for for IN cord-002240-38aabxh1 61 18 5 5 CD cord-002240-38aabxh1 61 19 days day NNS cord-002240-38aabxh1 61 20 . . . cord-002240-38aabxh1 62 1 We -PRON- PRP cord-002240-38aabxh1 62 2 included include VBD cord-002240-38aabxh1 62 3 only only RB cord-002240-38aabxh1 62 4 patients patient NNS cord-002240-38aabxh1 62 5 with with IN cord-002240-38aabxh1 62 6 severe severe JJ cord-002240-38aabxh1 62 7 CAP cap NN cord-002240-38aabxh1 62 8 , , , cord-002240-38aabxh1 62 9 defined define VBN cord-002240-38aabxh1 62 10 according accord VBG cord-002240-38aabxh1 62 11 to to IN cord-002240-38aabxh1 62 12 the the DT cord-002240-38aabxh1 62 13 modified modify VBN cord-002240-38aabxh1 62 14 American American NNP cord-002240-38aabxh1 62 15 Thoracic Thoracic NNP cord-002240-38aabxh1 62 16 Society Society NNP cord-002240-38aabxh1 62 17 criteria criterion NNS cord-002240-38aabxh1 62 18 or or CC cord-002240-38aabxh1 62 19 by by IN cord-002240-38aabxh1 62 20 a a DT cord-002240-38aabxh1 62 21 Pneumonia Pneumonia NNP cord-002240-38aabxh1 62 22 Severity Severity NNP cord-002240-38aabxh1 62 23 Index Index NNP cord-002240-38aabxh1 62 24 risk risk NN cord-002240-38aabxh1 62 25 class class NN cord-002240-38aabxh1 62 26 V v NN cord-002240-38aabxh1 62 27 [ [ -LRB- cord-002240-38aabxh1 62 28 27 27 CD cord-002240-38aabxh1 62 29 ] ] -RRB- cord-002240-38aabxh1 62 30 . . . cord-002240-38aabxh1 63 1 The the DT cord-002240-38aabxh1 63 2 patients patient NNS cord-002240-38aabxh1 63 3 receiving receive VBG cord-002240-38aabxh1 63 4 corticosteroids corticosteroid NNS cord-002240-38aabxh1 63 5 had have VBD cord-002240-38aabxh1 63 6 significantly significantly RB cord-002240-38aabxh1 63 7 lower low JJR cord-002240-38aabxh1 63 8 treatment treatment NN cord-002240-38aabxh1 63 9 failure failure NN cord-002240-38aabxh1 63 10 in in IN cord-002240-38aabxh1 63 11 comparison comparison NN cord-002240-38aabxh1 63 12 with with IN cord-002240-38aabxh1 63 13 the the DT cord-002240-38aabxh1 63 14 placebo placebo NN cord-002240-38aabxh1 63 15 group group NN cord-002240-38aabxh1 63 16 ( ( -LRB- cord-002240-38aabxh1 63 17 13 13 CD cord-002240-38aabxh1 63 18 versus versus IN cord-002240-38aabxh1 63 19 31 31 CD cord-002240-38aabxh1 63 20 % % NN cord-002240-38aabxh1 63 21 , , , cord-002240-38aabxh1 63 22 respectively respectively RB cord-002240-38aabxh1 63 23 ; ; : cord-002240-38aabxh1 63 24 p p NN cord-002240-38aabxh1 63 25 = = SYM cord-002240-38aabxh1 63 26 0.02 0.02 CD cord-002240-38aabxh1 63 27 ) ) -RRB- cord-002240-38aabxh1 63 28 . . . cord-002240-38aabxh1 64 1 This this DT cord-002240-38aabxh1 64 2 difference difference NN cord-002240-38aabxh1 64 3 was be VBD cord-002240-38aabxh1 64 4 due due JJ cord-002240-38aabxh1 64 5 to to IN cord-002240-38aabxh1 64 6 late late JJ cord-002240-38aabxh1 64 7 treatment treatment NN cord-002240-38aabxh1 64 8 failure failure NN cord-002240-38aabxh1 64 9 ( ( -LRB- cord-002240-38aabxh1 64 10 developing develop VBG cord-002240-38aabxh1 64 11 between between IN cord-002240-38aabxh1 64 12 72 72 CD cord-002240-38aabxh1 64 13 and and CC cord-002240-38aabxh1 64 14 120 120 CD cord-002240-38aabxh1 64 15 h h NN cord-002240-38aabxh1 64 16 after after IN cord-002240-38aabxh1 64 17 treatment treatment NN cord-002240-38aabxh1 64 18 initiation initiation NN cord-002240-38aabxh1 64 19 ) ) -RRB- cord-002240-38aabxh1 64 20 and and CC cord-002240-38aabxh1 64 21 , , , cord-002240-38aabxh1 64 22 in in IN cord-002240-38aabxh1 64 23 particular particular JJ cord-002240-38aabxh1 64 24 , , , cord-002240-38aabxh1 64 25 patients patient NNS cord-002240-38aabxh1 64 26 in in IN cord-002240-38aabxh1 64 27 the the DT cord-002240-38aabxh1 64 28 corticosteroid corticosteroid NNP cord-002240-38aabxh1 64 29 group group NN cord-002240-38aabxh1 64 30 showed show VBD cord-002240-38aabxh1 64 31 a a DT cord-002240-38aabxh1 64 32 more more RBR cord-002240-38aabxh1 64 33 evident evident JJ cord-002240-38aabxh1 64 34 effect effect NN cord-002240-38aabxh1 64 35 on on IN cord-002240-38aabxh1 64 36 the the DT cord-002240-38aabxh1 64 37 reduction reduction NN cord-002240-38aabxh1 64 38 of of IN cord-002240-38aabxh1 64 39 radiological radiological JJ cord-002240-38aabxh1 64 40 _SP cord-002240-38aabxh1 64 41 Late late JJ cord-002240-38aabxh1 64 42 failure failure NN cord-002240-38aabxh1 64 43 ( ( -LRB- cord-002240-38aabxh1 64 44 > > XX cord-002240-38aabxh1 65 1 72 72 CD cord-002240-38aabxh1 65 2 h h NN cord-002240-38aabxh1 65 3 after after IN cord-002240-38aabxh1 65 4 admission admission NN cord-002240-38aabxh1 65 5 ) ) -RRB- cord-002240-38aabxh1 65 6 was be VBD cord-002240-38aabxh1 65 7 more more RBR cord-002240-38aabxh1 65 8 common common JJ cord-002240-38aabxh1 65 9 in in IN cord-002240-38aabxh1 65 10 the the DT cord-002240-38aabxh1 65 11 prednisolone prednisolone NNP cord-002240-38aabxh1 65 12 group group NN cord-002240-38aabxh1 65 13 than than IN cord-002240-38aabxh1 65 14 in in IN cord-002240-38aabxh1 65 15 the the DT cord-002240-38aabxh1 65 16 placebo placebo NN cord-002240-38aabxh1 65 17 group group NN cord-002240-38aabxh1 65 18 ( ( -LRB- cord-002240-38aabxh1 65 19 19.2 19.2 CD cord-002240-38aabxh1 65 20 versus versus IN cord-002240-38aabxh1 65 21 6.4 6.4 CD cord-002240-38aabxh1 65 22 % % NN cord-002240-38aabxh1 65 23 , , , cord-002240-38aabxh1 65 24 respectively respectively RB cord-002240-38aabxh1 65 25 ; ; : cord-002240-38aabxh1 65 26 p p NN cord-002240-38aabxh1 65 27 = = SYM cord-002240-38aabxh1 65 28 0.04 0.04 CD cord-002240-38aabxh1 65 29 ) ) -RRB- cord-002240-38aabxh1 65 30 . . . cord-002240-38aabxh1 66 1 Meijvis Meijvis NNP cord-002240-38aabxh1 66 2 et et NNP cord-002240-38aabxh1 66 3 al al NNP cord-002240-38aabxh1 66 4 . . . cord-002240-38aabxh1 67 1 2011 2011 CD cord-002240-38aabxh1 68 1 [ [ -LRB- cord-002240-38aabxh1 68 2 18 18 CD cord-002240-38aabxh1 68 3 ] ] -RRB- cord-002240-38aabxh1 68 4 Bicenter Bicenter NNP cord-002240-38aabxh1 68 5 RCT RCT NNP cord-002240-38aabxh1 68 6 in in IN cord-002240-38aabxh1 68 7 Netherlands Netherlands NNP cord-002240-38aabxh1 68 8 Reduction Reduction NNP cord-002240-38aabxh1 68 9 in in IN cord-002240-38aabxh1 68 10 length length NN cord-002240-38aabxh1 68 11 of of IN cord-002240-38aabxh1 68 12 stay stay NN cord-002240-38aabxh1 68 13 in in IN cord-002240-38aabxh1 68 14 dexamethasone dexamethasone NN cord-002240-38aabxh1 68 15 group group NN cord-002240-38aabxh1 68 16 compared compare VBN cord-002240-38aabxh1 68 17 with with IN cord-002240-38aabxh1 68 18 the the DT cord-002240-38aabxh1 68 19 placebo placebo NN cord-002240-38aabxh1 68 20 group group NN cord-002240-38aabxh1 68 21 ( ( -LRB- cord-002240-38aabxh1 68 22 6.5 6.5 CD cord-002240-38aabxh1 68 23 versus versus IN cord-002240-38aabxh1 68 24 7.5 7.5 CD cord-002240-38aabxh1 68 25 days day NNS cord-002240-38aabxh1 68 26 , , , cord-002240-38aabxh1 68 27 respectively respectively RB cord-002240-38aabxh1 68 28 ; ; : cord-002240-38aabxh1 68 29 p p NN cord-002240-38aabxh1 68 30 = = SYM cord-002240-38aabxh1 68 31 0.048 0.048 CD cord-002240-38aabxh1 68 32 ) ) -RRB- cord-002240-38aabxh1 69 1 Dexamethasone dexamethasone NN cord-002240-38aabxh1 69 2 versus versus IN cord-002240-38aabxh1 69 3 placebo placebo NN cord-002240-38aabxh1 69 4 Patients patient NNS cord-002240-38aabxh1 69 5 with with IN cord-002240-38aabxh1 69 6 CAP CAP NNP cord-002240-38aabxh1 69 7 Chen Chen NNP cord-002240-38aabxh1 69 8 et et FW cord-002240-38aabxh1 69 9 al al NNP cord-002240-38aabxh1 69 10 . . . cord-002240-38aabxh1 70 1 2011 2011 CD cord-002240-38aabxh1 71 1 [ [ -LRB- cord-002240-38aabxh1 71 2 19 19 CD cord-002240-38aabxh1 71 3 ] ] -RRB- cord-002240-38aabxh1 71 4 Meta Meta NNP cord-002240-38aabxh1 71 5 - - HYPH cord-002240-38aabxh1 71 6 analysis analysis NN cord-002240-38aabxh1 71 7 Accelerated accelerate VBD cord-002240-38aabxh1 71 8 the the DT cord-002240-38aabxh1 71 9 resolution resolution NN cord-002240-38aabxh1 71 10 of of IN cord-002240-38aabxh1 71 11 symptoms symptom NNS cord-002240-38aabxh1 71 12 or or CC cord-002240-38aabxh1 71 13 time time NN cord-002240-38aabxh1 71 14 to to IN cord-002240-38aabxh1 71 15 clinical clinical JJ cord-002240-38aabxh1 71 16 stability stability NN cord-002240-38aabxh1 71 17 and and CC cord-002240-38aabxh1 71 18 decreased decrease VBD cord-002240-38aabxh1 71 19 the the DT cord-002240-38aabxh1 71 20 rate rate NN cord-002240-38aabxh1 71 21 of of IN cord-002240-38aabxh1 71 22 relapse relapse NN cord-002240-38aabxh1 71 23 of of IN cord-002240-38aabxh1 71 24 the the DT cord-002240-38aabxh1 71 25 disease disease NN cord-002240-38aabxh1 71 26 Patients patient NNS cord-002240-38aabxh1 71 27 with with IN cord-002240-38aabxh1 71 28 pneumonia pneumonia NN cord-002240-38aabxh1 71 29 Nie Nie NNP cord-002240-38aabxh1 71 30 et et NNP cord-002240-38aabxh1 71 31 al al NNP cord-002240-38aabxh1 71 32 . . . cord-002240-38aabxh1 72 1 2012 2012 CD cord-002240-38aabxh1 72 2 [ [ -LRB- cord-002240-38aabxh1 72 3 20 20 CD cord-002240-38aabxh1 72 4 ] ] -RRB- cord-002240-38aabxh1 73 1 Meta Meta NNP cord-002240-38aabxh1 73 2 - - HYPH cord-002240-38aabxh1 73 3 analysis analysis NN cord-002240-38aabxh1 73 4 Corticosteroids Corticosteroids NNPS cord-002240-38aabxh1 73 5 did do VBD cord-002240-38aabxh1 73 6 not not RB cord-002240-38aabxh1 73 7 significantly significantly RB cord-002240-38aabxh1 73 8 reduce reduce VB cord-002240-38aabxh1 73 9 mortality mortality NN cord-002240-38aabxh1 73 10 in in IN cord-002240-38aabxh1 73 11 the the DT cord-002240-38aabxh1 73 12 general general JJ cord-002240-38aabxh1 73 13 population population NN cord-002240-38aabxh1 73 14 ( ( -LRB- cord-002240-38aabxh1 73 15 The the DT cord-002240-38aabxh1 73 16 association association NN cord-002240-38aabxh1 73 17 between between IN cord-002240-38aabxh1 73 18 treatment treatment NN cord-002240-38aabxh1 73 19 failure failure NN cord-002240-38aabxh1 73 20 , , , cord-002240-38aabxh1 73 21 with with IN cord-002240-38aabxh1 73 22 radiographic radiographic JJ cord-002240-38aabxh1 73 23 progression progression NN cord-002240-38aabxh1 73 24 as as IN cord-002240-38aabxh1 73 25 a a DT cord-002240-38aabxh1 73 26 criterion criterion NN cord-002240-38aabxh1 73 27 , , , cord-002240-38aabxh1 73 28 and and CC cord-002240-38aabxh1 73 29 mortality mortality NN cord-002240-38aabxh1 73 30 has have VBZ cord-002240-38aabxh1 73 31 been be VBN cord-002240-38aabxh1 73 32 shown show VBN cord-002240-38aabxh1 73 33 by by IN cord-002240-38aabxh1 73 34 Menendez Menendez NNP cord-002240-38aabxh1 73 35 et et NNP cord-002240-38aabxh1 73 36 al al NNP cord-002240-38aabxh1 73 37 . . . cord-002240-38aabxh1 74 1 [ [ -LRB- cord-002240-38aabxh1 74 2 5 5 CD cord-002240-38aabxh1 74 3 ] ] -RRB- cord-002240-38aabxh1 74 4 . . . cord-002240-38aabxh1 75 1 The the DT cord-002240-38aabxh1 75 2 protective protective JJ cord-002240-38aabxh1 75 3 effect effect NN cord-002240-38aabxh1 75 4 of of IN cord-002240-38aabxh1 75 5 corticosteroids corticosteroid NNS cord-002240-38aabxh1 75 6 on on IN cord-002240-38aabxh1 75 7 radiographic radiographic JJ cord-002240-38aabxh1 75 8 progression progression NN cord-002240-38aabxh1 75 9 could could MD cord-002240-38aabxh1 75 10 be be VB cord-002240-38aabxh1 75 11 interpreted interpret VBN cord-002240-38aabxh1 75 12 as as IN cord-002240-38aabxh1 75 13 an an DT cord-002240-38aabxh1 75 14 effect effect NN cord-002240-38aabxh1 75 15 preventing prevent VBG cord-002240-38aabxh1 75 16 the the DT cord-002240-38aabxh1 75 17 development development NN cord-002240-38aabxh1 75 18 of of IN cord-002240-38aabxh1 75 19 ARDS ARDS NNP cord-002240-38aabxh1 75 20 or or CC cord-002240-38aabxh1 75 21 blocking block VBG cord-002240-38aabxh1 75 22 the the DT cord-002240-38aabxh1 75 23 Jarisch Jarisch NNP cord-002240-38aabxh1 75 24 - - HYPH cord-002240-38aabxh1 75 25 Herxheimer Herxheimer NNP cord-002240-38aabxh1 75 26 - - HYPH cord-002240-38aabxh1 75 27 like like JJ cord-002240-38aabxh1 75 28 reaction reaction NN cord-002240-38aabxh1 75 29 [ [ -LRB- cord-002240-38aabxh1 75 30 8 8 CD cord-002240-38aabxh1 75 31 ] ] -RRB- cord-002240-38aabxh1 75 32 . . . cord-002240-38aabxh1 76 1 No no DT cord-002240-38aabxh1 76 2 significant significant JJ cord-002240-38aabxh1 76 3 difference difference NN cord-002240-38aabxh1 76 4 was be VBD cord-002240-38aabxh1 76 5 observed observe VBN cord-002240-38aabxh1 76 6 in in IN cord-002240-38aabxh1 76 7 mortality mortality NN cord-002240-38aabxh1 76 8 between between IN cord-002240-38aabxh1 76 9 the the DT cord-002240-38aabxh1 76 10 two two CD cord-002240-38aabxh1 76 11 groups group NNS cord-002240-38aabxh1 76 12 ( ( -LRB- cord-002240-38aabxh1 76 13 10 10 CD cord-002240-38aabxh1 76 14 % % NN cord-002240-38aabxh1 76 15 in in IN cord-002240-38aabxh1 76 16 the the DT cord-002240-38aabxh1 76 17 methylprednisolone methylprednisolone NNP cord-002240-38aabxh1 76 18 arm arm NN cord-002240-38aabxh1 76 19 versus versus IN cord-002240-38aabxh1 76 20 15 15 CD cord-002240-38aabxh1 76 21 % % NN cord-002240-38aabxh1 76 22 in in IN cord-002240-38aabxh1 76 23 the the DT cord-002240-38aabxh1 76 24 placebo placebo NN cord-002240-38aabxh1 76 25 arm arm NN cord-002240-38aabxh1 76 26 ; ; : cord-002240-38aabxh1 76 27 p p NN cord-002240-38aabxh1 76 28 = = SYM cord-002240-38aabxh1 76 29 0.37 0.37 CD cord-002240-38aabxh1 76 30 ) ) -RRB- cord-002240-38aabxh1 76 31 ; ; : cord-002240-38aabxh1 76 32 however however RB cord-002240-38aabxh1 76 33 , , , cord-002240-38aabxh1 76 34 the the DT cord-002240-38aabxh1 76 35 study study NN cord-002240-38aabxh1 76 36 was be VBD cord-002240-38aabxh1 76 37 not not RB cord-002240-38aabxh1 76 38 powered power VBN cord-002240-38aabxh1 76 39 for for IN cord-002240-38aabxh1 76 40 mortality mortality NN cord-002240-38aabxh1 76 41 as as IN cord-002240-38aabxh1 76 42 this this DT cord-002240-38aabxh1 76 43 was be VBD cord-002240-38aabxh1 76 44 not not RB cord-002240-38aabxh1 76 45 the the DT cord-002240-38aabxh1 76 46 primary primary JJ cord-002240-38aabxh1 76 47 outcome outcome NN cord-002240-38aabxh1 76 48 . . . cord-002240-38aabxh1 77 1 Importantly importantly RB cord-002240-38aabxh1 77 2 , , , cord-002240-38aabxh1 77 3 we -PRON- PRP cord-002240-38aabxh1 77 4 detected detect VBD cord-002240-38aabxh1 77 5 no no DT cord-002240-38aabxh1 77 6 significant significant JJ cord-002240-38aabxh1 77 7 side side NN cord-002240-38aabxh1 77 8 effects effect NNS cord-002240-38aabxh1 77 9 in in IN cord-002240-38aabxh1 77 10 patients patient NNS cord-002240-38aabxh1 77 11 receiving receive VBG cord-002240-38aabxh1 77 12 corticosteroids corticosteroid NNS cord-002240-38aabxh1 77 13 . . . cord-002240-38aabxh1 78 1 The the DT cord-002240-38aabxh1 78 2 strength strength NN cord-002240-38aabxh1 78 3 of of IN cord-002240-38aabxh1 78 4 this this DT cord-002240-38aabxh1 78 5 study study NN cord-002240-38aabxh1 78 6 is be VBZ cord-002240-38aabxh1 78 7 the the DT cord-002240-38aabxh1 78 8 homogeneous homogeneous JJ cord-002240-38aabxh1 78 9 population population NN cord-002240-38aabxh1 78 10 with with IN cord-002240-38aabxh1 78 11 severe severe JJ cord-002240-38aabxh1 78 12 CAP cap NN cord-002240-38aabxh1 78 13 and and CC cord-002240-38aabxh1 78 14 a a DT cord-002240-38aabxh1 78 15 strong strong JJ cord-002240-38aabxh1 78 16 inflammatory inflammatory JJ cord-002240-38aabxh1 78 17 response response NN cord-002240-38aabxh1 78 18 and and CC cord-002240-38aabxh1 78 19 the the DT cord-002240-38aabxh1 78 20 use use NN cord-002240-38aabxh1 78 21 of of IN cord-002240-38aabxh1 78 22 an an DT cord-002240-38aabxh1 78 23 outcome outcome NN cord-002240-38aabxh1 78 24 ( ( -LRB- cord-002240-38aabxh1 78 25 treatment treatment NN cord-002240-38aabxh1 78 26 failure failure NN cord-002240-38aabxh1 78 27 ) ) -RRB- cord-002240-38aabxh1 78 28 closely closely RB cord-002240-38aabxh1 78 29 associated associate VBN cord-002240-38aabxh1 78 30 with with IN cord-002240-38aabxh1 78 31 mortality mortality NN cord-002240-38aabxh1 78 32 [ [ -LRB- cord-002240-38aabxh1 78 33 5 5 CD cord-002240-38aabxh1 78 34 ] ] -RRB- cord-002240-38aabxh1 78 35 . . . cord-002240-38aabxh1 79 1 The the DT cord-002240-38aabxh1 79 2 limitation limitation NN cord-002240-38aabxh1 79 3 of of IN cord-002240-38aabxh1 79 4 this this DT cord-002240-38aabxh1 79 5 study study NN cord-002240-38aabxh1 79 6 was be VBD cord-002240-38aabxh1 79 7 the the DT cord-002240-38aabxh1 79 8 prolonged prolonged JJ cord-002240-38aabxh1 79 9 recruitment recruitment NN cord-002240-38aabxh1 79 10 period period NN cord-002240-38aabxh1 79 11 . . . cord-002240-38aabxh1 80 1 In in IN cord-002240-38aabxh1 80 2 Fig Fig NNP cord-002240-38aabxh1 80 3 . . . cord-002240-38aabxh1 81 1 1 1 LS cord-002240-38aabxh1 82 1 we -PRON- PRP cord-002240-38aabxh1 82 2 propose propose VBP cord-002240-38aabxh1 82 3 a a DT cord-002240-38aabxh1 82 4 flowchart flowchart NN cord-002240-38aabxh1 82 5 for for IN cord-002240-38aabxh1 82 6 the the DT cord-002240-38aabxh1 82 7 management management NN cord-002240-38aabxh1 82 8 of of IN cord-002240-38aabxh1 82 9 patients patient NNS cord-002240-38aabxh1 82 10 with with IN cord-002240-38aabxh1 82 11 severe severe JJ cord-002240-38aabxh1 82 12 CAP cap NN cord-002240-38aabxh1 82 13 . . . cord-002240-38aabxh1 83 1 A a DT cord-002240-38aabxh1 83 2 recent recent JJ cord-002240-38aabxh1 83 3 meta meta JJ cord-002240-38aabxh1 83 4 - - HYPH cord-002240-38aabxh1 83 5 analysis analysis NN cord-002240-38aabxh1 83 6 [ [ -LRB- cord-002240-38aabxh1 83 7 26 26 CD cord-002240-38aabxh1 83 8 ] ] -RRB- cord-002240-38aabxh1 83 9 including include VBG cord-002240-38aabxh1 83 10 nine nine CD cord-002240-38aabxh1 83 11 RCTs RCTs NNPS cord-002240-38aabxh1 83 12 ( ( -LRB- cord-002240-38aabxh1 83 13 1667 1667 CD cord-002240-38aabxh1 83 14 patients patient NNS cord-002240-38aabxh1 83 15 ) ) -RRB- cord-002240-38aabxh1 83 16 and and CC cord-002240-38aabxh1 83 17 six six CD cord-002240-38aabxh1 83 18 cohort cohort NN cord-002240-38aabxh1 83 19 studies study NNS cord-002240-38aabxh1 83 20 ( ( -LRB- cord-002240-38aabxh1 83 21 4095 4095 CD cord-002240-38aabxh1 83 22 patients patient NNS cord-002240-38aabxh1 83 23 ) ) -RRB- cord-002240-38aabxh1 83 24 showed show VBD cord-002240-38aabxh1 83 25 that that IN cord-002240-38aabxh1 83 26 the the DT cord-002240-38aabxh1 83 27 use use NN cord-002240-38aabxh1 83 28 of of IN cord-002240-38aabxh1 83 29 corticosteroids corticosteroid NNS cord-002240-38aabxh1 83 30 is be VBZ cord-002240-38aabxh1 83 31 not not RB cord-002240-38aabxh1 83 32 associated associate VBN cord-002240-38aabxh1 83 33 with with IN cord-002240-38aabxh1 83 34 a a DT cord-002240-38aabxh1 83 35 significant significant JJ cord-002240-38aabxh1 83 36 reduction reduction NN cord-002240-38aabxh1 83 37 in in IN cord-002240-38aabxh1 83 38 mortality mortality NN cord-002240-38aabxh1 83 39 in in IN cord-002240-38aabxh1 83 40 patients patient NNS cord-002240-38aabxh1 83 41 with with IN cord-002240-38aabxh1 83 42 CAP cap NN cord-002240-38aabxh1 83 43 ( ( -LRB- cord-002240-38aabxh1 83 44 risk risk NN cord-002240-38aabxh1 83 45 ratio ratio NN cord-002240-38aabxh1 83 46 ( ( -LRB- cord-002240-38aabxh1 83 47 RR rr NN cord-002240-38aabxh1 83 48 ) ) -RRB- cord-002240-38aabxh1 83 49 0.72 0.72 CD cord-002240-38aabxh1 83 50 ; ; : cord-002240-38aabxh1 83 51 95 95 CD cord-002240-38aabxh1 83 52 % % NN cord-002240-38aabxh1 83 53 CI CI NNP cord-002240-38aabxh1 83 54 0.43 0.43 CD cord-002240-38aabxh1 83 55 - - HYPH cord-002240-38aabxh1 83 56 1.21 1.21 CD cord-002240-38aabxh1 83 57 ; ; : cord-002240-38aabxh1 83 58 evidence evidence NN cord-002240-38aabxh1 83 59 rank rank NN cord-002240-38aabxh1 83 60 low low NN cord-002240-38aabxh1 83 61 ) ) -RRB- cord-002240-38aabxh1 83 62 or or CC cord-002240-38aabxh1 83 63 in in IN cord-002240-38aabxh1 83 64 the the DT cord-002240-38aabxh1 83 65 subgroup subgroup NN cord-002240-38aabxh1 83 66 of of IN cord-002240-38aabxh1 83 67 patients patient NNS cord-002240-38aabxh1 83 68 with with IN cord-002240-38aabxh1 83 69 severe severe JJ cord-002240-38aabxh1 83 70 CAP cap NN cord-002240-38aabxh1 83 71 ( ( -LRB- cord-002240-38aabxh1 83 72 RCT RCT NNP cord-002240-38aabxh1 83 73 RR RR NNP cord-002240-38aabxh1 83 74 0.72 0.72 CD cord-002240-38aabxh1 83 75 , , , cord-002240-38aabxh1 83 76 95 95 CD cord-002240-38aabxh1 83 77 % % NN cord-002240-38aabxh1 83 78 CI CI NNP cord-002240-38aabxh1 83 79 0.43 0.43 CD cord-002240-38aabxh1 83 80 - - HYPH cord-002240-38aabxh1 83 81 1.21 1.21 CD cord-002240-38aabxh1 83 82 , , , cord-002240-38aabxh1 83 83 evidence evidence NN cord-002240-38aabxh1 83 84 rank rank NN cord-002240-38aabxh1 83 85 low low RB cord-002240-38aabxh1 84 1 ; ; : cord-002240-38aabxh1 84 2 cohort cohort NN cord-002240-38aabxh1 84 3 study study NN cord-002240-38aabxh1 84 4 RR RR NNP cord-002240-38aabxh1 84 5 1.00 1.00 CD cord-002240-38aabxh1 84 6 , , , cord-002240-38aabxh1 85 1 95 95 CD cord-002240-38aabxh1 85 2 % % NN cord-002240-38aabxh1 85 3 CI CI NNP cord-002240-38aabxh1 85 4 0.86 0.86 CD cord-002240-38aabxh1 85 5 - - HYPH cord-002240-38aabxh1 85 6 1.17 1.17 CD cord-002240-38aabxh1 85 7 ) ) -RRB- cord-002240-38aabxh1 85 8 . . . cord-002240-38aabxh1 86 1 However however RB cord-002240-38aabxh1 86 2 , , , cord-002240-38aabxh1 86 3 corticosteroids corticosteroid NNS cord-002240-38aabxh1 86 4 produced produce VBD cord-002240-38aabxh1 86 5 a a DT cord-002240-38aabxh1 86 6 benefit benefit NN cord-002240-38aabxh1 86 7 in in IN cord-002240-38aabxh1 86 8 terms term NNS cord-002240-38aabxh1 86 9 of of IN cord-002240-38aabxh1 86 10 reduction reduction NN cord-002240-38aabxh1 86 11 of of IN cord-002240-38aabxh1 86 12 ARDS ARDS NNP cord-002240-38aabxh1 86 13 ( ( -LRB- cord-002240-38aabxh1 86 14 RR RR NNP cord-002240-38aabxh1 86 15 0.21 0.21 CD cord-002240-38aabxh1 86 16 , , , cord-002240-38aabxh1 86 17 95 95 CD cord-002240-38aabxh1 86 18 % % NN cord-002240-38aabxh1 86 19 CI CI NNP cord-002240-38aabxh1 86 20 0.08 0.08 CD cord-002240-38aabxh1 86 21 - - HYPH cord-002240-38aabxh1 86 22 0.59 0.59 CD cord-002240-38aabxh1 86 23 ) ) -RRB- cord-002240-38aabxh1 86 24 , , , cord-002240-38aabxh1 86 25 length length NN cord-002240-38aabxh1 86 26 of of IN cord-002240-38aabxh1 86 27 hospital hospital NN cord-002240-38aabxh1 86 28 and and CC cord-002240-38aabxh1 86 29 ICU ICU NNP cord-002240-38aabxh1 86 30 stay stay VBP cord-002240-38aabxh1 86 31 , , , cord-002240-38aabxh1 86 32 duration duration NN cord-002240-38aabxh1 86 33 of of IN cord-002240-38aabxh1 86 34 IV IV NNP cord-002240-38aabxh1 86 35 antibiotics antibiotic NNS cord-002240-38aabxh1 86 36 , , , cord-002240-38aabxh1 86 37 and and CC cord-002240-38aabxh1 86 38 time time NN cord-002240-38aabxh1 86 39 to to IN cord-002240-38aabxh1 86 40 clinical clinical JJ cord-002240-38aabxh1 86 41 stability stability NN cord-002240-38aabxh1 86 42 without without IN cord-002240-38aabxh1 86 43 a a DT cord-002240-38aabxh1 86 44 significant significant JJ cord-002240-38aabxh1 86 45 increase increase NN cord-002240-38aabxh1 86 46 in in IN cord-002240-38aabxh1 86 47 side side NN cord-002240-38aabxh1 86 48 effects effect NNS cord-002240-38aabxh1 86 49 . . . cord-002240-38aabxh1 87 1 In in IN cord-002240-38aabxh1 87 2 contrast contrast NN cord-002240-38aabxh1 87 3 , , , cord-002240-38aabxh1 87 4 another another DT cord-002240-38aabxh1 87 5 meta meta JJ cord-002240-38aabxh1 87 6 - - HYPH cord-002240-38aabxh1 87 7 analysis analysis NN cord-002240-38aabxh1 87 8 [ [ -LRB- cord-002240-38aabxh1 87 9 25 25 CD cord-002240-38aabxh1 87 10 ] ] -RRB- cord-002240-38aabxh1 87 11 demonstrated demonstrate VBD cord-002240-38aabxh1 87 12 a a DT cord-002240-38aabxh1 87 13 reduction reduction NN cord-002240-38aabxh1 87 14 in in IN cord-002240-38aabxh1 87 15 all all DT cord-002240-38aabxh1 87 16 causes cause NNS cord-002240-38aabxh1 87 17 of of IN cord-002240-38aabxh1 87 18 mortality mortality NN cord-002240-38aabxh1 87 19 in in IN cord-002240-38aabxh1 87 20 patients patient NNS cord-002240-38aabxh1 87 21 receiving receive VBG cord-002240-38aabxh1 87 22 corticosteroids corticosteroid NNS cord-002240-38aabxh1 87 23 ( ( -LRB- cord-002240-38aabxh1 87 24 12 12 CD cord-002240-38aabxh1 87 25 trials trial NNS cord-002240-38aabxh1 87 26 , , , cord-002240-38aabxh1 87 27 1974 1974 CD cord-002240-38aabxh1 88 1 In in IN cord-002240-38aabxh1 88 2 conclusion conclusion NN cord-002240-38aabxh1 88 3 , , , cord-002240-38aabxh1 88 4 all all PDT cord-002240-38aabxh1 88 5 these these DT cord-002240-38aabxh1 88 6 studies study NNS cord-002240-38aabxh1 88 7 confirm confirm VBP cord-002240-38aabxh1 88 8 that that IN cord-002240-38aabxh1 88 9 the the DT cord-002240-38aabxh1 88 10 use use NN cord-002240-38aabxh1 88 11 of of IN cord-002240-38aabxh1 88 12 corticosteroids corticosteroid NNS cord-002240-38aabxh1 88 13 in in IN cord-002240-38aabxh1 88 14 CAP CAP NNP cord-002240-38aabxh1 88 15 is be VBZ cord-002240-38aabxh1 88 16 associated associate VBN cord-002240-38aabxh1 88 17 with with IN cord-002240-38aabxh1 88 18 the the DT cord-002240-38aabxh1 88 19 following follow VBG cord-002240-38aabxh1 88 20 benefits benefit NNS cord-002240-38aabxh1 88 21 : : : cord-002240-38aabxh1 88 22 reduced reduce VBN cord-002240-38aabxh1 88 23 length length NN cord-002240-38aabxh1 88 24 of of IN cord-002240-38aabxh1 88 25 hospital hospital NN cord-002240-38aabxh1 88 26 stay stay NN cord-002240-38aabxh1 88 27 , , , cord-002240-38aabxh1 88 28 reduced reduce VBN cord-002240-38aabxh1 88 29 time time NN cord-002240-38aabxh1 88 30 to to IN cord-002240-38aabxh1 88 31 clinical clinical JJ cord-002240-38aabxh1 88 32 stability stability NN cord-002240-38aabxh1 88 33 , , , cord-002240-38aabxh1 88 34 and and CC cord-002240-38aabxh1 88 35 prevention prevention NN cord-002240-38aabxh1 88 36 of of IN cord-002240-38aabxh1 88 37 ARDS ARDS NNP cord-002240-38aabxh1 88 38 . . . cord-002240-38aabxh1 89 1 No no DT cord-002240-38aabxh1 89 2 definitive definitive JJ cord-002240-38aabxh1 89 3 answer answer NN cord-002240-38aabxh1 89 4 is be VBZ cord-002240-38aabxh1 89 5 available available JJ cord-002240-38aabxh1 89 6 yet yet RB cord-002240-38aabxh1 89 7 regarding regard VBG cord-002240-38aabxh1 89 8 the the DT cord-002240-38aabxh1 89 9 effect effect NN cord-002240-38aabxh1 89 10 of of IN cord-002240-38aabxh1 89 11 corticosteroids corticosteroid NNS cord-002240-38aabxh1 89 12 on on IN cord-002240-38aabxh1 89 13 the the DT cord-002240-38aabxh1 89 14 reduction reduction NN cord-002240-38aabxh1 89 15 of of IN cord-002240-38aabxh1 89 16 death death NN cord-002240-38aabxh1 89 17 and and CC cord-002240-38aabxh1 89 18 larger large JJR cord-002240-38aabxh1 89 19 studies study NNS cord-002240-38aabxh1 89 20 are be VBP cord-002240-38aabxh1 89 21 needed need VBN cord-002240-38aabxh1 89 22 to to TO cord-002240-38aabxh1 89 23 define define VB cord-002240-38aabxh1 89 24 the the DT cord-002240-38aabxh1 89 25 effect effect NN cord-002240-38aabxh1 89 26 on on IN cord-002240-38aabxh1 89 27 mortality mortality NN cord-002240-38aabxh1 89 28 . . . cord-002240-38aabxh1 90 1 In in IN cord-002240-38aabxh1 90 2 particular particular JJ cord-002240-38aabxh1 90 3 , , , cord-002240-38aabxh1 90 4 some some DT cord-002240-38aabxh1 90 5 meta meta NNP cord-002240-38aabxh1 90 6 - - HYPH cord-002240-38aabxh1 90 7 analyses analysis NNS cord-002240-38aabxh1 90 8 suggested suggest VBD cord-002240-38aabxh1 90 9 that that IN cord-002240-38aabxh1 90 10 corticosteroids corticosteroid NNS cord-002240-38aabxh1 90 11 may may MD cord-002240-38aabxh1 90 12 decrease decrease VB cord-002240-38aabxh1 90 13 mortality mortality NN cord-002240-38aabxh1 90 14 in in IN cord-002240-38aabxh1 90 15 the the DT cord-002240-38aabxh1 90 16 subgroup subgroup NN cord-002240-38aabxh1 90 17 of of IN cord-002240-38aabxh1 90 18 patients patient NNS cord-002240-38aabxh1 90 19 with with IN cord-002240-38aabxh1 90 20 severe severe JJ cord-002240-38aabxh1 90 21 CAP cap NN cord-002240-38aabxh1 90 22 ; ; : cord-002240-38aabxh1 90 23 however however RB cord-002240-38aabxh1 90 24 , , , cord-002240-38aabxh1 90 25 these these DT cord-002240-38aabxh1 90 26 data datum NNS cord-002240-38aabxh1 90 27 have have VBP cord-002240-38aabxh1 90 28 not not RB cord-002240-38aabxh1 90 29 been be VBN cord-002240-38aabxh1 90 30 confirmed confirm VBN cord-002240-38aabxh1 90 31 in in IN cord-002240-38aabxh1 90 32 other other JJ cord-002240-38aabxh1 90 33 studies study NNS cord-002240-38aabxh1 90 34 . . . cord-002240-38aabxh1 91 1 The the DT cord-002240-38aabxh1 91 2 effects effect NNS cord-002240-38aabxh1 91 3 of of IN cord-002240-38aabxh1 91 4 corticosteroids corticosteroid NNS cord-002240-38aabxh1 91 5 in in IN cord-002240-38aabxh1 91 6 some some DT cord-002240-38aabxh1 91 7 specific specific JJ cord-002240-38aabxh1 91 8 infections infection NNS cord-002240-38aabxh1 91 9 are be VBP cord-002240-38aabxh1 91 10 the the DT cord-002240-38aabxh1 91 11 subject subject NN cord-002240-38aabxh1 91 12 of of IN cord-002240-38aabxh1 91 13 debate debate NN cord-002240-38aabxh1 91 14 . . . cord-002240-38aabxh1 92 1 For for IN cord-002240-38aabxh1 92 2 example example NN cord-002240-38aabxh1 92 3 , , , cord-002240-38aabxh1 92 4 a a DT cord-002240-38aabxh1 92 5 meta meta JJ cord-002240-38aabxh1 92 6 - - HYPH cord-002240-38aabxh1 92 7 analysis analysis NN cord-002240-38aabxh1 92 8 showed show VBD cord-002240-38aabxh1 92 9 a a DT cord-002240-38aabxh1 92 10 benefit benefit NN cord-002240-38aabxh1 92 11 in in IN cord-002240-38aabxh1 92 12 Pneumocystic pneumocystic JJ cord-002240-38aabxh1 92 13 jiroveci jiroveci NN cord-002240-38aabxh1 92 14 pneumonia pneumonia NN cord-002240-38aabxh1 92 15 [ [ -LRB- cord-002240-38aabxh1 92 16 28 28 CD cord-002240-38aabxh1 92 17 ] ] -RRB- cord-002240-38aabxh1 92 18 , , , cord-002240-38aabxh1 92 19 although although IN cord-002240-38aabxh1 92 20 this this DT cord-002240-38aabxh1 92 21 result result NN cord-002240-38aabxh1 92 22 came come VBD cord-002240-38aabxh1 92 23 from from IN cord-002240-38aabxh1 92 24 small small JJ cord-002240-38aabxh1 92 25 RCTs rct NNS cord-002240-38aabxh1 92 26 . . . cord-002240-38aabxh1 93 1 In in IN cord-002240-38aabxh1 93 2 patients patient NNS cord-002240-38aabxh1 93 3 with with IN cord-002240-38aabxh1 93 4 CAP cap NN cord-002240-38aabxh1 93 5 due due IN cord-002240-38aabxh1 93 6 to to IN cord-002240-38aabxh1 93 7 viral viral JJ cord-002240-38aabxh1 93 8 infection infection NN cord-002240-38aabxh1 93 9 , , , cord-002240-38aabxh1 93 10 the the DT cord-002240-38aabxh1 93 11 effects effect NNS cord-002240-38aabxh1 93 12 of of IN cord-002240-38aabxh1 93 13 corticosteroids corticosteroid NNS cord-002240-38aabxh1 93 14 are be VBP cord-002240-38aabxh1 93 15 still still RB cord-002240-38aabxh1 93 16 not not RB cord-002240-38aabxh1 93 17 clear clear JJ cord-002240-38aabxh1 93 18 . . . cord-002240-38aabxh1 94 1 In in IN cord-002240-38aabxh1 94 2 H1N1 H1N1 NNP cord-002240-38aabxh1 94 3 infection infection NN cord-002240-38aabxh1 94 4 , , , cord-002240-38aabxh1 94 5 corticosteroid corticosteroid NN cord-002240-38aabxh1 94 6 use use NN cord-002240-38aabxh1 94 7 was be VBD cord-002240-38aabxh1 94 8 associated associate VBN cord-002240-38aabxh1 94 9 with with IN cord-002240-38aabxh1 94 10 a a DT cord-002240-38aabxh1 94 11 higher high JJR cord-002240-38aabxh1 94 12 incidence incidence NN cord-002240-38aabxh1 94 13 of of IN cord-002240-38aabxh1 94 14 pneumonia pneumonia NN cord-002240-38aabxh1 94 15 and and CC cord-002240-38aabxh1 94 16 mortality mortality NN cord-002240-38aabxh1 94 17 . . . cord-002240-38aabxh1 95 1 In in IN cord-002240-38aabxh1 95 2 a a DT cord-002240-38aabxh1 95 3 Chinese chinese JJ cord-002240-38aabxh1 95 4 descriptive descriptive JJ cord-002240-38aabxh1 95 5 study study NN cord-002240-38aabxh1 95 6 of of IN cord-002240-38aabxh1 95 7 influenza influenza NN cord-002240-38aabxh1 95 8 A A NNP cord-002240-38aabxh1 95 9 ( ( -LRB- cord-002240-38aabxh1 95 10 H7N9 H7N9 NNP cord-002240-38aabxh1 95 11 ) ) -RRB- cord-002240-38aabxh1 95 12 viral viral JJ cord-002240-38aabxh1 95 13 pneumonia pneumonia NN cord-002240-38aabxh1 95 14 , , , cord-002240-38aabxh1 95 15 the the DT cord-002240-38aabxh1 95 16 subgroup subgroup NN cord-002240-38aabxh1 95 17 of of IN cord-002240-38aabxh1 95 18 patients patient NNS cord-002240-38aabxh1 95 19 receiving receive VBG cord-002240-38aabxh1 95 20 very very RB cord-002240-38aabxh1 95 21 high high JJ cord-002240-38aabxh1 95 22 doses dose NNS cord-002240-38aabxh1 95 23 of of IN cord-002240-38aabxh1 95 24 corticosteroids corticosteroid NNS cord-002240-38aabxh1 95 25 ( ( -LRB- cord-002240-38aabxh1 95 26 > > VBZ cord-002240-38aabxh1 95 27 150 150 CD cord-002240-38aabxh1 95 28 mg mg NNP cord-002240-38aabxh1 95 29 / / SYM cord-002240-38aabxh1 95 30 d d NN cord-002240-38aabxh1 95 31 methylprednisolone methylprednisolone NN cord-002240-38aabxh1 95 32 or or CC cord-002240-38aabxh1 95 33 equivalent equivalent NN cord-002240-38aabxh1 95 34 ) ) -RRB- cord-002240-38aabxh1 95 35 had have VBD cord-002240-38aabxh1 95 36 increased increase VBN cord-002240-38aabxh1 95 37 mortality mortality NN cord-002240-38aabxh1 95 38 but but CC cord-002240-38aabxh1 95 39 no no DT cord-002240-38aabxh1 95 40 significantly significantly RB cord-002240-38aabxh1 95 41 worse bad JJR cord-002240-38aabxh1 95 42 outcome outcome NN cord-002240-38aabxh1 95 43 was be VBD cord-002240-38aabxh1 95 44 detected detect VBN cord-002240-38aabxh1 95 45 with with IN cord-002240-38aabxh1 95 46 low low JJ cord-002240-38aabxh1 95 47 to to IN cord-002240-38aabxh1 95 48 moderate moderate JJ cord-002240-38aabxh1 95 49 doses dose NNS cord-002240-38aabxh1 95 50 of of IN cord-002240-38aabxh1 95 51 corticosteroids corticosteroid NNS cord-002240-38aabxh1 95 52 ( ( -LRB- cord-002240-38aabxh1 95 53 25 25 CD cord-002240-38aabxh1 95 54 - - SYM cord-002240-38aabxh1 95 55 150 150 CD cord-002240-38aabxh1 95 56 mg mg NNP cord-002240-38aabxh1 95 57 / / SYM cord-002240-38aabxh1 95 58 d d NN cord-002240-38aabxh1 95 59 methylprednisolone methylprednisolone NN cord-002240-38aabxh1 95 60 or or CC cord-002240-38aabxh1 95 61 equivalent equivalent JJ cord-002240-38aabxh1 95 62 ) ) -RRB- cord-002240-38aabxh1 95 63 [ [ -LRB- cord-002240-38aabxh1 95 64 29 29 CD cord-002240-38aabxh1 95 65 ] ] -RRB- cord-002240-38aabxh1 95 66 . . . cord-002240-38aabxh1 96 1 A a DT cord-002240-38aabxh1 96 2 recent recent JJ cord-002240-38aabxh1 96 3 meta meta JJ cord-002240-38aabxh1 96 4 - - HYPH cord-002240-38aabxh1 96 5 analysis analysis NN cord-002240-38aabxh1 96 6 by by IN cord-002240-38aabxh1 96 7 Cochrane Cochrane NNP cord-002240-38aabxh1 96 8 [ [ -LRB- cord-002240-38aabxh1 96 9 30 30 CD cord-002240-38aabxh1 96 10 ] ] -RRB- cord-002240-38aabxh1 96 11 of of IN cord-002240-38aabxh1 96 12 corticosteroids corticosteroid NNS cord-002240-38aabxh1 96 13 as as IN cord-002240-38aabxh1 96 14 adjunctive adjunctive JJ cord-002240-38aabxh1 96 15 treatment treatment NN cord-002240-38aabxh1 96 16 in in IN cord-002240-38aabxh1 96 17 influenza influenza NN cord-002240-38aabxh1 96 18 found find VBD cord-002240-38aabxh1 96 19 insufficient insufficient JJ cord-002240-38aabxh1 96 20 evidence evidence NN cord-002240-38aabxh1 96 21 to to TO cord-002240-38aabxh1 96 22 determine determine VB cord-002240-38aabxh1 96 23 the the DT cord-002240-38aabxh1 96 24 efficacy efficacy NN cord-002240-38aabxh1 96 25 of of IN cord-002240-38aabxh1 96 26 corticosteroids corticosteroid NNS cord-002240-38aabxh1 96 27 in in IN cord-002240-38aabxh1 96 28 these these DT cord-002240-38aabxh1 96 29 patients patient NNS cord-002240-38aabxh1 96 30 . . . cord-002240-38aabxh1 97 1 Delaney Delaney NNP cord-002240-38aabxh1 97 2 et et NNP cord-002240-38aabxh1 97 3 al al NNP cord-002240-38aabxh1 97 4 . . . cord-002240-38aabxh1 98 1 [ [ -LRB- cord-002240-38aabxh1 98 2 31 31 CD cord-002240-38aabxh1 98 3 ] ] -RRB- cord-002240-38aabxh1 98 4 recently recently RB cord-002240-38aabxh1 98 5 published publish VBD cord-002240-38aabxh1 98 6 an an DT cord-002240-38aabxh1 98 7 observational observational JJ cord-002240-38aabxh1 98 8 multicenter multicenter JJ cord-002240-38aabxh1 98 9 study study NN cord-002240-38aabxh1 98 10 of of IN cord-002240-38aabxh1 98 11 patients patient NNS cord-002240-38aabxh1 98 12 with with IN cord-002240-38aabxh1 98 13 influenza influenza NN cord-002240-38aabxh1 98 14 A a NN cord-002240-38aabxh1 98 15 ( ( -LRB- cord-002240-38aabxh1 98 16 H1N1pdm09)-related H1N1pdm09)-related NNP cord-002240-38aabxh1 98 17 critical critical JJ cord-002240-38aabxh1 98 18 illness illness NN cord-002240-38aabxh1 98 19 . . . cord-002240-38aabxh1 99 1 The the DT cord-002240-38aabxh1 99 2 crude crude JJ cord-002240-38aabxh1 99 3 hospital hospital NN cord-002240-38aabxh1 99 4 mortality mortality NN cord-002240-38aabxh1 99 5 was be VBD cord-002240-38aabxh1 99 6 higher high JJR cord-002240-38aabxh1 99 7 in in IN cord-002240-38aabxh1 99 8 patients patient NNS cord-002240-38aabxh1 99 9 who who WP cord-002240-38aabxh1 99 10 received receive VBD cord-002240-38aabxh1 99 11 corticosteroids corticosteroid NNS cord-002240-38aabxh1 99 12 compared compare VBN cord-002240-38aabxh1 99 13 with with IN cord-002240-38aabxh1 99 14 patients patient NNS cord-002240-38aabxh1 99 15 without without IN cord-002240-38aabxh1 99 16 corticosteroid corticosteroid NN cord-002240-38aabxh1 99 17 treatment treatment NN cord-002240-38aabxh1 99 18 ( ( -LRB- cord-002240-38aabxh1 99 19 25.5 25.5 CD cord-002240-38aabxh1 99 20 versus versus IN cord-002240-38aabxh1 99 21 16.4 16.4 CD cord-002240-38aabxh1 99 22 % % NN cord-002240-38aabxh1 99 23 , , , cord-002240-38aabxh1 99 24 p p NN cord-002240-38aabxh1 99 25 = = SYM cord-002240-38aabxh1 99 26 0.007 0.007 CD cord-002240-38aabxh1 99 27 ) ) -RRB- cord-002240-38aabxh1 99 28 . . . cord-002240-38aabxh1 100 1 Nevertheless nevertheless RB cord-002240-38aabxh1 100 2 , , , cord-002240-38aabxh1 100 3 after after IN cord-002240-38aabxh1 100 4 adjusting adjust VBG cord-002240-38aabxh1 100 5 for for IN cord-002240-38aabxh1 100 6 potential potential JJ cord-002240-38aabxh1 100 7 confounders confounder NNS cord-002240-38aabxh1 100 8 , , , cord-002240-38aabxh1 100 9 the the DT cord-002240-38aabxh1 100 10 authors author NNS cord-002240-38aabxh1 100 11 did do VBD cord-002240-38aabxh1 100 12 not not RB cord-002240-38aabxh1 100 13 find find VB cord-002240-38aabxh1 100 14 a a DT cord-002240-38aabxh1 100 15 significant significant JJ cord-002240-38aabxh1 100 16 association association NN cord-002240-38aabxh1 100 17 between between IN cord-002240-38aabxh1 100 18 corticosteroids corticosteroid NNS cord-002240-38aabxh1 100 19 and and CC cord-002240-38aabxh1 100 20 mortality mortality NN cord-002240-38aabxh1 100 21 in in IN cord-002240-38aabxh1 100 22 this this DT cord-002240-38aabxh1 100 23 population population NN cord-002240-38aabxh1 100 24 . . . cord-002240-38aabxh1 101 1 It -PRON- PRP cord-002240-38aabxh1 101 2 appears appear VBZ cord-002240-38aabxh1 101 3 that that IN cord-002240-38aabxh1 101 4 the the DT cord-002240-38aabxh1 101 5 use use NN cord-002240-38aabxh1 101 6 of of IN cord-002240-38aabxh1 101 7 corticosteroids corticosteroid NNS cord-002240-38aabxh1 101 8 was be VBD cord-002240-38aabxh1 101 9 associated associate VBN cord-002240-38aabxh1 101 10 with with IN cord-002240-38aabxh1 101 11 a a DT cord-002240-38aabxh1 101 12 higher high JJR cord-002240-38aabxh1 101 13 mortality mortality NN cord-002240-38aabxh1 101 14 but but CC cord-002240-38aabxh1 101 15 this this DT cord-002240-38aabxh1 101 16 result result NN cord-002240-38aabxh1 101 17 has have VBZ cord-002240-38aabxh1 101 18 to to TO cord-002240-38aabxh1 101 19 be be VB cord-002240-38aabxh1 101 20 carefully carefully RB cord-002240-38aabxh1 101 21 interpreted interpret VBN cord-002240-38aabxh1 101 22 because because IN cord-002240-38aabxh1 101 23 only only JJ cord-002240-38aabxh1 101 24 observational observational JJ cord-002240-38aabxh1 101 25 studies study NNS cord-002240-38aabxh1 101 26 of of IN cord-002240-38aabxh1 101 27 low low JJ cord-002240-38aabxh1 101 28 quality quality NN cord-002240-38aabxh1 101 29 were be VBD cord-002240-38aabxh1 101 30 included include VBN cord-002240-38aabxh1 101 31 and and CC cord-002240-38aabxh1 101 32 RTCs rtc NNS cord-002240-38aabxh1 101 33 were be VBD cord-002240-38aabxh1 101 34 not not RB cord-002240-38aabxh1 101 35 identified identify VBN cord-002240-38aabxh1 101 36 for for IN cord-002240-38aabxh1 101 37 the the DT cord-002240-38aabxh1 101 38 analysis analysis NN cord-002240-38aabxh1 101 39 . . . cord-002240-38aabxh1 102 1 More More JJR cord-002240-38aabxh1 102 2 studies study NNS cord-002240-38aabxh1 102 3 are be VBP cord-002240-38aabxh1 102 4 needed need VBN cord-002240-38aabxh1 102 5 to to TO cord-002240-38aabxh1 102 6 clarify clarify VB cord-002240-38aabxh1 102 7 this this DT cord-002240-38aabxh1 102 8 point point NN cord-002240-38aabxh1 102 9 . . . cord-002240-38aabxh1 103 1 The the DT cord-002240-38aabxh1 103 2 main main JJ cord-002240-38aabxh1 103 3 side side NN cord-002240-38aabxh1 103 4 effects effect NNS cord-002240-38aabxh1 103 5 associated associate VBN cord-002240-38aabxh1 103 6 with with IN cord-002240-38aabxh1 103 7 corticosteroids corticosteroid NNS cord-002240-38aabxh1 103 8 , , , cord-002240-38aabxh1 103 9 especially especially RB cord-002240-38aabxh1 103 10 with with IN cord-002240-38aabxh1 103 11 prolonged prolong VBN cord-002240-38aabxh1 103 12 use use NN cord-002240-38aabxh1 103 13 , , , cord-002240-38aabxh1 103 14 are be VBP cord-002240-38aabxh1 103 15 hyperglycemia hyperglycemia NN cord-002240-38aabxh1 103 16 , , , cord-002240-38aabxh1 103 17 myopathy myopathy NN cord-002240-38aabxh1 103 18 , , , cord-002240-38aabxh1 103 19 weight weight NN cord-002240-38aabxh1 103 20 gain gain NN cord-002240-38aabxh1 103 21 , , , cord-002240-38aabxh1 103 22 brushing brushing NN cord-002240-38aabxh1 103 23 , , , cord-002240-38aabxh1 103 24 and and CC cord-002240-38aabxh1 103 25 osteopenia osteopenia FW cord-002240-38aabxh1 103 26 ( ( -LRB- cord-002240-38aabxh1 103 27 Fig fig NN cord-002240-38aabxh1 103 28 . . NNP cord-002240-38aabxh1 103 29 2 2 LS cord-002240-38aabxh1 103 30 ) ) -RRB- cord-002240-38aabxh1 103 31 [ [ -LRB- cord-002240-38aabxh1 103 32 32 32 CD cord-002240-38aabxh1 103 33 ] ] -RRB- cord-002240-38aabxh1 103 34 . . . cord-002240-38aabxh1 104 1 As as RB cord-002240-38aabxh1 104 2 well well RB cord-002240-38aabxh1 104 3 as as IN cord-002240-38aabxh1 104 4 these these DT cord-002240-38aabxh1 104 5 side side NN cord-002240-38aabxh1 104 6 effects effect NNS cord-002240-38aabxh1 104 7 , , , cord-002240-38aabxh1 104 8 corticosteroids corticosteroid NNS cord-002240-38aabxh1 104 9 have have VBP cord-002240-38aabxh1 104 10 strong strong JJ cord-002240-38aabxh1 104 11 immunosuppressive immunosuppressive JJ cord-002240-38aabxh1 104 12 effects effect NNS cord-002240-38aabxh1 104 13 , , , cord-002240-38aabxh1 104 14 raising raise VBG cord-002240-38aabxh1 104 15 concerns concern NNS cord-002240-38aabxh1 104 16 regarding regard VBG cord-002240-38aabxh1 104 17 their -PRON- PRP$ cord-002240-38aabxh1 104 18 use use NN cord-002240-38aabxh1 104 19 in in IN cord-002240-38aabxh1 104 20 acute acute JJ cord-002240-38aabxh1 104 21 infections infection NNS cord-002240-38aabxh1 104 22 , , , cord-002240-38aabxh1 104 23 despite despite IN cord-002240-38aabxh1 104 24 their -PRON- PRP$ cord-002240-38aabxh1 104 25 potential potential JJ cord-002240-38aabxh1 104 26 effect effect NN cord-002240-38aabxh1 104 27 in in IN cord-002240-38aabxh1 104 28 controlling control VBG cord-002240-38aabxh1 104 29 excessive excessive JJ cord-002240-38aabxh1 104 30 inflammatory inflammatory JJ cord-002240-38aabxh1 104 31 response response NN cord-002240-38aabxh1 104 32 . . . cord-002240-38aabxh1 105 1 The the DT cord-002240-38aabxh1 105 2 immunosuppressant immunosuppressant JJ cord-002240-38aabxh1 105 3 effect effect NN cord-002240-38aabxh1 105 4 of of IN cord-002240-38aabxh1 105 5 corticosteroids corticosteroid NNS cord-002240-38aabxh1 105 6 is be VBZ cord-002240-38aabxh1 105 7 related relate VBN cord-002240-38aabxh1 105 8 to to IN cord-002240-38aabxh1 105 9 dose dose NN cord-002240-38aabxh1 105 10 and and CC cord-002240-38aabxh1 105 11 treatment treatment NN cord-002240-38aabxh1 105 12 duration duration NN cord-002240-38aabxh1 105 13 . . . cord-002240-38aabxh1 106 1 For for IN cord-002240-38aabxh1 106 2 example example NN cord-002240-38aabxh1 106 3 , , , cord-002240-38aabxh1 106 4 the the DT cord-002240-38aabxh1 106 5 use use NN cord-002240-38aabxh1 106 6 of of IN cord-002240-38aabxh1 106 7 40 40 CD cord-002240-38aabxh1 106 8 mg mg NNS cord-002240-38aabxh1 106 9 of of IN cord-002240-38aabxh1 106 10 prednisolone prednisolone NN cord-002240-38aabxh1 106 11 per per IN cord-002240-38aabxh1 106 12 day day NN cord-002240-38aabxh1 106 13 for for IN cord-002240-38aabxh1 106 14 more more JJR cord-002240-38aabxh1 106 15 than than IN cord-002240-38aabxh1 106 16 1 1 CD cord-002240-38aabxh1 106 17 week week NN cord-002240-38aabxh1 106 18 or or CC cord-002240-38aabxh1 106 19 20 20 CD cord-002240-38aabxh1 106 20 mg mg NN cord-002240-38aabxh1 106 21 prednisolone prednisolone NN cord-002240-38aabxh1 106 22 or or CC cord-002240-38aabxh1 106 23 equivalent equivalent JJ cord-002240-38aabxh1 106 24 per per IN cord-002240-38aabxh1 106 25 day day NN cord-002240-38aabxh1 106 26 for for IN cord-002240-38aabxh1 106 27 a a DT cord-002240-38aabxh1 106 28 month month NN cord-002240-38aabxh1 106 29 can can MD cord-002240-38aabxh1 106 30 produce produce VB cord-002240-38aabxh1 106 31 immunosuppression immunosuppression NN cord-002240-38aabxh1 106 32 . . . cord-002240-38aabxh1 107 1 In in IN cord-002240-38aabxh1 107 2 acute acute JJ cord-002240-38aabxh1 107 3 infection infection NN cord-002240-38aabxh1 107 4 , , , cord-002240-38aabxh1 107 5 a a DT cord-002240-38aabxh1 107 6 low low JJ cord-002240-38aabxh1 107 7 dose dose NN cord-002240-38aabxh1 107 8 for for IN cord-002240-38aabxh1 107 9 a a DT cord-002240-38aabxh1 107 10 short short JJ cord-002240-38aabxh1 107 11 period period NN cord-002240-38aabxh1 107 12 ( ( -LRB- cord-002240-38aabxh1 107 13 some some DT cord-002240-38aabxh1 107 14 days day NNS cord-002240-38aabxh1 107 15 ) ) -RRB- cord-002240-38aabxh1 107 16 may may MD cord-002240-38aabxh1 107 17 be be VB cord-002240-38aabxh1 107 18 useful useful JJ cord-002240-38aabxh1 107 19 for for IN cord-002240-38aabxh1 107 20 reducing reduce VBG cord-002240-38aabxh1 107 21 inflammation inflammation NN cord-002240-38aabxh1 107 22 and and CC cord-002240-38aabxh1 107 23 may may MD cord-002240-38aabxh1 107 24 not not RB cord-002240-38aabxh1 107 25 cause cause VB cord-002240-38aabxh1 107 26 so so RB cord-002240-38aabxh1 107 27 much much JJ cord-002240-38aabxh1 107 28 harm harm NN cord-002240-38aabxh1 107 29 by by IN cord-002240-38aabxh1 107 30 producing produce VBG cord-002240-38aabxh1 107 31 immunosuppression immunosuppression NN cord-002240-38aabxh1 107 32 . . . cord-002240-38aabxh1 108 1 Moreover moreover RB cord-002240-38aabxh1 108 2 , , , cord-002240-38aabxh1 108 3 a a DT cord-002240-38aabxh1 108 4 short short JJ cord-002240-38aabxh1 108 5 period period NN cord-002240-38aabxh1 108 6 of of IN cord-002240-38aabxh1 108 7 corticosteroid corticosteroid NN cord-002240-38aabxh1 108 8 treatment treatment NN cord-002240-38aabxh1 108 9 may may MD cord-002240-38aabxh1 108 10 reduce reduce VB cord-002240-38aabxh1 108 11 the the DT cord-002240-38aabxh1 108 12 risk risk NN cord-002240-38aabxh1 108 13 for for IN cord-002240-38aabxh1 108 14 side side JJ cord-002240-38aabxh1 108 15 effects effect NNS cord-002240-38aabxh1 108 16 . . . cord-002240-38aabxh1 109 1 Hyperglycemia hyperglycemia NN cord-002240-38aabxh1 109 2 is be VBZ cord-002240-38aabxh1 109 3 a a DT cord-002240-38aabxh1 109 4 frequent frequent JJ cord-002240-38aabxh1 109 5 effect effect NN cord-002240-38aabxh1 109 6 associated associate VBN cord-002240-38aabxh1 109 7 with with IN cord-002240-38aabxh1 109 8 corticosteroid corticosteroid NN cord-002240-38aabxh1 109 9 use use NN cord-002240-38aabxh1 109 10 . . . cord-002240-38aabxh1 110 1 This this DT cord-002240-38aabxh1 110 2 occurs occur VBZ cord-002240-38aabxh1 110 3 in in IN cord-002240-38aabxh1 110 4 about about RB cord-002240-38aabxh1 110 5 50 50 CD cord-002240-38aabxh1 110 6 % % NN cord-002240-38aabxh1 110 7 of of IN cord-002240-38aabxh1 110 8 hospitalized hospitalize VBN cord-002240-38aabxh1 110 9 patients patient NNS cord-002240-38aabxh1 110 10 receiving receive VBG cord-002240-38aabxh1 110 11 high high JJ cord-002240-38aabxh1 110 12 doses dose NNS cord-002240-38aabxh1 110 13 of of IN cord-002240-38aabxh1 110 14 corticosteroids corticosteroid NNS cord-002240-38aabxh1 110 15 [ [ -LRB- cord-002240-38aabxh1 110 16 33 33 CD cord-002240-38aabxh1 110 17 ] ] -RRB- cord-002240-38aabxh1 110 18 and and CC cord-002240-38aabxh1 110 19 patients patient NNS cord-002240-38aabxh1 110 20 with with IN cord-002240-38aabxh1 110 21 chronic chronic JJ cord-002240-38aabxh1 110 22 obstructive obstructive JJ cord-002240-38aabxh1 110 23 pulmonary pulmonary JJ cord-002240-38aabxh1 110 24 disease disease NN cord-002240-38aabxh1 110 25 ( ( -LRB- cord-002240-38aabxh1 110 26 COPD COPD NNP cord-002240-38aabxh1 110 27 ) ) -RRB- cord-002240-38aabxh1 110 28 receiving receive VBG cord-002240-38aabxh1 110 29 oral oral JJ cord-002240-38aabxh1 110 30 corticosteroid corticosteroid NN cord-002240-38aabxh1 110 31 treatment treatment NN cord-002240-38aabxh1 110 32 presented present VBD cord-002240-38aabxh1 110 33 a a DT cord-002240-38aabxh1 110 34 more more RBR cord-002240-38aabxh1 110 35 than than IN cord-002240-38aabxh1 110 36 fivefold fivefold JJ cord-002240-38aabxh1 110 37 risk risk NN cord-002240-38aabxh1 110 38 of of IN cord-002240-38aabxh1 110 39 developing develop VBG cord-002240-38aabxh1 110 40 hyperglycemia hyperglycemia NN cord-002240-38aabxh1 110 41 . . . cord-002240-38aabxh1 111 1 Hyperglycemia hyperglycemia NN cord-002240-38aabxh1 111 2 is be VBZ cord-002240-38aabxh1 111 3 associated associate VBN cord-002240-38aabxh1 111 4 with with IN cord-002240-38aabxh1 111 5 higher high JJR cord-002240-38aabxh1 111 6 mortality mortality NN cord-002240-38aabxh1 111 7 and and CC cord-002240-38aabxh1 111 8 , , , cord-002240-38aabxh1 111 9 in in IN cord-002240-38aabxh1 111 10 particular particular JJ cord-002240-38aabxh1 111 11 , , , cord-002240-38aabxh1 111 12 hyperglycemia hyperglycemia NN cord-002240-38aabxh1 111 13 secondary secondary JJ cord-002240-38aabxh1 111 14 to to IN cord-002240-38aabxh1 111 15 corticosteroids corticosteroid NNS cord-002240-38aabxh1 111 16 increased increase VBD cord-002240-38aabxh1 111 17 the the DT cord-002240-38aabxh1 111 18 risk risk NN cord-002240-38aabxh1 111 19 of of IN cord-002240-38aabxh1 111 20 death death NN cord-002240-38aabxh1 111 21 by by IN cord-002240-38aabxh1 111 22 10 10 CD cord-002240-38aabxh1 111 23 % % NN cord-002240-38aabxh1 111 24 for for IN cord-002240-38aabxh1 111 25 each each DT cord-002240-38aabxh1 111 26 18 18 CD cord-002240-38aabxh1 111 27 mg mg NNP cord-002240-38aabxh1 111 28 / / SYM cord-002240-38aabxh1 111 29 dL dl NN cord-002240-38aabxh1 111 30 increase increase NN cord-002240-38aabxh1 111 31 in in IN cord-002240-38aabxh1 111 32 blood blood NN cord-002240-38aabxh1 111 33 glucose glucose NN cord-002240-38aabxh1 111 34 after after IN cord-002240-38aabxh1 111 35 adjusting adjust VBG cord-002240-38aabxh1 111 36 for for IN cord-002240-38aabxh1 111 37 age age NN cord-002240-38aabxh1 111 38 , , , cord-002240-38aabxh1 111 39 sex sex NN cord-002240-38aabxh1 111 40 , , , cord-002240-38aabxh1 111 41 and and CC cord-002240-38aabxh1 111 42 diabetes diabetes NN cord-002240-38aabxh1 111 43 mellitus mellitus NN cord-002240-38aabxh1 111 44 [ [ -LRB- cord-002240-38aabxh1 111 45 34 34 CD cord-002240-38aabxh1 111 46 ] ] -RRB- cord-002240-38aabxh1 111 47 . . . cord-002240-38aabxh1 112 1 Detection detection NN cord-002240-38aabxh1 112 2 of of IN cord-002240-38aabxh1 112 3 hyperglycemia hyperglycemia NN cord-002240-38aabxh1 112 4 in in IN cord-002240-38aabxh1 112 5 the the DT cord-002240-38aabxh1 112 6 first first JJ cord-002240-38aabxh1 112 7 24 24 CD cord-002240-38aabxh1 112 8 h h NN cord-002240-38aabxh1 112 9 in in IN cord-002240-38aabxh1 112 10 patients patient NNS cord-002240-38aabxh1 112 11 with with IN cord-002240-38aabxh1 112 12 COPD COPD NNP cord-002240-38aabxh1 112 13 reactivation reactivation NN cord-002240-38aabxh1 112 14 was be VBD cord-002240-38aabxh1 112 15 associated associate VBN cord-002240-38aabxh1 112 16 with with IN cord-002240-38aabxh1 112 17 worse bad JJR cord-002240-38aabxh1 112 18 outcomes outcome NNS cord-002240-38aabxh1 112 19 [ [ -LRB- cord-002240-38aabxh1 112 20 35 35 CD cord-002240-38aabxh1 112 21 ] ] -RRB- cord-002240-38aabxh1 112 22 . . . cord-002240-38aabxh1 113 1 On on IN cord-002240-38aabxh1 113 2 the the DT cord-002240-38aabxh1 113 3 other other JJ cord-002240-38aabxh1 113 4 hand hand NN cord-002240-38aabxh1 113 5 , , , cord-002240-38aabxh1 113 6 strict strict JJ cord-002240-38aabxh1 113 7 management management NN cord-002240-38aabxh1 113 8 of of IN cord-002240-38aabxh1 113 9 glucose glucose NN cord-002240-38aabxh1 113 10 levels level NNS cord-002240-38aabxh1 113 11 decreased decrease VBD cord-002240-38aabxh1 113 12 morbidity morbidity NN cord-002240-38aabxh1 113 13 and and CC cord-002240-38aabxh1 113 14 mortality mortality NN cord-002240-38aabxh1 113 15 in in IN cord-002240-38aabxh1 113 16 critically critically RB cord-002240-38aabxh1 113 17 ill ill JJ cord-002240-38aabxh1 113 18 patients patient NNS cord-002240-38aabxh1 113 19 admitted admit VBN cord-002240-38aabxh1 113 20 to to IN cord-002240-38aabxh1 113 21 the the DT cord-002240-38aabxh1 113 22 surgical surgical JJ cord-002240-38aabxh1 113 23 ICU ICU NNP cord-002240-38aabxh1 113 24 [ [ -LRB- cord-002240-38aabxh1 113 25 36 36 CD cord-002240-38aabxh1 113 26 ] ] -RRB- cord-002240-38aabxh1 113 27 . . . cord-002240-38aabxh1 114 1 For for IN cord-002240-38aabxh1 114 2 patients patient NNS cord-002240-38aabxh1 114 3 in in IN cord-002240-38aabxh1 114 4 the the DT cord-002240-38aabxh1 114 5 medical medical JJ cord-002240-38aabxh1 114 6 ICU ICU NNP cord-002240-38aabxh1 114 7 , , , cord-002240-38aabxh1 114 8 a a DT cord-002240-38aabxh1 114 9 benefit benefit NN cord-002240-38aabxh1 114 10 was be VBD cord-002240-38aabxh1 114 11 shown show VBN cord-002240-38aabxh1 114 12 in in IN cord-002240-38aabxh1 114 13 terms term NNS cord-002240-38aabxh1 114 14 of of IN cord-002240-38aabxh1 114 15 morbidity morbidity NN cord-002240-38aabxh1 114 16 but but CC cord-002240-38aabxh1 114 17 not not RB cord-002240-38aabxh1 114 18 mortality mortality NN cord-002240-38aabxh1 114 19 [ [ -LRB- cord-002240-38aabxh1 114 20 37 37 CD cord-002240-38aabxh1 114 21 ] ] -RRB- cord-002240-38aabxh1 114 22 . . . cord-002240-38aabxh1 115 1 Myopathy Myopathy NNP cord-002240-38aabxh1 115 2 is be VBZ cord-002240-38aabxh1 115 3 another another DT cord-002240-38aabxh1 115 4 side side NN cord-002240-38aabxh1 115 5 effect effect NN cord-002240-38aabxh1 115 6 associated associate VBN cord-002240-38aabxh1 115 7 with with IN cord-002240-38aabxh1 115 8 acute acute JJ cord-002240-38aabxh1 115 9 and and CC cord-002240-38aabxh1 115 10 chronic chronic JJ cord-002240-38aabxh1 115 11 corticosteroid corticosteroid NN cord-002240-38aabxh1 115 12 treatment treatment NN cord-002240-38aabxh1 115 13 , , , cord-002240-38aabxh1 115 14 especially especially RB cord-002240-38aabxh1 115 15 in in IN cord-002240-38aabxh1 115 16 older old JJR cord-002240-38aabxh1 115 17 patients patient NNS cord-002240-38aabxh1 115 18 , , , cord-002240-38aabxh1 115 19 patients patient NNS cord-002240-38aabxh1 115 20 with with IN cord-002240-38aabxh1 115 21 cancer cancer NN cord-002240-38aabxh1 115 22 and and CC cord-002240-38aabxh1 115 23 respiratory respiratory JJ cord-002240-38aabxh1 115 24 muscle muscle NN cord-002240-38aabxh1 115 25 diseases disease NNS cord-002240-38aabxh1 115 26 , , , cord-002240-38aabxh1 115 27 and and CC cord-002240-38aabxh1 115 28 physically physically RB cord-002240-38aabxh1 115 29 inactive inactive JJ cord-002240-38aabxh1 115 30 patients patient NNS cord-002240-38aabxh1 115 31 [ [ -LRB- cord-002240-38aabxh1 115 32 38 38 CD cord-002240-38aabxh1 115 33 ] ] -RRB- cord-002240-38aabxh1 115 34 . . . cord-002240-38aabxh1 116 1 Corticosteroids corticosteroid NNS cord-002240-38aabxh1 116 2 induce induce VBP cord-002240-38aabxh1 116 3 myopathy myopathy NN cord-002240-38aabxh1 116 4 by by IN cord-002240-38aabxh1 116 5 decreasing decrease VBG cord-002240-38aabxh1 116 6 protein protein NN cord-002240-38aabxh1 116 7 synthesis synthesis NN cord-002240-38aabxh1 116 8 and and CC cord-002240-38aabxh1 116 9 increasing increase VBG cord-002240-38aabxh1 116 10 protein protein NN cord-002240-38aabxh1 116 11 breakdown breakdown NN cord-002240-38aabxh1 116 12 . . . cord-002240-38aabxh1 117 1 This this DT cord-002240-38aabxh1 117 2 mechanism mechanism NN cord-002240-38aabxh1 117 3 leads lead VBZ cord-002240-38aabxh1 117 4 to to IN cord-002240-38aabxh1 117 5 muscle muscle NN cord-002240-38aabxh1 117 6 atrophy atrophy NN cord-002240-38aabxh1 117 7 with with IN cord-002240-38aabxh1 117 8 a a DT cord-002240-38aabxh1 117 9 reduction reduction NN cord-002240-38aabxh1 117 10 of of IN cord-002240-38aabxh1 117 11 myofibrillar myofibrillar JJ cord-002240-38aabxh1 117 12 protein protein NN cord-002240-38aabxh1 117 13 content content NN cord-002240-38aabxh1 117 14 and and CC cord-002240-38aabxh1 117 15 cross cross JJ cord-002240-38aabxh1 117 16 - - JJ cord-002240-38aabxh1 117 17 sectional sectional JJ cord-002240-38aabxh1 117 18 fiber fiber NN cord-002240-38aabxh1 117 19 area area NN cord-002240-38aabxh1 117 20 . . . cord-002240-38aabxh1 118 1 In in IN cord-002240-38aabxh1 118 2 critically critically RB cord-002240-38aabxh1 118 3 ill ill JJ cord-002240-38aabxh1 118 4 patients patient NNS cord-002240-38aabxh1 118 5 , , , cord-002240-38aabxh1 118 6 the the DT cord-002240-38aabxh1 118 7 development development NN cord-002240-38aabxh1 118 8 of of IN cord-002240-38aabxh1 118 9 myopathy myopathy NN cord-002240-38aabxh1 118 10 produces produce VBZ cord-002240-38aabxh1 118 11 peripheral peripheral JJ cord-002240-38aabxh1 118 12 muscle muscle NN cord-002240-38aabxh1 118 13 weakness weakness NN cord-002240-38aabxh1 118 14 with with IN cord-002240-38aabxh1 118 15 longer long JJR cord-002240-38aabxh1 118 16 duration duration NN cord-002240-38aabxh1 118 17 of of IN cord-002240-38aabxh1 118 18 [ [ -LRB- cord-002240-38aabxh1 118 19 39 39 CD cord-002240-38aabxh1 118 20 , , , cord-002240-38aabxh1 118 21 40 40 CD cord-002240-38aabxh1 118 22 ] ] -RRB- cord-002240-38aabxh1 118 23 . . . cord-002240-38aabxh1 119 1 There there EX cord-002240-38aabxh1 119 2 is be VBZ cord-002240-38aabxh1 119 3 a a DT cord-002240-38aabxh1 119 4 gap gap NN cord-002240-38aabxh1 119 5 in in IN cord-002240-38aabxh1 119 6 knowledge knowledge NN cord-002240-38aabxh1 119 7 regarding regard VBG cord-002240-38aabxh1 119 8 whether whether IN cord-002240-38aabxh1 119 9 the the DT cord-002240-38aabxh1 119 10 beneficial beneficial JJ cord-002240-38aabxh1 119 11 anti anti JJ cord-002240-38aabxh1 119 12 - - JJ cord-002240-38aabxh1 119 13 inflammatory inflammatory JJ cord-002240-38aabxh1 119 14 effect effect NN cord-002240-38aabxh1 119 15 of of IN cord-002240-38aabxh1 119 16 corticosteroids corticosteroid NNS cord-002240-38aabxh1 119 17 may may MD cord-002240-38aabxh1 119 18 be be VB cord-002240-38aabxh1 119 19 potentiated potentiate VBN cord-002240-38aabxh1 119 20 by by IN cord-002240-38aabxh1 119 21 the the DT cord-002240-38aabxh1 119 22 administration administration NN cord-002240-38aabxh1 119 23 of of IN cord-002240-38aabxh1 119 24 a a DT cord-002240-38aabxh1 119 25 macrolide macrolide NN cord-002240-38aabxh1 119 26 , , , cord-002240-38aabxh1 119 27 which which WDT cord-002240-38aabxh1 119 28 has have VBZ cord-002240-38aabxh1 119 29 an an DT cord-002240-38aabxh1 119 30 immunomodulatory immunomodulatory JJ cord-002240-38aabxh1 119 31 effect effect NN cord-002240-38aabxh1 119 32 . . . cord-002240-38aabxh1 120 1 The the DT cord-002240-38aabxh1 120 2 best good JJS cord-002240-38aabxh1 120 3 antibiotic antibiotic JJ cord-002240-38aabxh1 120 4 strategy strategy NN cord-002240-38aabxh1 120 5 for for IN cord-002240-38aabxh1 120 6 the the DT cord-002240-38aabxh1 120 7 treatment treatment NN cord-002240-38aabxh1 120 8 of of IN cord-002240-38aabxh1 120 9 CAP CAP NNP cord-002240-38aabxh1 120 10 is be VBZ cord-002240-38aabxh1 120 11 currently currently RB cord-002240-38aabxh1 120 12 a a DT cord-002240-38aabxh1 120 13 subject subject NN cord-002240-38aabxh1 120 14 of of IN cord-002240-38aabxh1 120 15 debate debate NN cord-002240-38aabxh1 120 16 . . . cord-002240-38aabxh1 121 1 For for IN cord-002240-38aabxh1 121 2 severe severe JJ cord-002240-38aabxh1 121 3 CAP cap NN cord-002240-38aabxh1 121 4 , , , cord-002240-38aabxh1 121 5 international international JJ cord-002240-38aabxh1 121 6 guidelines guideline NNS cord-002240-38aabxh1 121 7 suggest suggest VBP cord-002240-38aabxh1 121 8 the the DT cord-002240-38aabxh1 121 9 use use NN cord-002240-38aabxh1 121 10 of of IN cord-002240-38aabxh1 121 11 two two CD cord-002240-38aabxh1 121 12 antibiotics antibiotic NNS cord-002240-38aabxh1 121 13 such such JJ cord-002240-38aabxh1 121 14 as as IN cord-002240-38aabxh1 121 15 a a DT cord-002240-38aabxh1 121 16 βlactam βlactam NNS cord-002240-38aabxh1 121 17 plus plus CC cord-002240-38aabxh1 121 18 a a DT cord-002240-38aabxh1 121 19 macrolide macrolide NN cord-002240-38aabxh1 121 20 or or CC cord-002240-38aabxh1 121 21 a a DT cord-002240-38aabxh1 121 22 β β NN cord-002240-38aabxh1 121 23 - - HYPH cord-002240-38aabxh1 121 24 lactam lactam NNP cord-002240-38aabxh1 121 25 plus plus CC cord-002240-38aabxh1 121 26 respiratory respiratory JJ cord-002240-38aabxh1 121 27 quinolone quinolone NNP cord-002240-38aabxh1 121 28 ( ( -LRB- cord-002240-38aabxh1 121 29 levofloxacin levofloxacin NNP cord-002240-38aabxh1 121 30 or or CC cord-002240-38aabxh1 121 31 moxifloxacin moxifloxacin NNS cord-002240-38aabxh1 121 32 ) ) -RRB- cord-002240-38aabxh1 121 33 [ [ -LRB- cord-002240-38aabxh1 121 34 40 40 CD cord-002240-38aabxh1 121 35 ] ] -RRB- cord-002240-38aabxh1 121 36 . . . cord-002240-38aabxh1 122 1 However however RB cord-002240-38aabxh1 122 2 , , , cord-002240-38aabxh1 122 3 many many JJ cord-002240-38aabxh1 122 4 observational observational JJ cord-002240-38aabxh1 122 5 studies study NNS cord-002240-38aabxh1 122 6 and and CC cord-002240-38aabxh1 122 7 a a DT cord-002240-38aabxh1 122 8 recent recent JJ cord-002240-38aabxh1 122 9 meta meta JJ cord-002240-38aabxh1 122 10 - - HYPH cord-002240-38aabxh1 122 11 analysis analysis NN cord-002240-38aabxh1 122 12 have have VBP cord-002240-38aabxh1 122 13 shown show VBN cord-002240-38aabxh1 122 14 that that IN cord-002240-38aabxh1 122 15 the the DT cord-002240-38aabxh1 122 16 use use NN cord-002240-38aabxh1 122 17 of of IN cord-002240-38aabxh1 122 18 a a DT cord-002240-38aabxh1 122 19 β β NN cord-002240-38aabxh1 122 20 - - HYPH cord-002240-38aabxh1 122 21 lactam lactam NNP cord-002240-38aabxh1 122 22 plus plus CC cord-002240-38aabxh1 122 23 a a DT cord-002240-38aabxh1 122 24 macrolide macrolide NN cord-002240-38aabxh1 122 25 is be VBZ cord-002240-38aabxh1 122 26 the the DT cord-002240-38aabxh1 122 27 best good JJS cord-002240-38aabxh1 122 28 choice choice NN cord-002240-38aabxh1 122 29 because because IN cord-002240-38aabxh1 122 30 it -PRON- PRP cord-002240-38aabxh1 122 31 is be VBZ cord-002240-38aabxh1 122 32 associated associate VBN cord-002240-38aabxh1 122 33 with with IN cord-002240-38aabxh1 122 34 a a DT cord-002240-38aabxh1 122 35 better well JJR cord-002240-38aabxh1 122 36 outcome outcome NN cord-002240-38aabxh1 122 37 and and CC cord-002240-38aabxh1 122 38 lower low JJR cord-002240-38aabxh1 122 39 mortality mortality NN cord-002240-38aabxh1 122 40 in in IN cord-002240-38aabxh1 122 41 patients patient NNS cord-002240-38aabxh1 122 42 with with IN cord-002240-38aabxh1 122 43 severe severe JJ cord-002240-38aabxh1 122 44 CAP cap NN cord-002240-38aabxh1 122 45 , , , cord-002240-38aabxh1 122 46 especially especially RB cord-002240-38aabxh1 122 47 in in IN cord-002240-38aabxh1 122 48 bacteremic bacteremic JJ cord-002240-38aabxh1 122 49 pneumococcal pneumococcal JJ cord-002240-38aabxh1 122 50 CAP cap NN cord-002240-38aabxh1 122 51 . . . cord-002240-38aabxh1 123 1 The the DT cord-002240-38aabxh1 123 2 mechanisms mechanism NNS cord-002240-38aabxh1 123 3 responsible responsible JJ cord-002240-38aabxh1 123 4 for for IN cord-002240-38aabxh1 123 5 the the DT cord-002240-38aabxh1 123 6 favorable favorable JJ cord-002240-38aabxh1 123 7 effects effect NNS cord-002240-38aabxh1 123 8 related relate VBN cord-002240-38aabxh1 123 9 to to IN cord-002240-38aabxh1 123 10 the the DT cord-002240-38aabxh1 123 11 use use NN cord-002240-38aabxh1 123 12 of of IN cord-002240-38aabxh1 123 13 macrolides macrolide NNS cord-002240-38aabxh1 123 14 are be VBP cord-002240-38aabxh1 123 15 not not RB cord-002240-38aabxh1 123 16 clear clear JJ cord-002240-38aabxh1 123 17 and and CC cord-002240-38aabxh1 123 18 have have VBP cord-002240-38aabxh1 123 19 been be VBN cord-002240-38aabxh1 123 20 attributed attribute VBN cord-002240-38aabxh1 123 21 in in IN cord-002240-38aabxh1 123 22 part part NN cord-002240-38aabxh1 123 23 to to IN cord-002240-38aabxh1 123 24 their -PRON- PRP$ cord-002240-38aabxh1 123 25 immunomodulatory immunomodulatory JJ cord-002240-38aabxh1 123 26 effect effect NN cord-002240-38aabxh1 123 27 , , , cord-002240-38aabxh1 123 28 as as IN cord-002240-38aabxh1 123 29 observed observe VBN cord-002240-38aabxh1 123 30 in in IN cord-002240-38aabxh1 123 31 some some DT cord-002240-38aabxh1 123 32 studies study NNS cord-002240-38aabxh1 123 33 [ [ -LRB- cord-002240-38aabxh1 123 34 41 41 CD cord-002240-38aabxh1 123 35 ] ] -RRB- cord-002240-38aabxh1 123 36 . . . cord-002240-38aabxh1 124 1 In in IN cord-002240-38aabxh1 124 2 vitro vitro FW cord-002240-38aabxh1 124 3 and and CC cord-002240-38aabxh1 124 4 in in IN cord-002240-38aabxh1 124 5 vivo vivo NNP cord-002240-38aabxh1 124 6 experimental experimental JJ cord-002240-38aabxh1 124 7 models model NNS cord-002240-38aabxh1 124 8 have have VBP cord-002240-38aabxh1 124 9 shown show VBN cord-002240-38aabxh1 124 10 that that IN cord-002240-38aabxh1 124 11 macrolides macrolide NNS cord-002240-38aabxh1 124 12 inhibit inhibit VB cord-002240-38aabxh1 124 13 cytokine cytokine JJ cord-002240-38aabxh1 124 14 secretion secretion NN cord-002240-38aabxh1 124 15 by by IN cord-002240-38aabxh1 124 16 inflammatory inflammatory JJ cord-002240-38aabxh1 124 17 and and CC cord-002240-38aabxh1 124 18 structural structural JJ cord-002240-38aabxh1 124 19 cells cell NNS cord-002240-38aabxh1 124 20 of of IN cord-002240-38aabxh1 124 21 the the DT cord-002240-38aabxh1 124 22 respiratory respiratory JJ cord-002240-38aabxh1 124 23 tract tract NN cord-002240-38aabxh1 124 24 [ [ -LRB- cord-002240-38aabxh1 124 25 42 42 CD cord-002240-38aabxh1 124 26 ] ] -RRB- cord-002240-38aabxh1 124 27 . . . cord-002240-38aabxh1 125 1 In in IN cord-002240-38aabxh1 125 2 patients patient NNS cord-002240-38aabxh1 125 3 admitted admit VBN cord-002240-38aabxh1 125 4 to to IN cord-002240-38aabxh1 125 5 the the DT cord-002240-38aabxh1 125 6 ward ward NN cord-002240-38aabxh1 125 7 with with IN cord-002240-38aabxh1 125 8 non non JJ cord-002240-38aabxh1 125 9 - - JJ cord-002240-38aabxh1 125 10 severe severe JJ cord-002240-38aabxh1 125 11 CAP cap NN cord-002240-38aabxh1 125 12 [ [ -LRB- cord-002240-38aabxh1 125 13 43 43 CD cord-002240-38aabxh1 125 14 ] ] -RRB- cord-002240-38aabxh1 125 15 , , , cord-002240-38aabxh1 125 16 monotherapy monotherapy CC cord-002240-38aabxh1 125 17 with with IN cord-002240-38aabxh1 125 18 a a DT cord-002240-38aabxh1 125 19 β β NN cord-002240-38aabxh1 125 20 - - HYPH cord-002240-38aabxh1 125 21 lactam lactam NNP cord-002240-38aabxh1 125 22 was be VBD cord-002240-38aabxh1 125 23 not not RB cord-002240-38aabxh1 125 24 inferior inferior JJ cord-002240-38aabxh1 125 25 to to IN cord-002240-38aabxh1 125 26 a a DT cord-002240-38aabxh1 125 27 βlactam βlactam NNS cord-002240-38aabxh1 125 28 plus plus CC cord-002240-38aabxh1 125 29 a a DT cord-002240-38aabxh1 125 30 macrolide macrolide NN cord-002240-38aabxh1 125 31 or or CC cord-002240-38aabxh1 125 32 fluoroquinolone fluoroquinolone NN cord-002240-38aabxh1 125 33 in in IN cord-002240-38aabxh1 125 34 terms term NNS cord-002240-38aabxh1 125 35 of of IN cord-002240-38aabxh1 125 36 90-day 90-day CD cord-002240-38aabxh1 125 37 mortality mortality NN cord-002240-38aabxh1 125 38 . . . cord-002240-38aabxh1 126 1 In in IN cord-002240-38aabxh1 126 2 another another DT cord-002240-38aabxh1 126 3 trial trial NN cord-002240-38aabxh1 126 4 , , , cord-002240-38aabxh1 126 5 the the DT cord-002240-38aabxh1 126 6 authors author NNS cord-002240-38aabxh1 126 7 found find VBD cord-002240-38aabxh1 126 8 no no DT cord-002240-38aabxh1 126 9 non non JJ cord-002240-38aabxh1 126 10 - - JJ cord-002240-38aabxh1 126 11 inferiority inferiority NN cord-002240-38aabxh1 126 12 of of IN cord-002240-38aabxh1 126 13 β β NN cord-002240-38aabxh1 126 14 - - HYPH cord-002240-38aabxh1 126 15 lactam lactam NNP cord-002240-38aabxh1 126 16 monotherapy monotherapy NN cord-002240-38aabxh1 126 17 in in IN cord-002240-38aabxh1 126 18 comparison comparison NN cord-002240-38aabxh1 126 19 with with IN cord-002240-38aabxh1 126 20 a a DT cord-002240-38aabxh1 126 21 β β NN cord-002240-38aabxh1 126 22 - - HYPH cord-002240-38aabxh1 126 23 lactam lactam NNP cord-002240-38aabxh1 126 24 plus plus CC cord-002240-38aabxh1 126 25 a a DT cord-002240-38aabxh1 126 26 macrolide macrolide NN cord-002240-38aabxh1 126 27 in in IN cord-002240-38aabxh1 126 28 patients patient NNS cord-002240-38aabxh1 126 29 with with IN cord-002240-38aabxh1 126 30 moderate moderate JJ cord-002240-38aabxh1 126 31 - - HYPH cord-002240-38aabxh1 126 32 severe severe JJ cord-002240-38aabxh1 126 33 CAP cap NN cord-002240-38aabxh1 126 34 , , , cord-002240-38aabxh1 126 35 considering consider VBG cord-002240-38aabxh1 126 36 as as IN cord-002240-38aabxh1 126 37 outcome outcome NN cord-002240-38aabxh1 126 38 the the DT cord-002240-38aabxh1 126 39 proportion proportion NN cord-002240-38aabxh1 126 40 of of IN cord-002240-38aabxh1 126 41 patients patient NNS cord-002240-38aabxh1 126 42 who who WP cord-002240-38aabxh1 126 43 did do VBD cord-002240-38aabxh1 126 44 not not RB cord-002240-38aabxh1 126 45 reach reach VB cord-002240-38aabxh1 126 46 clinical clinical JJ cord-002240-38aabxh1 126 47 stability stability NN cord-002240-38aabxh1 126 48 in in IN cord-002240-38aabxh1 126 49 7 7 CD cord-002240-38aabxh1 126 50 days day NNS cord-002240-38aabxh1 126 51 [ [ -LRB- cord-002240-38aabxh1 126 52 44 44 CD cord-002240-38aabxh1 126 53 ] ] -RRB- cord-002240-38aabxh1 126 54 . . . cord-002240-38aabxh1 127 1 In in IN cord-002240-38aabxh1 127 2 an an DT cord-002240-38aabxh1 127 3 experimental experimental JJ cord-002240-38aabxh1 127 4 mouse mouse NN cord-002240-38aabxh1 127 5 model model NN cord-002240-38aabxh1 127 6 of of IN cord-002240-38aabxh1 127 7 Mycoplasma Mycoplasma NNP cord-002240-38aabxh1 127 8 pneumoniae pneumoniae NN cord-002240-38aabxh1 127 9 respiratory respiratory JJ cord-002240-38aabxh1 127 10 infection infection NN cord-002240-38aabxh1 127 11 , , , cord-002240-38aabxh1 127 12 the the DT cord-002240-38aabxh1 127 13 use use NN cord-002240-38aabxh1 127 14 of of IN cord-002240-38aabxh1 127 15 clarithromycin clarithromycin NNS cord-002240-38aabxh1 127 16 and and CC cord-002240-38aabxh1 127 17 dexamethasone dexamethasone NN cord-002240-38aabxh1 127 18 was be VBD cord-002240-38aabxh1 127 19 more more RBR cord-002240-38aabxh1 127 20 effective effective JJ cord-002240-38aabxh1 127 21 than than IN cord-002240-38aabxh1 127 22 clarithromycin clarithromycin NNS cord-002240-38aabxh1 127 23 alone alone RB cord-002240-38aabxh1 127 24 in in IN cord-002240-38aabxh1 127 25 decreasing decrease VBG cord-002240-38aabxh1 127 26 levels level NNS cord-002240-38aabxh1 127 27 of of IN cord-002240-38aabxh1 127 28 cytokines cytokine NNS cord-002240-38aabxh1 127 29 and and CC cord-002240-38aabxh1 127 30 histological histological JJ cord-002240-38aabxh1 127 31 signs sign NNS cord-002240-38aabxh1 127 32 of of IN cord-002240-38aabxh1 127 33 lung lung NN cord-002240-38aabxh1 127 34 inflammation inflammation NN cord-002240-38aabxh1 127 35 [ [ -LRB- cord-002240-38aabxh1 127 36 45 45 CD cord-002240-38aabxh1 127 37 ] ] -RRB- cord-002240-38aabxh1 127 38 . . . cord-002240-38aabxh1 128 1 Another another DT cord-002240-38aabxh1 128 2 study study NN cord-002240-38aabxh1 128 3 in in IN cord-002240-38aabxh1 128 4 patients patient NNS cord-002240-38aabxh1 128 5 with with IN cord-002240-38aabxh1 128 6 non non JJ cord-002240-38aabxh1 128 7 - - JJ cord-002240-38aabxh1 128 8 responding respond VBG cord-002240-38aabxh1 128 9 pneumonia pneumonia NN cord-002240-38aabxh1 128 10 demonstrated demonstrate VBD cord-002240-38aabxh1 128 11 a a DT cord-002240-38aabxh1 128 12 reduction reduction NN cord-002240-38aabxh1 128 13 in in IN cord-002240-38aabxh1 128 14 inflammatory inflammatory JJ cord-002240-38aabxh1 128 15 biomarkers biomarker NNS cord-002240-38aabxh1 128 16 such such JJ cord-002240-38aabxh1 128 17 as as IN cord-002240-38aabxh1 128 18 IL-6 IL-6 NNP cord-002240-38aabxh1 128 19 and and CC cord-002240-38aabxh1 128 20 IL-8 IL-8 NNP cord-002240-38aabxh1 128 21 in in IN cord-002240-38aabxh1 128 22 bronchoalveolar bronchoalveolar NNP cord-002240-38aabxh1 128 23 lavage lavage NN cord-002240-38aabxh1 128 24 in in IN cord-002240-38aabxh1 128 25 patients patient NNS cord-002240-38aabxh1 128 26 receiving receive VBG cord-002240-38aabxh1 128 27 treatment treatment NN cord-002240-38aabxh1 128 28 with with IN cord-002240-38aabxh1 128 29 corticosteroids corticosteroid NNS cord-002240-38aabxh1 128 30 plus plus CC cord-002240-38aabxh1 128 31 a a DT cord-002240-38aabxh1 128 32 macrolide macrolide NN cord-002240-38aabxh1 128 33 [ [ -LRB- cord-002240-38aabxh1 128 34 46 46 CD cord-002240-38aabxh1 128 35 ] ] -RRB- cord-002240-38aabxh1 128 36 . . . cord-002240-38aabxh1 129 1 The the DT cord-002240-38aabxh1 129 2 combination combination NN cord-002240-38aabxh1 129 3 of of IN cord-002240-38aabxh1 129 4 a a DT cord-002240-38aabxh1 129 5 macrolide macrolide NN cord-002240-38aabxh1 129 6 plus plus CC cord-002240-38aabxh1 129 7 a a DT cord-002240-38aabxh1 129 8 corticosteroid corticosteroid NN cord-002240-38aabxh1 129 9 is be VBZ cord-002240-38aabxh1 129 10 currently currently RB cord-002240-38aabxh1 129 11 used use VBN cord-002240-38aabxh1 129 12 without without IN cord-002240-38aabxh1 129 13 scientific scientific JJ cord-002240-38aabxh1 129 14 evaluation evaluation NN cord-002240-38aabxh1 129 15 , , , cord-002240-38aabxh1 129 16 although although IN cord-002240-38aabxh1 129 17 we -PRON- PRP cord-002240-38aabxh1 129 18 do do VBP cord-002240-38aabxh1 129 19 not not RB cord-002240-38aabxh1 129 20 know know VB cord-002240-38aabxh1 129 21 whether whether IN cord-002240-38aabxh1 129 22 this this DT cord-002240-38aabxh1 129 23 combination combination NN cord-002240-38aabxh1 129 24 may may MD cord-002240-38aabxh1 129 25 decrease decrease VB cord-002240-38aabxh1 129 26 the the DT cord-002240-38aabxh1 129 27 inflammatory inflammatory JJ cord-002240-38aabxh1 129 28 response response NN cord-002240-38aabxh1 129 29 to to IN cord-002240-38aabxh1 129 30 a a DT cord-002240-38aabxh1 129 31 very very RB cord-002240-38aabxh1 129 32 low low JJ cord-002240-38aabxh1 129 33 level level NN cord-002240-38aabxh1 129 34 , , , cord-002240-38aabxh1 129 35 thereby thereby RB cord-002240-38aabxh1 129 36 increasing increase VBG cord-002240-38aabxh1 129 37 the the DT cord-002240-38aabxh1 129 38 risk risk NN cord-002240-38aabxh1 129 39 of of IN cord-002240-38aabxh1 129 40 side side NN cord-002240-38aabxh1 129 41 effects effect NNS cord-002240-38aabxh1 129 42 . . . cord-002240-38aabxh1 130 1 We -PRON- PRP cord-002240-38aabxh1 130 2 therefore therefore RB cord-002240-38aabxh1 130 3 need need VBP cord-002240-38aabxh1 130 4 to to TO cord-002240-38aabxh1 130 5 better better RB cord-002240-38aabxh1 130 6 investigate investigate VB cord-002240-38aabxh1 130 7 the the DT cord-002240-38aabxh1 130 8 effects effect NNS cord-002240-38aabxh1 130 9 of of IN cord-002240-38aabxh1 130 10 corticosteroids corticosteroid NNS cord-002240-38aabxh1 130 11 and and CC cord-002240-38aabxh1 130 12 macrolides macrolide NNS cord-002240-38aabxh1 130 13 together together RB cord-002240-38aabxh1 130 14 in in IN cord-002240-38aabxh1 130 15 order order NN cord-002240-38aabxh1 130 16 to to TO cord-002240-38aabxh1 130 17 provide provide VB cord-002240-38aabxh1 130 18 data datum NNS cord-002240-38aabxh1 130 19 that that WDT cord-002240-38aabxh1 130 20 may may MD cord-002240-38aabxh1 130 21 be be VB cord-002240-38aabxh1 130 22 used use VBN cord-002240-38aabxh1 130 23 to to TO cord-002240-38aabxh1 130 24 support support VB cord-002240-38aabxh1 130 25 clinical clinical JJ cord-002240-38aabxh1 130 26 indications indication NNS cord-002240-38aabxh1 130 27 for for IN cord-002240-38aabxh1 130 28 this this DT cord-002240-38aabxh1 130 29 combination combination NN cord-002240-38aabxh1 130 30 in in IN cord-002240-38aabxh1 130 31 severe severe JJ cord-002240-38aabxh1 130 32 CAP cap NN cord-002240-38aabxh1 130 33 . . . cord-002240-38aabxh1 131 1 Corticosteroids corticosteroid NNS cord-002240-38aabxh1 131 2 have have VBP cord-002240-38aabxh1 131 3 proven prove VBN cord-002240-38aabxh1 131 4 benefits benefit NNS cord-002240-38aabxh1 131 5 in in IN cord-002240-38aabxh1 131 6 the the DT cord-002240-38aabxh1 131 7 treatment treatment NN cord-002240-38aabxh1 131 8 of of IN cord-002240-38aabxh1 131 9 acute acute JJ cord-002240-38aabxh1 131 10 exacerbation exacerbation NN cord-002240-38aabxh1 131 11 of of IN cord-002240-38aabxh1 131 12 COPD COPD NNP cord-002240-38aabxh1 131 13 and and CC cord-002240-38aabxh1 131 14 the the DT cord-002240-38aabxh1 131 15 presence presence NN cord-002240-38aabxh1 131 16 of of IN cord-002240-38aabxh1 131 17 chronic chronic JJ cord-002240-38aabxh1 131 18 respiratory respiratory JJ cord-002240-38aabxh1 131 19 disease disease NN cord-002240-38aabxh1 131 20 is be VBZ cord-002240-38aabxh1 131 21 the the DT cord-002240-38aabxh1 131 22 main main JJ cord-002240-38aabxh1 131 23 reason reason NN cord-002240-38aabxh1 131 24 for for IN cord-002240-38aabxh1 131 25 adding add VBG cord-002240-38aabxh1 131 26 corticosteroids corticosteroid NNS cord-002240-38aabxh1 131 27 to to IN cord-002240-38aabxh1 131 28 antimicrobial antimicrobial JJ cord-002240-38aabxh1 131 29 treatment treatment NN cord-002240-38aabxh1 131 30 in in IN cord-002240-38aabxh1 131 31 pneumonia pneumonia NN cord-002240-38aabxh1 131 32 [ [ -LRB- cord-002240-38aabxh1 131 33 47 47 CD cord-002240-38aabxh1 131 34 ] ] -RRB- cord-002240-38aabxh1 131 35 . . . cord-002240-38aabxh1 132 1 Patients patient NNS cord-002240-38aabxh1 132 2 with with IN cord-002240-38aabxh1 132 3 COPD COPD NNP cord-002240-38aabxh1 132 4 and and CC cord-002240-38aabxh1 132 5 CAP CAP NNP cord-002240-38aabxh1 132 6 presented present VBD cord-002240-38aabxh1 132 7 a a DT cord-002240-38aabxh1 132 8 different different JJ cord-002240-38aabxh1 132 9 early early JJ cord-002240-38aabxh1 132 10 inflammatory inflammatory JJ cord-002240-38aabxh1 132 11 pattern pattern NN cord-002240-38aabxh1 132 12 compared compare VBN cord-002240-38aabxh1 132 13 with with IN cord-002240-38aabxh1 132 14 patients patient NNS cord-002240-38aabxh1 132 15 with with IN cord-002240-38aabxh1 132 16 CAP CAP NNP cord-002240-38aabxh1 132 17 only only RB cord-002240-38aabxh1 132 18 . . . cord-002240-38aabxh1 133 1 In in IN cord-002240-38aabxh1 133 2 particular particular JJ cord-002240-38aabxh1 133 3 , , , cord-002240-38aabxh1 133 4 on on IN cord-002240-38aabxh1 133 5 the the DT cord-002240-38aabxh1 133 6 day day NN cord-002240-38aabxh1 133 7 of of IN cord-002240-38aabxh1 133 8 admission admission NN cord-002240-38aabxh1 133 9 to to IN cord-002240-38aabxh1 133 10 hospital hospital NN cord-002240-38aabxh1 133 11 , , , cord-002240-38aabxh1 133 12 the the DT cord-002240-38aabxh1 133 13 patients patient NNS cord-002240-38aabxh1 133 14 with with IN cord-002240-38aabxh1 133 15 COPD COPD NNP cord-002240-38aabxh1 133 16 had have VBD cord-002240-38aabxh1 133 17 lower low JJR cord-002240-38aabxh1 133 18 levels level NNS cord-002240-38aabxh1 133 19 of of IN cord-002240-38aabxh1 133 20 tumor tumor NN cord-002240-38aabxh1 133 21 necrosis necrosis NN cord-002240-38aabxh1 133 22 factor factor NN cord-002240-38aabxh1 133 23 ( ( -LRB- cord-002240-38aabxh1 133 24 TNF TNF NNP cord-002240-38aabxh1 133 25 ) ) -RRB- cord-002240-38aabxh1 133 26 , , , cord-002240-38aabxh1 133 27 IL-1 IL-1 NNP cord-002240-38aabxh1 133 28 , , , cord-002240-38aabxh1 134 1 and and CC cord-002240-38aabxh1 134 2 IL-6 IL-6 NNP cord-002240-38aabxh1 134 3 but but CC cord-002240-38aabxh1 134 4 no no DT cord-002240-38aabxh1 134 5 differences difference NNS cord-002240-38aabxh1 134 6 in in IN cord-002240-38aabxh1 134 7 levels level NNS cord-002240-38aabxh1 134 8 of of IN cord-002240-38aabxh1 134 9 CRP crp NN cord-002240-38aabxh1 134 10 , , , cord-002240-38aabxh1 134 11 procalcitonin procalcitonin NNS cord-002240-38aabxh1 134 12 , , , cord-002240-38aabxh1 134 13 IL-8 IL-8 NNP cord-002240-38aabxh1 134 14 , , , cord-002240-38aabxh1 134 15 and and CC cord-002240-38aabxh1 134 16 IL-10 IL-10 NNP cord-002240-38aabxh1 134 17 . . . cord-002240-38aabxh1 135 1 These these DT cord-002240-38aabxh1 135 2 differences difference NNS cord-002240-38aabxh1 135 3 were be VBD cord-002240-38aabxh1 135 4 mediated mediate VBN cord-002240-38aabxh1 135 5 in in IN cord-002240-38aabxh1 135 6 part part NN cord-002240-38aabxh1 135 7 by by IN cord-002240-38aabxh1 135 8 corticosteroids corticosteroid NNS cord-002240-38aabxh1 135 9 ; ; : cord-002240-38aabxh1 135 10 in in IN cord-002240-38aabxh1 135 11 fact fact NN cord-002240-38aabxh1 135 12 , , , cord-002240-38aabxh1 135 13 lower low JJR cord-002240-38aabxh1 135 14 levels level NNS cord-002240-38aabxh1 135 15 of of IN cord-002240-38aabxh1 135 16 TNF TNF NNP cord-002240-38aabxh1 135 17 - - HYPH cord-002240-38aabxh1 135 18 α α NNP cord-002240-38aabxh1 135 19 persisted persist VBD cord-002240-38aabxh1 135 20 after after IN cord-002240-38aabxh1 135 21 excluding exclude VBG cord-002240-38aabxh1 135 22 patients patient NNS cord-002240-38aabxh1 135 23 who who WP cord-002240-38aabxh1 135 24 received receive VBD cord-002240-38aabxh1 135 25 inhaled inhale VBN cord-002240-38aabxh1 135 26 and and CC cord-002240-38aabxh1 135 27 oral oral JJ cord-002240-38aabxh1 135 28 corticosteroids corticosteroid NNS cord-002240-38aabxh1 135 29 at at IN cord-002240-38aabxh1 135 30 home home NN cord-002240-38aabxh1 135 31 [ [ -LRB- cord-002240-38aabxh1 135 32 48 48 CD cord-002240-38aabxh1 135 33 ] ] -RRB- cord-002240-38aabxh1 135 34 . . . cord-002240-38aabxh1 136 1 In in IN cord-002240-38aabxh1 136 2 contrast contrast NN cord-002240-38aabxh1 136 3 with with IN cord-002240-38aabxh1 136 4 this this DT cord-002240-38aabxh1 136 5 result result NN cord-002240-38aabxh1 136 6 , , , cord-002240-38aabxh1 136 7 another another DT cord-002240-38aabxh1 136 8 study study NN cord-002240-38aabxh1 136 9 showed show VBD cord-002240-38aabxh1 136 10 that that IN cord-002240-38aabxh1 136 11 COPD COPD NNP cord-002240-38aabxh1 136 12 patients patient NNS cord-002240-38aabxh1 136 13 with with IN cord-002240-38aabxh1 136 14 CAP CAP NNP cord-002240-38aabxh1 136 15 who who WP cord-002240-38aabxh1 136 16 had have VBD cord-002240-38aabxh1 136 17 received receive VBN cord-002240-38aabxh1 136 18 prior prior JJ cord-002240-38aabxh1 136 19 treatment treatment NN cord-002240-38aabxh1 136 20 with with IN cord-002240-38aabxh1 136 21 inhaled inhale VBN cord-002240-38aabxh1 136 22 corticosteroids corticosteroid NNS cord-002240-38aabxh1 136 23 had have VBD cord-002240-38aabxh1 136 24 lower low JJR cord-002240-38aabxh1 136 25 levels level NNS cord-002240-38aabxh1 136 26 of of IN cord-002240-38aabxh1 136 27 TNF TNF NNP cord-002240-38aabxh1 136 28 - - HYPH cord-002240-38aabxh1 136 29 α α NNP cord-002240-38aabxh1 136 30 after after IN cord-002240-38aabxh1 136 31 adjusting adjust VBG cord-002240-38aabxh1 136 32 for for IN cord-002240-38aabxh1 136 33 other other JJ cord-002240-38aabxh1 136 34 confounders confounder NNS cord-002240-38aabxh1 136 35 in in IN cord-002240-38aabxh1 136 36 comparison comparison NN cord-002240-38aabxh1 136 37 with with IN cord-002240-38aabxh1 136 38 the the DT cord-002240-38aabxh1 136 39 overall overall JJ cord-002240-38aabxh1 136 40 population population NN cord-002240-38aabxh1 136 41 [ [ -LRB- cord-002240-38aabxh1 136 42 49 49 CD cord-002240-38aabxh1 136 43 ] ] -RRB- cord-002240-38aabxh1 136 44 . . . cord-002240-38aabxh1 137 1 In in IN cord-002240-38aabxh1 137 2 addition addition NN cord-002240-38aabxh1 137 3 , , , cord-002240-38aabxh1 137 4 another another DT cord-002240-38aabxh1 137 5 study study NN cord-002240-38aabxh1 137 6 found find VBD cord-002240-38aabxh1 137 7 that that IN cord-002240-38aabxh1 137 8 on on IN cord-002240-38aabxh1 137 9 days day NNS cord-002240-38aabxh1 137 10 1 1 CD cord-002240-38aabxh1 137 11 and and CC cord-002240-38aabxh1 137 12 3 3 CD cord-002240-38aabxh1 137 13 , , , cord-002240-38aabxh1 137 14 patients patient NNS cord-002240-38aabxh1 137 15 with with IN cord-002240-38aabxh1 137 16 CAP cap NN cord-002240-38aabxh1 137 17 and and CC cord-002240-38aabxh1 137 18 a a DT cord-002240-38aabxh1 137 19 history history NN cord-002240-38aabxh1 137 20 of of IN cord-002240-38aabxh1 137 21 COPD COPD NNP cord-002240-38aabxh1 137 22 had have VBD cord-002240-38aabxh1 137 23 significantly significantly RB cord-002240-38aabxh1 137 24 higher high JJR cord-002240-38aabxh1 137 25 levels level NNS cord-002240-38aabxh1 137 26 of of IN cord-002240-38aabxh1 137 27 CRP crp NN cord-002240-38aabxh1 137 28 , , , cord-002240-38aabxh1 137 29 procalcitonin procalcitonin NNS cord-002240-38aabxh1 137 30 , , , cord-002240-38aabxh1 137 31 TNF TNF NNP cord-002240-38aabxh1 137 32 - - HYPH cord-002240-38aabxh1 137 33 α α NNP cord-002240-38aabxh1 137 34 , , , cord-002240-38aabxh1 137 35 and and CC cord-002240-38aabxh1 137 36 IL-6 IL-6 NNP cord-002240-38aabxh1 137 37 than than IN cord-002240-38aabxh1 137 38 patients patient NNS cord-002240-38aabxh1 137 39 admitted admit VBN cord-002240-38aabxh1 137 40 with with IN cord-002240-38aabxh1 137 41 acute acute JJ cord-002240-38aabxh1 137 42 exacerbation exacerbation NN cord-002240-38aabxh1 137 43 of of IN cord-002240-38aabxh1 137 44 COPD COPD NNP cord-002240-38aabxh1 137 45 [ [ -LRB- cord-002240-38aabxh1 137 46 50 50 CD cord-002240-38aabxh1 137 47 ] ] -RRB- cord-002240-38aabxh1 137 48 . . . cord-002240-38aabxh1 138 1 These these DT cord-002240-38aabxh1 138 2 results result NNS cord-002240-38aabxh1 138 3 were be VBD cord-002240-38aabxh1 138 4 maintained maintain VBN cord-002240-38aabxh1 138 5 after after IN cord-002240-38aabxh1 138 6 adjusting adjust VBG cord-002240-38aabxh1 138 7 for for IN cord-002240-38aabxh1 138 8 inhaled inhale VBN cord-002240-38aabxh1 138 9 pharmacotherapy pharmacotherapy NN cord-002240-38aabxh1 138 10 . . . cord-002240-38aabxh1 139 1 In in IN cord-002240-38aabxh1 139 2 conclusion conclusion NN cord-002240-38aabxh1 139 3 , , , cord-002240-38aabxh1 139 4 patients patient NNS cord-002240-38aabxh1 139 5 with with IN cord-002240-38aabxh1 139 6 CAP CAP NNP cord-002240-38aabxh1 139 7 and and CC cord-002240-38aabxh1 139 8 a a DT cord-002240-38aabxh1 139 9 history history NN cord-002240-38aabxh1 139 10 of of IN cord-002240-38aabxh1 139 11 COPD COPD NNP cord-002240-38aabxh1 139 12 represent represent VBP cord-002240-38aabxh1 139 13 a a DT cord-002240-38aabxh1 139 14 specific specific JJ cord-002240-38aabxh1 139 15 population population NN cord-002240-38aabxh1 139 16 with with IN cord-002240-38aabxh1 139 17 a a DT cord-002240-38aabxh1 139 18 different different JJ cord-002240-38aabxh1 139 19 inflammatory inflammatory JJ cord-002240-38aabxh1 139 20 pattern pattern NN cord-002240-38aabxh1 139 21 and and CC cord-002240-38aabxh1 139 22 further further JJ cord-002240-38aabxh1 139 23 studies study NNS cord-002240-38aabxh1 139 24 are be VBP cord-002240-38aabxh1 139 25 needed need VBN cord-002240-38aabxh1 139 26 to to TO cord-002240-38aabxh1 139 27 clarify clarify VB cord-002240-38aabxh1 139 28 the the DT cord-002240-38aabxh1 139 29 use use NN cord-002240-38aabxh1 139 30 of of IN cord-002240-38aabxh1 139 31 corticosteroids corticosteroid NNS cord-002240-38aabxh1 139 32 in in IN cord-002240-38aabxh1 139 33 these these DT cord-002240-38aabxh1 139 34 patients patient NNS cord-002240-38aabxh1 139 35 during during IN cord-002240-38aabxh1 139 36 CAP CAP NNP cord-002240-38aabxh1 139 37 episodes episode NNS cord-002240-38aabxh1 139 38 , , , cord-002240-38aabxh1 139 39 especially especially RB cord-002240-38aabxh1 139 40 in in IN cord-002240-38aabxh1 139 41 those those DT cord-002240-38aabxh1 139 42 receiving receive VBG cord-002240-38aabxh1 139 43 inhaled inhale VBN cord-002240-38aabxh1 139 44 corticosteroids corticosteroid NNS cord-002240-38aabxh1 139 45 . . . cord-002240-38aabxh1 140 1 Fluoroquinolones fluoroquinolone NNS cord-002240-38aabxh1 140 2 have have VBP cord-002240-38aabxh1 140 3 also also RB cord-002240-38aabxh1 140 4 shown show VBN cord-002240-38aabxh1 140 5 an an DT cord-002240-38aabxh1 140 6 immunomodulatory immunomodulatory JJ cord-002240-38aabxh1 140 7 effect effect NN cord-002240-38aabxh1 140 8 [ [ -LRB- cord-002240-38aabxh1 140 9 51 51 CD cord-002240-38aabxh1 140 10 ] ] -RRB- cord-002240-38aabxh1 140 11 . . . cord-002240-38aabxh1 141 1 In in IN cord-002240-38aabxh1 141 2 vitro vitro FW cord-002240-38aabxh1 141 3 , , , cord-002240-38aabxh1 141 4 fluoroquinolones fluoroquinolone NNS cord-002240-38aabxh1 141 5 favor favor VBP cord-002240-38aabxh1 141 6 the the DT cord-002240-38aabxh1 141 7 synthesis synthesis NN cord-002240-38aabxh1 141 8 of of IN cord-002240-38aabxh1 141 9 IL-2 IL-2 NNP cord-002240-38aabxh1 141 10 but but CC cord-002240-38aabxh1 141 11 reduces reduce VBZ cord-002240-38aabxh1 141 12 the the DT cord-002240-38aabxh1 141 13 production production NN cord-002240-38aabxh1 141 14 of of IN cord-002240-38aabxh1 141 15 IL-1 IL-1 NNP cord-002240-38aabxh1 141 16 and and CC cord-002240-38aabxh1 141 17 TNF TNF NNP cord-002240-38aabxh1 141 18 . . . cord-002240-38aabxh1 142 1 In in IN cord-002240-38aabxh1 142 2 vivo vivo NN cord-002240-38aabxh1 142 3 , , , cord-002240-38aabxh1 142 4 they -PRON- PRP cord-002240-38aabxh1 142 5 affect affect VBP cord-002240-38aabxh1 142 6 cellular cellular JJ cord-002240-38aabxh1 142 7 and and CC cord-002240-38aabxh1 142 8 humoral humoral JJ cord-002240-38aabxh1 142 9 immunity immunity NN cord-002240-38aabxh1 142 10 by by IN cord-002240-38aabxh1 142 11 attenuating attenuate VBG cord-002240-38aabxh1 142 12 cytokine cytokine NN cord-002240-38aabxh1 142 13 responses response NNS cord-002240-38aabxh1 142 14 . . . cord-002240-38aabxh1 143 1 In in IN cord-002240-38aabxh1 143 2 addition addition NN cord-002240-38aabxh1 143 3 , , , cord-002240-38aabxh1 143 4 certain certain JJ cord-002240-38aabxh1 143 5 fluoroquinolones fluoroquinolone NNS cord-002240-38aabxh1 143 6 enhance enhance VBP cord-002240-38aabxh1 143 7 hematopoiesis hematopoiesis NN cord-002240-38aabxh1 143 8 by by IN cord-002240-38aabxh1 143 9 increasing increase VBG cord-002240-38aabxh1 143 10 concentrations concentration NNS cord-002240-38aabxh1 143 11 of of IN cord-002240-38aabxh1 143 12 colony colony NN cord-002240-38aabxh1 143 13 - - HYPH cord-002240-38aabxh1 143 14 stimulating stimulate VBG cord-002240-38aabxh1 143 15 factors factor NNS cord-002240-38aabxh1 143 16 ( ( -LRB- cord-002240-38aabxh1 143 17 CSFs CSFs NNP cord-002240-38aabxh1 143 18 ) ) -RRB- cord-002240-38aabxh1 143 19 in in IN cord-002240-38aabxh1 143 20 the the DT cord-002240-38aabxh1 143 21 lung lung NN cord-002240-38aabxh1 143 22 and and CC cord-002240-38aabxh1 143 23 in in IN cord-002240-38aabxh1 143 24 the the DT cord-002240-38aabxh1 143 25 bone bone NN cord-002240-38aabxh1 143 26 marrow marrow NN cord-002240-38aabxh1 143 27 . . . cord-002240-38aabxh1 144 1 CSFs csf NNS cord-002240-38aabxh1 144 2 have have VBP cord-002240-38aabxh1 144 3 a a DT cord-002240-38aabxh1 144 4 role role NN cord-002240-38aabxh1 144 5 in in IN cord-002240-38aabxh1 144 6 the the DT cord-002240-38aabxh1 144 7 response response NN cord-002240-38aabxh1 144 8 to to IN cord-002240-38aabxh1 144 9 infections infection NNS cord-002240-38aabxh1 144 10 . . . cord-002240-38aabxh1 145 1 In in IN cord-002240-38aabxh1 145 2 fact fact NN cord-002240-38aabxh1 145 3 , , , cord-002240-38aabxh1 145 4 CSF CSF NNP cord-002240-38aabxh1 145 5 knockout knockout NN cord-002240-38aabxh1 145 6 mice mouse NNS cord-002240-38aabxh1 145 7 developed develop VBD cord-002240-38aabxh1 145 8 lung lung NN cord-002240-38aabxh1 145 9 infections infection NNS cord-002240-38aabxh1 145 10 and and CC cord-002240-38aabxh1 145 11 the the DT cord-002240-38aabxh1 145 12 administration administration NN cord-002240-38aabxh1 145 13 of of IN cord-002240-38aabxh1 145 14 CSF CSF NNP cord-002240-38aabxh1 145 15 in in IN cord-002240-38aabxh1 145 16 neutropenic neutropenic JJ cord-002240-38aabxh1 145 17 mice mouse NNS cord-002240-38aabxh1 145 18 with with IN cord-002240-38aabxh1 145 19 candida candida NN cord-002240-38aabxh1 145 20 reduced reduce VBD cord-002240-38aabxh1 145 21 the the DT cord-002240-38aabxh1 145 22 risk risk NN cord-002240-38aabxh1 145 23 of of IN cord-002240-38aabxh1 145 24 mortality mortality NN cord-002240-38aabxh1 145 25 and and CC cord-002240-38aabxh1 145 26 lung lung NN cord-002240-38aabxh1 145 27 injury injury NN cord-002240-38aabxh1 145 28 . . . cord-002240-38aabxh1 146 1 More More JJR cord-002240-38aabxh1 146 2 studies study NNS cord-002240-38aabxh1 146 3 are be VBP cord-002240-38aabxh1 146 4 needed need VBN cord-002240-38aabxh1 146 5 , , , cord-002240-38aabxh1 146 6 especially especially RB cord-002240-38aabxh1 146 7 in in IN cord-002240-38aabxh1 146 8 the the DT cord-002240-38aabxh1 146 9 clinical clinical JJ cord-002240-38aabxh1 146 10 setting setting NN cord-002240-38aabxh1 146 11 , , , cord-002240-38aabxh1 146 12 to to TO cord-002240-38aabxh1 146 13 assess assess VB cord-002240-38aabxh1 146 14 the the DT cord-002240-38aabxh1 146 15 immunomodulatory immunomodulatory JJ cord-002240-38aabxh1 146 16 effects effect NNS cord-002240-38aabxh1 146 17 of of IN cord-002240-38aabxh1 146 18 fluoroquinolones fluoroquinolone NNS cord-002240-38aabxh1 146 19 . . . cord-002240-38aabxh1 147 1 Although although IN cord-002240-38aabxh1 147 2 the the DT cord-002240-38aabxh1 147 3 recent recent JJ cord-002240-38aabxh1 147 4 RCTs rct NNS cord-002240-38aabxh1 147 5 provide provide VBP cord-002240-38aabxh1 147 6 data datum NNS cord-002240-38aabxh1 147 7 which which WDT cord-002240-38aabxh1 147 8 have have VBP cord-002240-38aabxh1 147 9 increased increase VBN cord-002240-38aabxh1 147 10 our -PRON- PRP$ cord-002240-38aabxh1 147 11 knowledge knowledge NN cord-002240-38aabxh1 147 12 regarding regard VBG cord-002240-38aabxh1 147 13 the the DT cord-002240-38aabxh1 147 14 usefulness usefulness NN cord-002240-38aabxh1 147 15 of of IN cord-002240-38aabxh1 147 16 corticosteroids corticosteroid NNS cord-002240-38aabxh1 147 17 in in IN cord-002240-38aabxh1 147 18 severe severe JJ cord-002240-38aabxh1 147 19 CAP cap NN cord-002240-38aabxh1 147 20 , , , cord-002240-38aabxh1 147 21 more more JJR cord-002240-38aabxh1 147 22 studies study NNS cord-002240-38aabxh1 147 23 are be VBP cord-002240-38aabxh1 147 24 needed need VBN cord-002240-38aabxh1 147 25 to to TO cord-002240-38aabxh1 147 26 clarify clarify VB cord-002240-38aabxh1 147 27 the the DT cord-002240-38aabxh1 147 28 effect effect NN cord-002240-38aabxh1 147 29 of of IN cord-002240-38aabxh1 147 30 corticosteroids corticosteroid NNS cord-002240-38aabxh1 147 31 on on IN cord-002240-38aabxh1 147 32 mortality mortality NN cord-002240-38aabxh1 147 33 . . . cord-002240-38aabxh1 148 1 Moreover moreover RB cord-002240-38aabxh1 148 2 , , , cord-002240-38aabxh1 148 3 we -PRON- PRP cord-002240-38aabxh1 148 4 need need VBP cord-002240-38aabxh1 148 5 to to TO cord-002240-38aabxh1 148 6 clarify clarify VB cord-002240-38aabxh1 148 7 which which WDT cord-002240-38aabxh1 148 8 corticosteroids corticosteroid NNS cord-002240-38aabxh1 148 9 and and CC cord-002240-38aabxh1 148 10 what what WP cord-002240-38aabxh1 148 11 doses dose NNS cord-002240-38aabxh1 148 12 and and CC cord-002240-38aabxh1 148 13 durations duration NNS cord-002240-38aabxh1 148 14 of of IN cord-002240-38aabxh1 148 15 therapy therapy NN cord-002240-38aabxh1 148 16 are be VBP cord-002240-38aabxh1 148 17 most most RBS cord-002240-38aabxh1 148 18 indicated indicate VBN cord-002240-38aabxh1 148 19 and and CC cord-002240-38aabxh1 148 20 to to TO cord-002240-38aabxh1 148 21 define define VB cord-002240-38aabxh1 148 22 the the DT cord-002240-38aabxh1 148 23 specific specific JJ cord-002240-38aabxh1 148 24 populations population NNS cord-002240-38aabxh1 148 25 that that WDT cord-002240-38aabxh1 148 26 may may MD cord-002240-38aabxh1 148 27 benefit benefit VB cord-002240-38aabxh1 148 28 from from IN cord-002240-38aabxh1 148 29 this this DT cord-002240-38aabxh1 148 30 adjunctive adjunctive JJ cord-002240-38aabxh1 148 31 treatment treatment NN cord-002240-38aabxh1 148 32 , , , cord-002240-38aabxh1 148 33 such such JJ cord-002240-38aabxh1 148 34 as as IN cord-002240-38aabxh1 148 35 severe severe JJ cord-002240-38aabxh1 148 36 CAP cap NN cord-002240-38aabxh1 148 37 with with IN cord-002240-38aabxh1 148 38 a a DT cord-002240-38aabxh1 148 39 strong strong JJ cord-002240-38aabxh1 148 40 inflammatory inflammatory JJ cord-002240-38aabxh1 148 41 response response NN cord-002240-38aabxh1 148 42 or or CC cord-002240-38aabxh1 148 43 infections infection NNS cord-002240-38aabxh1 148 44 with with IN cord-002240-38aabxh1 148 45 specific specific JJ cord-002240-38aabxh1 148 46 pathogens pathogen NNS cord-002240-38aabxh1 148 47 . . . cord-002240-38aabxh1 149 1 Another another DT cord-002240-38aabxh1 149 2 interesting interesting JJ cord-002240-38aabxh1 149 3 topic topic NN cord-002240-38aabxh1 149 4 is be VBZ cord-002240-38aabxh1 149 5 the the DT cord-002240-38aabxh1 149 6 effect effect NN cord-002240-38aabxh1 149 7 of of IN cord-002240-38aabxh1 149 8 combination combination NN cord-002240-38aabxh1 149 9 therapy therapy NN cord-002240-38aabxh1 149 10 with with IN cord-002240-38aabxh1 149 11 macrolides macrolide NNS cord-002240-38aabxh1 149 12 and and CC cord-002240-38aabxh1 149 13 corticosteroids corticosteroid NNS cord-002240-38aabxh1 149 14 in in IN cord-002240-38aabxh1 149 15 the the DT cord-002240-38aabxh1 149 16 modulation modulation NN cord-002240-38aabxh1 149 17 of of IN cord-002240-38aabxh1 149 18 the the DT cord-002240-38aabxh1 149 19 immune immune JJ cord-002240-38aabxh1 149 20 response response NN cord-002240-38aabxh1 149 21 . . . cord-002240-38aabxh1 150 1 We -PRON- PRP cord-002240-38aabxh1 150 2 have have VBP cord-002240-38aabxh1 150 3 some some DT cord-002240-38aabxh1 150 4 promising promising JJ cord-002240-38aabxh1 150 5 data datum NNS cord-002240-38aabxh1 150 6 from from IN cord-002240-38aabxh1 150 7 experimental experimental JJ cord-002240-38aabxh1 150 8 models model NNS cord-002240-38aabxh1 150 9 but but CC cord-002240-38aabxh1 150 10 more more JJR cord-002240-38aabxh1 150 11 data datum NNS cord-002240-38aabxh1 150 12 are be VBP cord-002240-38aabxh1 150 13 needed need VBN cord-002240-38aabxh1 150 14 . . . cord-002240-38aabxh1 151 1 In in IN cord-002240-38aabxh1 151 2 patients patient NNS cord-002240-38aabxh1 151 3 with with IN cord-002240-38aabxh1 151 4 sepsis sepsis NN cord-002240-38aabxh1 151 5 and and CC cord-002240-38aabxh1 151 6 septic septic JJ cord-002240-38aabxh1 151 7 shock shock NN cord-002240-38aabxh1 151 8 , , , cord-002240-38aabxh1 151 9 low low JJ cord-002240-38aabxh1 151 10 levels level NNS cord-002240-38aabxh1 151 11 of of IN cord-002240-38aabxh1 151 12 immunoglobulins immunoglobulin NNS cord-002240-38aabxh1 151 13 ( ( -LRB- cord-002240-38aabxh1 151 14 Igs Igs NNP cord-002240-38aabxh1 151 15 ) ) -RRB- cord-002240-38aabxh1 151 16 were be VBD cord-002240-38aabxh1 151 17 detected detect VBN cord-002240-38aabxh1 151 18 , , , cord-002240-38aabxh1 151 19 with with IN cord-002240-38aabxh1 151 20 a a DT cord-002240-38aabxh1 151 21 reduction reduction NN cord-002240-38aabxh1 151 22 in in IN cord-002240-38aabxh1 151 23 IgG igg NN cord-002240-38aabxh1 151 24 of of IN cord-002240-38aabxh1 151 25 between between IN cord-002240-38aabxh1 151 26 25 25 CD cord-002240-38aabxh1 151 27 and and CC cord-002240-38aabxh1 151 28 61 61 CD cord-002240-38aabxh1 151 29 % % NN cord-002240-38aabxh1 151 30 and and CC cord-002240-38aabxh1 151 31 a a DT cord-002240-38aabxh1 151 32 reduction reduction NN cord-002240-38aabxh1 151 33 in in IN cord-002240-38aabxh1 151 34 IgM IgM NNP cord-002240-38aabxh1 151 35 of of IN cord-002240-38aabxh1 151 36 between between IN cord-002240-38aabxh1 151 37 19 19 CD cord-002240-38aabxh1 151 38 and and CC cord-002240-38aabxh1 151 39 33 33 CD cord-002240-38aabxh1 151 40 % % NN cord-002240-38aabxh1 151 41 [ [ -LRB- cord-002240-38aabxh1 151 42 52 52 CD cord-002240-38aabxh1 151 43 ] ] -RRB- cord-002240-38aabxh1 151 44 . . . cord-002240-38aabxh1 152 1 However however RB cord-002240-38aabxh1 152 2 , , , cord-002240-38aabxh1 152 3 a a DT cord-002240-38aabxh1 152 4 recent recent JJ cord-002240-38aabxh1 152 5 metaanalysis metaanalysis NN cord-002240-38aabxh1 152 6 pointed point VBD cord-002240-38aabxh1 152 7 out out RP cord-002240-38aabxh1 152 8 the the DT cord-002240-38aabxh1 152 9 limitations limitation NNS cord-002240-38aabxh1 152 10 of of IN cord-002240-38aabxh1 152 11 the the DT cord-002240-38aabxh1 152 12 studies study NNS cord-002240-38aabxh1 152 13 on on IN cord-002240-38aabxh1 152 14 this this DT cord-002240-38aabxh1 152 15 topic topic NN cord-002240-38aabxh1 152 16 due due IN cord-002240-38aabxh1 152 17 to to IN cord-002240-38aabxh1 152 18 the the DT cord-002240-38aabxh1 152 19 use use NN cord-002240-38aabxh1 152 20 of of IN cord-002240-38aabxh1 152 21 heterogeneous heterogeneous JJ cord-002240-38aabxh1 152 22 cutoffs cutoff NNS cord-002240-38aabxh1 152 23 to to TO cord-002240-38aabxh1 152 24 define define VB cord-002240-38aabxh1 152 25 normal normal JJ cord-002240-38aabxh1 152 26 levels level NNS cord-002240-38aabxh1 152 27 of of IN cord-002240-38aabxh1 152 28 IgG igg NN cord-002240-38aabxh1 152 29 [ [ -LRB- cord-002240-38aabxh1 152 30 53 53 CD cord-002240-38aabxh1 152 31 ] ] -RRB- cord-002240-38aabxh1 152 32 . . . cord-002240-38aabxh1 153 1 Hypogammaglobulinemia hypogammaglobulinemia NN cord-002240-38aabxh1 153 2 and and CC cord-002240-38aabxh1 153 3 low low JJ cord-002240-38aabxh1 153 4 levels level NNS cord-002240-38aabxh1 153 5 of of IN cord-002240-38aabxh1 153 6 IgG igg NN cord-002240-38aabxh1 153 7 subclasses subclass NNS cord-002240-38aabxh1 153 8 were be VBD cord-002240-38aabxh1 153 9 noticed notice VBN cord-002240-38aabxh1 153 10 in in IN cord-002240-38aabxh1 153 11 patients patient NNS cord-002240-38aabxh1 153 12 with with IN cord-002240-38aabxh1 153 13 recurrent recurrent JJ cord-002240-38aabxh1 153 14 episodes episode NNS cord-002240-38aabxh1 153 15 of of IN cord-002240-38aabxh1 153 16 pneumonia pneumonia NN cord-002240-38aabxh1 153 17 and and CC cord-002240-38aabxh1 153 18 may may MD cord-002240-38aabxh1 153 19 be be VB cord-002240-38aabxh1 153 20 responsible responsible JJ cord-002240-38aabxh1 153 21 for for IN cord-002240-38aabxh1 153 22 the the DT cord-002240-38aabxh1 153 23 predisposition predisposition NN cord-002240-38aabxh1 153 24 to to IN cord-002240-38aabxh1 153 25 recurrent recurrent JJ cord-002240-38aabxh1 153 26 infections infection NNS cord-002240-38aabxh1 153 27 [ [ -LRB- cord-002240-38aabxh1 153 28 9 9 CD cord-002240-38aabxh1 153 29 ] ] -RRB- cord-002240-38aabxh1 153 30 . . . cord-002240-38aabxh1 154 1 A a DT cord-002240-38aabxh1 154 2 case case NN cord-002240-38aabxh1 154 3 - - HYPH cord-002240-38aabxh1 154 4 control control NN cord-002240-38aabxh1 154 5 study study NN cord-002240-38aabxh1 154 6 [ [ -LRB- cord-002240-38aabxh1 154 7 54 54 CD cord-002240-38aabxh1 154 8 ] ] -RRB- cord-002240-38aabxh1 154 9 showed show VBD cord-002240-38aabxh1 154 10 that that IN cord-002240-38aabxh1 154 11 patients patient NNS cord-002240-38aabxh1 154 12 with with IN cord-002240-38aabxh1 154 13 CAP CAP NNP cord-002240-38aabxh1 154 14 had have VBD cord-002240-38aabxh1 154 15 significantly significantly RB cord-002240-38aabxh1 154 16 lower low JJR cord-002240-38aabxh1 154 17 levels level NNS cord-002240-38aabxh1 154 18 of of IN cord-002240-38aabxh1 154 19 IgG igg NN cord-002240-38aabxh1 154 20 ( ( -LRB- cord-002240-38aabxh1 154 21 especially especially RB cord-002240-38aabxh1 154 22 IgG2 igg2 JJ cord-002240-38aabxh1 154 23 subclass subclass NN cord-002240-38aabxh1 154 24 ) ) -RRB- cord-002240-38aabxh1 154 25 and and CC cord-002240-38aabxh1 154 26 IgA IgA NNP cord-002240-38aabxh1 154 27 on on IN cord-002240-38aabxh1 154 28 diagnosis diagnosis NN cord-002240-38aabxh1 154 29 in in IN cord-002240-38aabxh1 154 30 comparison comparison NN cord-002240-38aabxh1 154 31 with with IN cord-002240-38aabxh1 154 32 a a DT cord-002240-38aabxh1 154 33 control control NN cord-002240-38aabxh1 154 34 group group NN cord-002240-38aabxh1 154 35 of of IN cord-002240-38aabxh1 154 36 healthy healthy JJ cord-002240-38aabxh1 154 37 patients patient NNS cord-002240-38aabxh1 154 38 without without IN cord-002240-38aabxh1 154 39 pneumonia pneumonia NN cord-002240-38aabxh1 154 40 . . . cord-002240-38aabxh1 155 1 Low low JJ cord-002240-38aabxh1 155 2 levels level NNS cord-002240-38aabxh1 155 3 of of IN cord-002240-38aabxh1 155 4 Igs Igs NNP cord-002240-38aabxh1 155 5 persisted persist VBD cord-002240-38aabxh1 155 6 in in IN cord-002240-38aabxh1 155 7 the the DT cord-002240-38aabxh1 155 8 convalescent convalescent JJ cord-002240-38aabxh1 155 9 phase phase NN cord-002240-38aabxh1 155 10 in in IN cord-002240-38aabxh1 155 11 approximately approximately RB cord-002240-38aabxh1 155 12 25 25 CD cord-002240-38aabxh1 155 13 % % NN cord-002240-38aabxh1 155 14 of of IN cord-002240-38aabxh1 155 15 patients patient NNS cord-002240-38aabxh1 155 16 . . . cord-002240-38aabxh1 156 1 Hypogammaglobulinemia Hypogammaglobulinemia NNP cord-002240-38aabxh1 156 2 was be VBD cord-002240-38aabxh1 156 3 more more RBR cord-002240-38aabxh1 156 4 frequently frequently RB cord-002240-38aabxh1 156 5 found find VBN cord-002240-38aabxh1 156 6 in in IN cord-002240-38aabxh1 156 7 patients patient NNS cord-002240-38aabxh1 156 8 requiring require VBG cord-002240-38aabxh1 156 9 hospitalization hospitalization NN cord-002240-38aabxh1 156 10 than than IN cord-002240-38aabxh1 156 11 in in IN cord-002240-38aabxh1 156 12 outpatients outpatient NNS cord-002240-38aabxh1 156 13 and and CC cord-002240-38aabxh1 156 14 in in IN cord-002240-38aabxh1 156 15 patients patient NNS cord-002240-38aabxh1 156 16 with with IN cord-002240-38aabxh1 156 17 pneumonia pneumonia NN cord-002240-38aabxh1 156 18 due due IN cord-002240-38aabxh1 156 19 to to IN cord-002240-38aabxh1 156 20 a a DT cord-002240-38aabxh1 156 21 bacterium bacterium NN cord-002240-38aabxh1 156 22 other other JJ cord-002240-38aabxh1 156 23 than than IN cord-002240-38aabxh1 156 24 Streptococcus Streptococcus NNP cord-002240-38aabxh1 156 25 pneumoniae pneumoniae NN cord-002240-38aabxh1 156 26 or or CC cord-002240-38aabxh1 156 27 a a DT cord-002240-38aabxh1 156 28 virus virus NN cord-002240-38aabxh1 156 29 or or CC cord-002240-38aabxh1 156 30 without without IN cord-002240-38aabxh1 156 31 pathogen pathogen NN cord-002240-38aabxh1 156 32 isolation isolation NN cord-002240-38aabxh1 156 33 . . . cord-002240-38aabxh1 157 1 Another another DT cord-002240-38aabxh1 157 2 study study NN cord-002240-38aabxh1 157 3 [ [ -LRB- cord-002240-38aabxh1 157 4 55 55 CD cord-002240-38aabxh1 157 5 ] ] -RRB- cord-002240-38aabxh1 157 6 confirmed confirm VBD cord-002240-38aabxh1 157 7 that that IN cord-002240-38aabxh1 157 8 severe severe JJ cord-002240-38aabxh1 157 9 viral viral JJ cord-002240-38aabxh1 157 10 infection infection NN cord-002240-38aabxh1 157 11 due due IN cord-002240-38aabxh1 157 12 to to IN cord-002240-38aabxh1 157 13 H1N1 H1N1 NNP cord-002240-38aabxh1 157 14 was be VBD cord-002240-38aabxh1 157 15 associated associate VBN cord-002240-38aabxh1 157 16 with with IN cord-002240-38aabxh1 157 17 lower low JJR cord-002240-38aabxh1 157 18 levels level NNS cord-002240-38aabxh1 157 19 of of IN cord-002240-38aabxh1 157 20 the the DT cord-002240-38aabxh1 157 21 IgG2 igg2 NN cord-002240-38aabxh1 157 22 subclass subclass NN cord-002240-38aabxh1 157 23 . . . cord-002240-38aabxh1 158 1 Indeed indeed RB cord-002240-38aabxh1 158 2 , , , cord-002240-38aabxh1 158 3 lower low JJR cord-002240-38aabxh1 158 4 levels level NNS cord-002240-38aabxh1 158 5 of of IN cord-002240-38aabxh1 158 6 Igs Igs NNP cord-002240-38aabxh1 158 7 appeared appear VBD cord-002240-38aabxh1 158 8 to to TO cord-002240-38aabxh1 158 9 be be VB cord-002240-38aabxh1 158 10 associated associate VBN cord-002240-38aabxh1 158 11 with with IN cord-002240-38aabxh1 158 12 more more RBR cord-002240-38aabxh1 158 13 severe severe JJ cord-002240-38aabxh1 158 14 disease disease NN cord-002240-38aabxh1 158 15 , , , cord-002240-38aabxh1 158 16 viral viral JJ cord-002240-38aabxh1 158 17 infection infection NN cord-002240-38aabxh1 158 18 , , , cord-002240-38aabxh1 158 19 or or CC cord-002240-38aabxh1 158 20 bacterial bacterial JJ cord-002240-38aabxh1 158 21 infection infection NN cord-002240-38aabxh1 158 22 other other JJ cord-002240-38aabxh1 158 23 than than IN cord-002240-38aabxh1 158 24 Streptococcus Streptococcus NNP cord-002240-38aabxh1 158 25 pneumoniae pneumoniae NN cord-002240-38aabxh1 158 26 . . . cord-002240-38aabxh1 159 1 The the DT cord-002240-38aabxh1 159 2 reason reason NN cord-002240-38aabxh1 159 3 why why WRB cord-002240-38aabxh1 159 4 patients patient NNS cord-002240-38aabxh1 159 5 with with IN cord-002240-38aabxh1 159 6 pneumonia pneumonia NN cord-002240-38aabxh1 159 7 and and CC cord-002240-38aabxh1 159 8 sepsis sepsis NN cord-002240-38aabxh1 159 9 can can MD cord-002240-38aabxh1 159 10 have have VB cord-002240-38aabxh1 159 11 low low JJ cord-002240-38aabxh1 159 12 levels level NNS cord-002240-38aabxh1 159 13 of of IN cord-002240-38aabxh1 159 14 Igs Igs NNP cord-002240-38aabxh1 159 15 is be VBZ cord-002240-38aabxh1 159 16 still still RB cord-002240-38aabxh1 159 17 not not RB cord-002240-38aabxh1 159 18 clear clear JJ cord-002240-38aabxh1 159 19 . . . cord-002240-38aabxh1 160 1 Two two CD cord-002240-38aabxh1 160 2 different different JJ cord-002240-38aabxh1 160 3 mechanisms mechanism NNS cord-002240-38aabxh1 160 4 may may MD cord-002240-38aabxh1 160 5 be be VB cord-002240-38aabxh1 160 6 involved involve VBN cord-002240-38aabxh1 160 7 : : : cord-002240-38aabxh1 160 8 the the DT cord-002240-38aabxh1 160 9 infection infection NN cord-002240-38aabxh1 160 10 may may MD cord-002240-38aabxh1 160 11 be be VB cord-002240-38aabxh1 160 12 responsible responsible JJ cord-002240-38aabxh1 160 13 for for IN cord-002240-38aabxh1 160 14 hypogammaglobulinemia hypogammaglobulinemia NNP cord-002240-38aabxh1 160 15 by by IN cord-002240-38aabxh1 160 16 consuming consume VBG cord-002240-38aabxh1 160 17 the the DT cord-002240-38aabxh1 160 18 Igs Igs NNP cord-002240-38aabxh1 160 19 or or CC cord-002240-38aabxh1 160 20 the the DT cord-002240-38aabxh1 160 21 presence presence NN cord-002240-38aabxh1 160 22 of of IN cord-002240-38aabxh1 160 23 hypogammaglobulinemia hypogammaglobulinemia NNP cord-002240-38aabxh1 160 24 may may MD cord-002240-38aabxh1 160 25 be be VB cord-002240-38aabxh1 160 26 the the DT cord-002240-38aabxh1 160 27 cause cause NN cord-002240-38aabxh1 160 28 of of IN cord-002240-38aabxh1 160 29 the the DT cord-002240-38aabxh1 160 30 infection infection NN cord-002240-38aabxh1 160 31 because because IN cord-002240-38aabxh1 160 32 it -PRON- PRP cord-002240-38aabxh1 160 33 contributes contribute VBZ cord-002240-38aabxh1 160 34 to to IN cord-002240-38aabxh1 160 35 an an DT cord-002240-38aabxh1 160 36 inadequate inadequate JJ cord-002240-38aabxh1 160 37 defense defense NN cord-002240-38aabxh1 160 38 response response NN cord-002240-38aabxh1 160 39 . . . cord-002240-38aabxh1 161 1 For for IN cord-002240-38aabxh1 161 2 these these DT cord-002240-38aabxh1 161 3 reasons reason NNS cord-002240-38aabxh1 161 4 , , , cord-002240-38aabxh1 161 5 in in IN cord-002240-38aabxh1 161 6 recent recent JJ cord-002240-38aabxh1 161 7 years year NNS cord-002240-38aabxh1 161 8 , , , cord-002240-38aabxh1 161 9 it -PRON- PRP cord-002240-38aabxh1 161 10 has have VBZ cord-002240-38aabxh1 161 11 been be VBN cord-002240-38aabxh1 161 12 suggested suggest VBN cord-002240-38aabxh1 161 13 that that IN cord-002240-38aabxh1 161 14 the the DT cord-002240-38aabxh1 161 15 administration administration NN cord-002240-38aabxh1 161 16 of of IN cord-002240-38aabxh1 161 17 intravenous intravenous JJ cord-002240-38aabxh1 161 18 Igs Igs NNP cord-002240-38aabxh1 161 19 may may MD cord-002240-38aabxh1 161 20 be be VB cord-002240-38aabxh1 161 21 an an DT cord-002240-38aabxh1 161 22 effective effective JJ cord-002240-38aabxh1 161 23 adjunctive adjunctive JJ cord-002240-38aabxh1 161 24 treatment treatment NN cord-002240-38aabxh1 161 25 to to TO cord-002240-38aabxh1 161 26 modulate modulate VB cord-002240-38aabxh1 161 27 the the DT cord-002240-38aabxh1 161 28 immune immune JJ cord-002240-38aabxh1 161 29 response response NN cord-002240-38aabxh1 161 30 in in IN cord-002240-38aabxh1 161 31 these these DT cord-002240-38aabxh1 161 32 patients patient NNS cord-002240-38aabxh1 161 33 . . . cord-002240-38aabxh1 162 1 Some some DT cord-002240-38aabxh1 162 2 trials trial NNS cord-002240-38aabxh1 162 3 have have VBP cord-002240-38aabxh1 162 4 evaluated evaluate VBN cord-002240-38aabxh1 162 5 the the DT cord-002240-38aabxh1 162 6 effects effect NNS cord-002240-38aabxh1 162 7 of of IN cord-002240-38aabxh1 162 8 exogenous exogenous JJ cord-002240-38aabxh1 162 9 Igs Igs NNP cord-002240-38aabxh1 162 10 as as IN cord-002240-38aabxh1 162 11 adjunctive adjunctive JJ cord-002240-38aabxh1 162 12 treatment treatment NN cord-002240-38aabxh1 162 13 in in IN cord-002240-38aabxh1 162 14 patients patient NNS cord-002240-38aabxh1 162 15 with with IN cord-002240-38aabxh1 162 16 sepsis sepsis NN cord-002240-38aabxh1 162 17 and and CC cord-002240-38aabxh1 162 18 , , , cord-002240-38aabxh1 162 19 in in IN cord-002240-38aabxh1 162 20 particular particular JJ cord-002240-38aabxh1 162 21 , , , cord-002240-38aabxh1 162 22 in in IN cord-002240-38aabxh1 162 23 patients patient NNS cord-002240-38aabxh1 162 24 with with IN cord-002240-38aabxh1 162 25 CAP CAP NNP cord-002240-38aabxh1 162 26 . . . cord-002240-38aabxh1 163 1 However however RB cord-002240-38aabxh1 163 2 , , , cord-002240-38aabxh1 163 3 the the DT cord-002240-38aabxh1 163 4 results result NNS cord-002240-38aabxh1 163 5 of of IN cord-002240-38aabxh1 163 6 these these DT cord-002240-38aabxh1 163 7 studies study NNS cord-002240-38aabxh1 163 8 are be VBP cord-002240-38aabxh1 163 9 still still RB cord-002240-38aabxh1 163 10 the the DT cord-002240-38aabxh1 163 11 subject subject NN cord-002240-38aabxh1 163 12 of of IN cord-002240-38aabxh1 163 13 debate debate NN cord-002240-38aabxh1 163 14 [ [ -LRB- cord-002240-38aabxh1 163 15 56 56 CD cord-002240-38aabxh1 163 16 ] ] -RRB- cord-002240-38aabxh1 163 17 . . . cord-002240-38aabxh1 164 1 A a DT cord-002240-38aabxh1 164 2 meta meta JJ cord-002240-38aabxh1 164 3 - - HYPH cord-002240-38aabxh1 164 4 analysis analysis NN cord-002240-38aabxh1 164 5 [ [ -LRB- cord-002240-38aabxh1 164 6 57 57 CD cord-002240-38aabxh1 164 7 ] ] -RRB- cord-002240-38aabxh1 164 8 reported report VBD cord-002240-38aabxh1 164 9 a a DT cord-002240-38aabxh1 164 10 general general JJ cord-002240-38aabxh1 164 11 reduction reduction NN cord-002240-38aabxh1 164 12 in in IN cord-002240-38aabxh1 164 13 mortality mortality NN cord-002240-38aabxh1 164 14 ( ( -LRB- cord-002240-38aabxh1 164 15 approximately approximately RB cord-002240-38aabxh1 164 16 21 21 CD cord-002240-38aabxh1 164 17 % % NN cord-002240-38aabxh1 164 18 ) ) -RRB- cord-002240-38aabxh1 164 19 in in IN cord-002240-38aabxh1 164 20 adult adult NN cord-002240-38aabxh1 164 21 patients patient NNS cord-002240-38aabxh1 164 22 with with IN cord-002240-38aabxh1 164 23 sepsis sepsis NN cord-002240-38aabxh1 164 24 and and CC cord-002240-38aabxh1 164 25 septic septic JJ cord-002240-38aabxh1 164 26 shock shock NN cord-002240-38aabxh1 164 27 who who WP cord-002240-38aabxh1 164 28 received receive VBD cord-002240-38aabxh1 164 29 polyclonal polyclonal JJ cord-002240-38aabxh1 164 30 Igs Igs NNP cord-002240-38aabxh1 164 31 and and CC cord-002240-38aabxh1 164 32 a a DT cord-002240-38aabxh1 164 33 more more RBR cord-002240-38aabxh1 164 34 evident evident JJ cord-002240-38aabxh1 164 35 effect effect NN cord-002240-38aabxh1 164 36 on on IN cord-002240-38aabxh1 164 37 mortality mortality NN cord-002240-38aabxh1 164 38 in in IN cord-002240-38aabxh1 164 39 the the DT cord-002240-38aabxh1 164 40 subgroup subgroup NN cord-002240-38aabxh1 164 41 receiving receive VBG cord-002240-38aabxh1 164 42 IgM IgM NNP cord-002240-38aabxh1 164 43 - - HYPH cord-002240-38aabxh1 164 44 enriched enrich VBN cord-002240-38aabxh1 164 45 immunoglobulin immunoglobulin NN cord-002240-38aabxh1 164 46 . . . cord-002240-38aabxh1 165 1 A a DT cord-002240-38aabxh1 165 2 more more RBR cord-002240-38aabxh1 165 3 recent recent JJ cord-002240-38aabxh1 165 4 meta meta JJ cord-002240-38aabxh1 165 5 - - HYPH cord-002240-38aabxh1 165 6 analysis analysis NN cord-002240-38aabxh1 165 7 by by IN cord-002240-38aabxh1 165 8 Cochrane Cochrane NNP cord-002240-38aabxh1 165 9 published publish VBN cord-002240-38aabxh1 165 10 in in IN cord-002240-38aabxh1 165 11 2013 2013 CD cord-002240-38aabxh1 165 12 [ [ -LRB- cord-002240-38aabxh1 165 13 56 56 CD cord-002240-38aabxh1 165 14 ] ] -RRB- cord-002240-38aabxh1 165 15 showed show VBD cord-002240-38aabxh1 165 16 a a DT cord-002240-38aabxh1 165 17 reduction reduction NN cord-002240-38aabxh1 165 18 in in IN cord-002240-38aabxh1 165 19 mortality mortality NN cord-002240-38aabxh1 165 20 in in IN cord-002240-38aabxh1 165 21 patients patient NNS cord-002240-38aabxh1 165 22 who who WP cord-002240-38aabxh1 165 23 received receive VBD cord-002240-38aabxh1 165 24 polyclonal polyclonal JJ cord-002240-38aabxh1 165 25 intravenous intravenous JJ cord-002240-38aabxh1 165 26 Igs Igs NNP cord-002240-38aabxh1 165 27 , , , cord-002240-38aabxh1 165 28 although although IN cord-002240-38aabxh1 165 29 this this DT cord-002240-38aabxh1 165 30 positive positive JJ cord-002240-38aabxh1 165 31 effect effect NN cord-002240-38aabxh1 165 32 disappeared disappear VBD cord-002240-38aabxh1 165 33 on on IN cord-002240-38aabxh1 165 34 analyzing analyze VBG cord-002240-38aabxh1 165 35 only only RB cord-002240-38aabxh1 165 36 trials trial NNS cord-002240-38aabxh1 165 37 with with IN cord-002240-38aabxh1 165 38 low low JJ cord-002240-38aabxh1 165 39 bias bias NN cord-002240-38aabxh1 165 40 . . . cord-002240-38aabxh1 166 1 A a DT cord-002240-38aabxh1 166 2 large large JJ cord-002240-38aabxh1 166 3 retrospective retrospective JJ cord-002240-38aabxh1 166 4 study study NN cord-002240-38aabxh1 166 5 in in IN cord-002240-38aabxh1 166 6 Japan Japan NNP cord-002240-38aabxh1 166 7 [ [ -LRB- cord-002240-38aabxh1 166 8 58 58 CD cord-002240-38aabxh1 166 9 ] ] -RRB- cord-002240-38aabxh1 166 10 evaluated evaluate VBD cord-002240-38aabxh1 166 11 the the DT cord-002240-38aabxh1 166 12 effect effect NN cord-002240-38aabxh1 166 13 of of IN cord-002240-38aabxh1 166 14 intravenous intravenous JJ cord-002240-38aabxh1 166 15 immunoglobulin immunoglobulin NN cord-002240-38aabxh1 166 16 as as IN cord-002240-38aabxh1 166 17 an an DT cord-002240-38aabxh1 166 18 adjunctive adjunctive JJ cord-002240-38aabxh1 166 19 treatment treatment NN cord-002240-38aabxh1 166 20 in in IN cord-002240-38aabxh1 166 21 patients patient NNS cord-002240-38aabxh1 166 22 with with IN cord-002240-38aabxh1 166 23 septic septic JJ cord-002240-38aabxh1 166 24 shock shock NN cord-002240-38aabxh1 166 25 due due IN cord-002240-38aabxh1 166 26 to to IN cord-002240-38aabxh1 166 27 pneumonia pneumonia NN cord-002240-38aabxh1 166 28 . . . cord-002240-38aabxh1 167 1 A a DT cord-002240-38aabxh1 167 2 total total NN cord-002240-38aabxh1 167 3 of of IN cord-002240-38aabxh1 167 4 8264 8264 CD cord-002240-38aabxh1 167 5 patients patient NNS cord-002240-38aabxh1 167 6 were be VBD cord-002240-38aabxh1 167 7 studied study VBN cord-002240-38aabxh1 167 8 , , , cord-002240-38aabxh1 167 9 of of IN cord-002240-38aabxh1 167 10 whom whom WP cord-002240-38aabxh1 167 11 1324 1324 CD cord-002240-38aabxh1 167 12 were be VBD cord-002240-38aabxh1 167 13 treated treat VBN cord-002240-38aabxh1 167 14 with with IN cord-002240-38aabxh1 167 15 intravenous intravenous JJ cord-002240-38aabxh1 167 16 Igs Igs NNP cord-002240-38aabxh1 167 17 , , , cord-002240-38aabxh1 167 18 in in IN cord-002240-38aabxh1 167 19 comparison comparison NN cord-002240-38aabxh1 167 20 with with IN cord-002240-38aabxh1 167 21 6940 6940 CD cord-002240-38aabxh1 167 22 patients patient NNS cord-002240-38aabxh1 167 23 who who WP cord-002240-38aabxh1 167 24 did do VBD cord-002240-38aabxh1 167 25 not not RB cord-002240-38aabxh1 167 26 receive receive VB cord-002240-38aabxh1 167 27 the the DT cord-002240-38aabxh1 167 28 Igs Igs NNP cord-002240-38aabxh1 167 29 . . . cord-002240-38aabxh1 168 1 No no DT cord-002240-38aabxh1 168 2 benefit benefit NN cord-002240-38aabxh1 168 3 was be VBD cord-002240-38aabxh1 168 4 found find VBN cord-002240-38aabxh1 168 5 in in IN cord-002240-38aabxh1 168 6 terms term NNS cord-002240-38aabxh1 168 7 of of IN cord-002240-38aabxh1 168 8 mortality mortality NN cord-002240-38aabxh1 168 9 in in IN cord-002240-38aabxh1 168 10 the the DT cord-002240-38aabxh1 168 11 group group NN cord-002240-38aabxh1 168 12 of of IN cord-002240-38aabxh1 168 13 patients patient NNS cord-002240-38aabxh1 168 14 receiving receive VBG cord-002240-38aabxh1 168 15 the the DT cord-002240-38aabxh1 168 16 Igs Igs NNP cord-002240-38aabxh1 168 17 . . . cord-002240-38aabxh1 169 1 A a DT cord-002240-38aabxh1 169 2 multicentre multicentre NN cord-002240-38aabxh1 169 3 , , , cord-002240-38aabxh1 169 4 randomized randomized JJ cord-002240-38aabxh1 169 5 , , , cord-002240-38aabxh1 169 6 placebo placebo NN cord-002240-38aabxh1 169 7 - - HYPH cord-002240-38aabxh1 169 8 controlled control VBN cord-002240-38aabxh1 169 9 phase phase NN cord-002240-38aabxh1 169 10 II ii CD cord-002240-38aabxh1 169 11 trial trial NN cord-002240-38aabxh1 169 12 [ [ -LRB- cord-002240-38aabxh1 169 13 59 59 CD cord-002240-38aabxh1 169 14 ] ] -RRB- cord-002240-38aabxh1 169 15 is be VBZ cord-002240-38aabxh1 169 16 ongoing ongoing JJ cord-002240-38aabxh1 169 17 with with IN cord-002240-38aabxh1 169 18 the the DT cord-002240-38aabxh1 169 19 aim aim NN cord-002240-38aabxh1 169 20 of of IN cord-002240-38aabxh1 169 21 evaluating evaluate VBG cord-002240-38aabxh1 169 22 the the DT cord-002240-38aabxh1 169 23 efficacy efficacy NN cord-002240-38aabxh1 169 24 and and CC cord-002240-38aabxh1 169 25 safety safety NN cord-002240-38aabxh1 169 26 of of IN cord-002240-38aabxh1 169 27 IgM IgM NNP cord-002240-38aabxh1 169 28 - - HYPH cord-002240-38aabxh1 169 29 enriched enrich VBN cord-002240-38aabxh1 169 30 immunoglobulin immunoglobulin NN cord-002240-38aabxh1 169 31 preparations preparation NNS cord-002240-38aabxh1 169 32 ( ( -LRB- cord-002240-38aabxh1 169 33 pentaglobin pentaglobin NNP cord-002240-38aabxh1 169 34 ™ ™ NNP cord-002240-38aabxh1 169 35 , , , cord-002240-38aabxh1 169 36 12 12 CD cord-002240-38aabxh1 169 37 % % NN cord-002240-38aabxh1 169 38 IgM IgM NNP cord-002240-38aabxh1 169 39 , , , cord-002240-38aabxh1 169 40 12 12 CD cord-002240-38aabxh1 169 41 % % NN cord-002240-38aabxh1 169 42 IgA IgA NNP cord-002240-38aabxh1 169 43 , , , cord-002240-38aabxh1 169 44 and and CC cord-002240-38aabxh1 169 45 76 76 CD cord-002240-38aabxh1 169 46 % % NN cord-002240-38aabxh1 169 47 IgG IgG NNP cord-002240-38aabxh1 169 48 ) ) -RRB- cord-002240-38aabxh1 169 49 as as IN cord-002240-38aabxh1 169 50 adjunctive adjunctive JJ cord-002240-38aabxh1 169 51 treatment treatment NN cord-002240-38aabxh1 169 52 in in IN cord-002240-38aabxh1 169 53 patients patient NNS cord-002240-38aabxh1 169 54 with with IN cord-002240-38aabxh1 169 55 mechanical mechanical JJ cord-002240-38aabxh1 169 56 ventilation ventilation NN cord-002240-38aabxh1 169 57 for for IN cord-002240-38aabxh1 169 58 CAP CAP NNP cord-002240-38aabxh1 169 59 . . . cord-002240-38aabxh1 170 1 The the DT cord-002240-38aabxh1 170 2 primary primary JJ cord-002240-38aabxh1 170 3 outcome outcome NN cord-002240-38aabxh1 170 4 is be VBZ cord-002240-38aabxh1 170 5 the the DT cord-002240-38aabxh1 170 6 number number NN cord-002240-38aabxh1 170 7 of of IN cord-002240-38aabxh1 170 8 ventilator ventilator NN cord-002240-38aabxh1 170 9 - - HYPH cord-002240-38aabxh1 170 10 free free JJ cord-002240-38aabxh1 170 11 days day NNS cord-002240-38aabxh1 170 12 . . . cord-002240-38aabxh1 171 1 The the DT cord-002240-38aabxh1 171 2 use use NN cord-002240-38aabxh1 171 3 of of IN cord-002240-38aabxh1 171 4 corticosteroids corticosteroid NNS cord-002240-38aabxh1 171 5 in in IN cord-002240-38aabxh1 171 6 patients patient NNS cord-002240-38aabxh1 171 7 with with IN cord-002240-38aabxh1 171 8 severe severe JJ cord-002240-38aabxh1 171 9 CAP cap NN cord-002240-38aabxh1 171 10 and and CC cord-002240-38aabxh1 171 11 a a DT cord-002240-38aabxh1 171 12 strong strong JJ cord-002240-38aabxh1 171 13 inflammatory inflammatory JJ cord-002240-38aabxh1 171 14 reaction reaction NN cord-002240-38aabxh1 171 15 can can MD cord-002240-38aabxh1 171 16 reduce reduce VB cord-002240-38aabxh1 171 17 the the DT cord-002240-38aabxh1 171 18 time time NN cord-002240-38aabxh1 171 19 to to IN cord-002240-38aabxh1 171 20 clinical clinical JJ cord-002240-38aabxh1 171 21 stability stability NN cord-002240-38aabxh1 171 22 and and CC cord-002240-38aabxh1 171 23 the the DT cord-002240-38aabxh1 171 24 risk risk NN cord-002240-38aabxh1 171 25 of of IN cord-002240-38aabxh1 171 26 treatment treatment NN cord-002240-38aabxh1 171 27 failure failure NN cord-002240-38aabxh1 171 28 , , , cord-002240-38aabxh1 171 29 especially especially RB cord-002240-38aabxh1 171 30 radiological radiological JJ cord-002240-38aabxh1 171 31 progression progression NN cord-002240-38aabxh1 171 32 . . . cord-002240-38aabxh1 172 1 The the DT cord-002240-38aabxh1 172 2 administration administration NN cord-002240-38aabxh1 172 3 of of IN cord-002240-38aabxh1 172 4 intravenous intravenous JJ cord-002240-38aabxh1 172 5 immunoglobulins immunoglobulin NNS cord-002240-38aabxh1 172 6 can can MD cord-002240-38aabxh1 172 7 reinforce reinforce VB cord-002240-38aabxh1 172 8 the the DT cord-002240-38aabxh1 172 9 immune immune JJ cord-002240-38aabxh1 172 10 response response NN cord-002240-38aabxh1 172 11 to to IN cord-002240-38aabxh1 172 12 infection infection NN cord-002240-38aabxh1 172 13 , , , cord-002240-38aabxh1 172 14 particularly particularly RB cord-002240-38aabxh1 172 15 in in IN cord-002240-38aabxh1 172 16 patients patient NNS cord-002240-38aabxh1 172 17 with with IN cord-002240-38aabxh1 172 18 inadequate inadequate JJ cord-002240-38aabxh1 172 19 levels level NNS cord-002240-38aabxh1 172 20 of of IN cord-002240-38aabxh1 172 21 antibodies antibody NNS cord-002240-38aabxh1 172 22 and and CC cord-002240-38aabxh1 172 23 when when WRB cord-002240-38aabxh1 172 24 an an DT cord-002240-38aabxh1 172 25 enriched enriched JJ cord-002240-38aabxh1 172 26 IgM igm NN cord-002240-38aabxh1 172 27 preparation preparation NN cord-002240-38aabxh1 172 28 is be VBZ cord-002240-38aabxh1 172 29 used use VBN cord-002240-38aabxh1 172 30 . . . cord-002240-38aabxh1 173 1 However however RB cord-002240-38aabxh1 173 2 , , , cord-002240-38aabxh1 173 3 more more JJR cord-002240-38aabxh1 173 4 studies study NNS cord-002240-38aabxh1 173 5 are be VBP cord-002240-38aabxh1 173 6 needed need VBN cord-002240-38aabxh1 173 7 to to TO cord-002240-38aabxh1 173 8 evaluate evaluate VB cord-002240-38aabxh1 173 9 their -PRON- PRP$ cord-002240-38aabxh1 173 10 effects effect NNS cord-002240-38aabxh1 173 11 in in IN cord-002240-38aabxh1 173 12 patients patient NNS cord-002240-38aabxh1 173 13 with with IN cord-002240-38aabxh1 173 14 CAP CAP NNP cord-002240-38aabxh1 173 15 . . . cord-002240-38aabxh1 174 1 Abbreviations Abbreviations NNPS cord-002240-38aabxh1 174 2 ARDS ARDS NNP cord-002240-38aabxh1 174 3 , , , cord-002240-38aabxh1 174 4 acute acute JJ cord-002240-38aabxh1 174 5 respiratory respiratory JJ cord-002240-38aabxh1 174 6 distress distress NN cord-002240-38aabxh1 174 7 syndrome syndrome NN cord-002240-38aabxh1 174 8 ; ; : cord-002240-38aabxh1 174 9 CAP CAP NNP cord-002240-38aabxh1 174 10 , , , cord-002240-38aabxh1 174 11 community community NN cord-002240-38aabxh1 174 12 acquired acquire VBD cord-002240-38aabxh1 174 13 pneumonia pneumonia NN cord-002240-38aabxh1 174 14 ; ; : cord-002240-38aabxh1 174 15 CI CI NNP cord-002240-38aabxh1 174 16 , , , cord-002240-38aabxh1 174 17 confidence confidence NN cord-002240-38aabxh1 174 18 interval interval NN cord-002240-38aabxh1 174 19 ; ; : cord-002240-38aabxh1 174 20 COPD COPD NNP cord-002240-38aabxh1 174 21 , , , cord-002240-38aabxh1 174 22 chronic chronic JJ cord-002240-38aabxh1 174 23 obstructive obstructive JJ cord-002240-38aabxh1 174 24 pulmonary pulmonary JJ cord-002240-38aabxh1 174 25 disease disease NN cord-002240-38aabxh1 174 26 ; ; : cord-002240-38aabxh1 174 27 CRP CRP NNP cord-002240-38aabxh1 174 28 , , , cord-002240-38aabxh1 174 29 C C NNP cord-002240-38aabxh1 174 30 - - HYPH cord-002240-38aabxh1 174 31 reactive reactive JJ cord-002240-38aabxh1 174 32 protein protein NN cord-002240-38aabxh1 174 33 ; ; : cord-002240-38aabxh1 174 34 CSF CSF NNP cord-002240-38aabxh1 174 35 , , , cord-002240-38aabxh1 174 36 colony colony NN cord-002240-38aabxh1 174 37 - - HYPH cord-002240-38aabxh1 174 38 stimulating stimulate VBG cord-002240-38aabxh1 174 39 factor factor NN cord-002240-38aabxh1 174 40 ; ; : cord-002240-38aabxh1 174 41 ICU ICU NNP cord-002240-38aabxh1 174 42 , , , cord-002240-38aabxh1 174 43 intensive intensive JJ cord-002240-38aabxh1 174 44 care care NN cord-002240-38aabxh1 174 45 unit unit NN cord-002240-38aabxh1 174 46 ; ; : cord-002240-38aabxh1 175 1 Ig Ig NNP cord-002240-38aabxh1 175 2 , , , cord-002240-38aabxh1 175 3 immunoglobulin immunoglobulin NN cord-002240-38aabxh1 175 4 ; ; : cord-002240-38aabxh1 175 5 IL IL NNP cord-002240-38aabxh1 175 6 , , , cord-002240-38aabxh1 175 7 interleukin interleukin NN cord-002240-38aabxh1 175 8 ; ; : cord-002240-38aabxh1 175 9 OR or CC cord-002240-38aabxh1 175 10 , , , cord-002240-38aabxh1 175 11 odds odd NNS cord-002240-38aabxh1 175 12 ratio ratio NN cord-002240-38aabxh1 175 13 ; ; : cord-002240-38aabxh1 175 14 RCT RCT NNP cord-002240-38aabxh1 175 15 , , , cord-002240-38aabxh1 175 16 randomized randomized JJ cord-002240-38aabxh1 175 17 controlled control VBN cord-002240-38aabxh1 175 18 trial trial NN cord-002240-38aabxh1 175 19 ; ; : cord-002240-38aabxh1 175 20 RR rr NN cord-002240-38aabxh1 175 21 , , , cord-002240-38aabxh1 175 22 risk risk NN cord-002240-38aabxh1 175 23 ratio ratio NN cord-002240-38aabxh1 175 24 ; ; : cord-002240-38aabxh1 175 25 TNF TNF NNP cord-002240-38aabxh1 175 26 , , , cord-002240-38aabxh1 175 27 tumor tumor NN cord-002240-38aabxh1 175 28 necrosis necrosis NN cord-002240-38aabxh1 175 29 factor factor NN cord-002240-38aabxh1 175 30 _SP cord-002240-38aabxh1 175 31 Risk Risk NNP cord-002240-38aabxh1 175 32 factors factor NNS cord-002240-38aabxh1 175 33 for for IN cord-002240-38aabxh1 175 34 30-day 30-day CD cord-002240-38aabxh1 175 35 mortality mortality NN cord-002240-38aabxh1 175 36 in in IN cord-002240-38aabxh1 175 37 patients patient NNS cord-002240-38aabxh1 175 38 with with IN cord-002240-38aabxh1 175 39 pneumonia pneumonia NN cord-002240-38aabxh1 175 40 who who WP cord-002240-38aabxh1 175 41 receive receive VBP cord-002240-38aabxh1 175 42 appropriate appropriate JJ cord-002240-38aabxh1 175 43 initial initial JJ cord-002240-38aabxh1 175 44 antibiotics antibiotic NNS cord-002240-38aabxh1 175 45 : : : cord-002240-38aabxh1 176 1 an an DT cord-002240-38aabxh1 176 2 observational observational JJ cord-002240-38aabxh1 176 3 cohort cohort NN cord-002240-38aabxh1 176 4 study study NN cord-002240-38aabxh1 176 5 Epidemiology epidemiology NN cord-002240-38aabxh1 176 6 and and CC cord-002240-38aabxh1 176 7 outcome outcome NN cord-002240-38aabxh1 176 8 of of IN cord-002240-38aabxh1 176 9 severe severe JJ cord-002240-38aabxh1 176 10 pneumococcal pneumococcal JJ cord-002240-38aabxh1 176 11 pneumonia pneumonia NN cord-002240-38aabxh1 176 12 admitted admit VBN cord-002240-38aabxh1 176 13 to to IN cord-002240-38aabxh1 176 14 intensive intensive JJ cord-002240-38aabxh1 176 15 care care NN cord-002240-38aabxh1 176 16 unit unit NN cord-002240-38aabxh1 176 17 : : : cord-002240-38aabxh1 176 18 a a DT cord-002240-38aabxh1 176 19 multicenter multicenter JJ cord-002240-38aabxh1 176 20 study study NN cord-002240-38aabxh1 176 21 Septic Septic NNP cord-002240-38aabxh1 176 22 shock shock NN cord-002240-38aabxh1 176 23 Systemic systemic JJ cord-002240-38aabxh1 176 24 cytokine cytokine NN cord-002240-38aabxh1 176 25 levels level NNS cord-002240-38aabxh1 176 26 in in IN cord-002240-38aabxh1 176 27 community community NN cord-002240-38aabxh1 176 28 - - HYPH cord-002240-38aabxh1 176 29 acquired acquire VBN cord-002240-38aabxh1 176 30 pneumonia pneumonia NN cord-002240-38aabxh1 176 31 and and CC cord-002240-38aabxh1 176 32 their -PRON- PRP$ cord-002240-38aabxh1 176 33 association association NN cord-002240-38aabxh1 176 34 with with IN cord-002240-38aabxh1 176 35 disease disease NN cord-002240-38aabxh1 176 36 severity severity NN cord-002240-38aabxh1 176 37 Risk risk NN cord-002240-38aabxh1 176 38 factors factor NNS cord-002240-38aabxh1 176 39 of of IN cord-002240-38aabxh1 176 40 treatment treatment NN cord-002240-38aabxh1 176 41 failure failure NN cord-002240-38aabxh1 176 42 in in IN cord-002240-38aabxh1 176 43 community community NN cord-002240-38aabxh1 176 44 acquired acquire VBD cord-002240-38aabxh1 176 45 pneumonia pneumonia NN cord-002240-38aabxh1 176 46 : : : cord-002240-38aabxh1 176 47 implications implication NNS cord-002240-38aabxh1 176 48 for for IN cord-002240-38aabxh1 176 49 disease disease NN cord-002240-38aabxh1 176 50 outcome outcome NN cord-002240-38aabxh1 176 51 Markers marker NNS cord-002240-38aabxh1 176 52 of of IN cord-002240-38aabxh1 176 53 treatment treatment NN cord-002240-38aabxh1 176 54 failure failure NN cord-002240-38aabxh1 176 55 in in IN cord-002240-38aabxh1 176 56 hospitalised hospitalise VBN cord-002240-38aabxh1 176 57 community community NN cord-002240-38aabxh1 176 58 acquired acquire VBD cord-002240-38aabxh1 176 59 pneumonia pneumonia NN cord-002240-38aabxh1 176 60 Severity severity NN cord-002240-38aabxh1 176 61 of of IN cord-002240-38aabxh1 176 62 meningococcal meningococcal JJ cord-002240-38aabxh1 176 63 disease disease NN cord-002240-38aabxh1 176 64 associated associate VBN cord-002240-38aabxh1 176 65 with with IN cord-002240-38aabxh1 176 66 genomic genomic JJ cord-002240-38aabxh1 176 67 bacterial bacterial JJ cord-002240-38aabxh1 176 68 load load NN cord-002240-38aabxh1 176 69 Corticosteroids Corticosteroids NNPS cord-002240-38aabxh1 176 70 for for IN cord-002240-38aabxh1 176 71 severe severe JJ cord-002240-38aabxh1 176 72 community community NN cord-002240-38aabxh1 176 73 - - HYPH cord-002240-38aabxh1 176 74 acquired acquire VBN cord-002240-38aabxh1 176 75 pneumonia pneumonia NN cord-002240-38aabxh1 176 76 : : : cord-002240-38aabxh1 176 77 not not RB cord-002240-38aabxh1 176 78 for for IN cord-002240-38aabxh1 176 79 everyone everyone NN cord-002240-38aabxh1 176 80 Primary primary JJ cord-002240-38aabxh1 176 81 immunodeficiencies immunodeficiency NNS cord-002240-38aabxh1 177 1 : : : cord-002240-38aabxh1 177 2 2009 2009 CD cord-002240-38aabxh1 177 3 update update NN cord-002240-38aabxh1 177 4 Antiinflammatory antiinflammatory JJ cord-002240-38aabxh1 177 5 action action NN cord-002240-38aabxh1 177 6 of of IN cord-002240-38aabxh1 177 7 glucocorticoids glucocorticoid NNS cord-002240-38aabxh1 177 8 - - HYPH cord-002240-38aabxh1 177 9 new new JJ cord-002240-38aabxh1 177 10 mechanisms mechanism NNS cord-002240-38aabxh1 177 11 for for IN cord-002240-38aabxh1 177 12 old old JJ cord-002240-38aabxh1 177 13 drugs drug NNS cord-002240-38aabxh1 177 14 Treatment Treatment NNP cord-002240-38aabxh1 177 15 with with IN cord-002240-38aabxh1 177 16 antiinflammatory antiinflammatory JJ cord-002240-38aabxh1 177 17 drugs drug NNS cord-002240-38aabxh1 177 18 in in IN cord-002240-38aabxh1 177 19 community community NN cord-002240-38aabxh1 177 20 - - HYPH cord-002240-38aabxh1 177 21 acquired acquire VBN cord-002240-38aabxh1 177 22 pneumonia pneumonia NN cord-002240-38aabxh1 177 23 Adrenal adrenal JJ cord-002240-38aabxh1 177 24 insufficiency insufficiency NN cord-002240-38aabxh1 177 25 in in IN cord-002240-38aabxh1 177 26 septic septic JJ cord-002240-38aabxh1 177 27 shock shock NN cord-002240-38aabxh1 177 28 Effects effect NNS cord-002240-38aabxh1 177 29 of of IN cord-002240-38aabxh1 177 30 glucocorticoids glucocorticoid NNS cord-002240-38aabxh1 177 31 in in IN cord-002240-38aabxh1 177 32 ventilated ventilate VBN cord-002240-38aabxh1 177 33 piglets piglet NNS cord-002240-38aabxh1 177 34 with with IN cord-002240-38aabxh1 177 35 severe severe JJ cord-002240-38aabxh1 177 36 pneumonia pneumonia NN cord-002240-38aabxh1 177 37 Effects effect NNS cord-002240-38aabxh1 177 38 of of IN cord-002240-38aabxh1 177 39 methylprednisolone methylprednisolone NN cord-002240-38aabxh1 177 40 on on IN cord-002240-38aabxh1 177 41 intracellular intracellular JJ cord-002240-38aabxh1 177 42 bacterial bacterial JJ cord-002240-38aabxh1 177 43 growth growth NN cord-002240-38aabxh1 177 44 Hydrocortisone Hydrocortisone NNP cord-002240-38aabxh1 177 45 infusion infusion NN cord-002240-38aabxh1 177 46 for for IN cord-002240-38aabxh1 177 47 severe severe JJ cord-002240-38aabxh1 177 48 community community NN cord-002240-38aabxh1 177 49 - - HYPH cord-002240-38aabxh1 177 50 acquired acquire VBN cord-002240-38aabxh1 177 51 pneumonia pneumonia NN cord-002240-38aabxh1 177 52 : : : cord-002240-38aabxh1 178 1 a a DT cord-002240-38aabxh1 178 2 preliminary preliminary JJ cord-002240-38aabxh1 178 3 randomized randomized JJ cord-002240-38aabxh1 178 4 study study NN cord-002240-38aabxh1 178 5 Effects effect NNS cord-002240-38aabxh1 178 6 of of IN cord-002240-38aabxh1 178 7 systemic systemic JJ cord-002240-38aabxh1 178 8 steroids steroid NNS cord-002240-38aabxh1 178 9 in in IN cord-002240-38aabxh1 178 10 patients patient NNS cord-002240-38aabxh1 178 11 with with IN cord-002240-38aabxh1 178 12 severe severe JJ cord-002240-38aabxh1 178 13 community community NN cord-002240-38aabxh1 178 14 - - HYPH cord-002240-38aabxh1 178 15 acquired acquire VBN cord-002240-38aabxh1 178 16 pneumonia pneumonia NN cord-002240-38aabxh1 178 17 Efficacy Efficacy NNP cord-002240-38aabxh1 178 18 of of IN cord-002240-38aabxh1 178 19 corticosteroids corticosteroid NNS cord-002240-38aabxh1 178 20 in in IN cord-002240-38aabxh1 178 21 community community NN cord-002240-38aabxh1 178 22 - - HYPH cord-002240-38aabxh1 178 23 acquired acquire VBN cord-002240-38aabxh1 178 24 pneumonia pneumonia NN cord-002240-38aabxh1 178 25 : : : cord-002240-38aabxh1 178 26 a a DT cord-002240-38aabxh1 178 27 randomized randomized JJ cord-002240-38aabxh1 178 28 double double RB cord-002240-38aabxh1 178 29 - - HYPH cord-002240-38aabxh1 178 30 blinded blinded JJ cord-002240-38aabxh1 178 31 clinical clinical JJ cord-002240-38aabxh1 178 32 trial trial NN cord-002240-38aabxh1 178 33 Dexamethasone Dexamethasone NNP cord-002240-38aabxh1 178 34 and and CC cord-002240-38aabxh1 178 35 length length NN cord-002240-38aabxh1 178 36 of of IN cord-002240-38aabxh1 178 37 hospital hospital NN cord-002240-38aabxh1 178 38 stay stay NN cord-002240-38aabxh1 178 39 in in IN cord-002240-38aabxh1 178 40 patients patient NNS cord-002240-38aabxh1 178 41 with with IN cord-002240-38aabxh1 178 42 community community NN cord-002240-38aabxh1 178 43 - - HYPH cord-002240-38aabxh1 178 44 acquired acquire VBN cord-002240-38aabxh1 178 45 pneumonia pneumonia NN cord-002240-38aabxh1 178 46 : : : cord-002240-38aabxh1 178 47 a a DT cord-002240-38aabxh1 178 48 randomised randomised JJ cord-002240-38aabxh1 178 49 , , , cord-002240-38aabxh1 178 50 double double JJ cord-002240-38aabxh1 178 51 - - HYPH cord-002240-38aabxh1 178 52 blind blind JJ cord-002240-38aabxh1 178 53 , , , cord-002240-38aabxh1 178 54 placebo placebo NN cord-002240-38aabxh1 178 55 - - HYPH cord-002240-38aabxh1 178 56 controlled control VBN cord-002240-38aabxh1 178 57 trial trial NN cord-002240-38aabxh1 178 58 Corticosteroids Corticosteroids NNPS cord-002240-38aabxh1 178 59 for for IN cord-002240-38aabxh1 178 60 pneumonia pneumonia NN cord-002240-38aabxh1 178 61 Corticosteroids Corticosteroids NNPS cord-002240-38aabxh1 178 62 in in IN cord-002240-38aabxh1 178 63 the the DT cord-002240-38aabxh1 178 64 treatment treatment NN cord-002240-38aabxh1 178 65 of of IN cord-002240-38aabxh1 178 66 communityacquired communityacquired JJ cord-002240-38aabxh1 178 67 pneumonia pneumonia NN cord-002240-38aabxh1 178 68 in in IN cord-002240-38aabxh1 178 69 adults adult NNS cord-002240-38aabxh1 178 70 : : : cord-002240-38aabxh1 178 71 a a DT cord-002240-38aabxh1 178 72 meta meta JJ cord-002240-38aabxh1 178 73 - - HYPH cord-002240-38aabxh1 178 74 analysis analysis NN cord-002240-38aabxh1 178 75 Adjuvant Adjuvant NNP cord-002240-38aabxh1 178 76 steroid steroid NN cord-002240-38aabxh1 178 77 therapy therapy NN cord-002240-38aabxh1 178 78 in in IN cord-002240-38aabxh1 178 79 community community NN cord-002240-38aabxh1 178 80 - - HYPH cord-002240-38aabxh1 178 81 acquired acquire VBN cord-002240-38aabxh1 178 82 pneumonia pneumonia NN cord-002240-38aabxh1 178 83 : : : cord-002240-38aabxh1 178 84 a a DT cord-002240-38aabxh1 178 85 systematic systematic JJ cord-002240-38aabxh1 178 86 review review NN cord-002240-38aabxh1 178 87 and and CC cord-002240-38aabxh1 178 88 metaanalysis metaanalysis NN cord-002240-38aabxh1 178 89 Corticosteroid Corticosteroid NNP cord-002240-38aabxh1 178 90 therapy therapy NN cord-002240-38aabxh1 178 91 for for IN cord-002240-38aabxh1 178 92 severe severe JJ cord-002240-38aabxh1 178 93 community community NN cord-002240-38aabxh1 178 94 - - HYPH cord-002240-38aabxh1 178 95 acquired acquire VBN cord-002240-38aabxh1 178 96 pneumonia pneumonia NN cord-002240-38aabxh1 178 97 : : : cord-002240-38aabxh1 178 98 a a DT cord-002240-38aabxh1 178 99 meta meta JJ cord-002240-38aabxh1 178 100 - - HYPH cord-002240-38aabxh1 178 101 analysis analysis NN cord-002240-38aabxh1 178 102 Effect effect NN cord-002240-38aabxh1 178 103 of of IN cord-002240-38aabxh1 178 104 corticosteroids corticosteroid NNS cord-002240-38aabxh1 178 105 on on IN cord-002240-38aabxh1 178 106 treatment treatment NN cord-002240-38aabxh1 178 107 failure failure NN cord-002240-38aabxh1 178 108 among among IN cord-002240-38aabxh1 178 109 hospitalized hospitalize VBN cord-002240-38aabxh1 178 110 patients patient NNS cord-002240-38aabxh1 178 111 with with IN cord-002240-38aabxh1 178 112 severe severe JJ cord-002240-38aabxh1 178 113 community community NN cord-002240-38aabxh1 178 114 - - HYPH cord-002240-38aabxh1 178 115 acquired acquire VBN cord-002240-38aabxh1 178 116 pneumonia pneumonia NN cord-002240-38aabxh1 178 117 and and CC cord-002240-38aabxh1 178 118 high high JJ cord-002240-38aabxh1 178 119 inflammatory inflammatory JJ cord-002240-38aabxh1 178 120 response response NN cord-002240-38aabxh1 178 121 : : : cord-002240-38aabxh1 178 122 a a DT cord-002240-38aabxh1 178 123 randomized randomized JJ cord-002240-38aabxh1 178 124 clinical clinical JJ cord-002240-38aabxh1 178 125 trial trial NN cord-002240-38aabxh1 178 126 Adjunct Adjunct NNP cord-002240-38aabxh1 178 127 prednisone prednisone JJ cord-002240-38aabxh1 178 128 therapy therapy NN cord-002240-38aabxh1 178 129 for for IN cord-002240-38aabxh1 178 130 patients patient NNS cord-002240-38aabxh1 178 131 with with IN cord-002240-38aabxh1 178 132 community community NN cord-002240-38aabxh1 178 133 - - HYPH cord-002240-38aabxh1 178 134 acquired acquire VBN cord-002240-38aabxh1 178 135 pneumonia pneumonia NN cord-002240-38aabxh1 178 136 : : : cord-002240-38aabxh1 178 137 a a DT cord-002240-38aabxh1 178 138 multicentre multicentre NN cord-002240-38aabxh1 178 139 , , , cord-002240-38aabxh1 178 140 double double JJ cord-002240-38aabxh1 178 141 - - HYPH cord-002240-38aabxh1 178 142 blind blind JJ cord-002240-38aabxh1 178 143 , , , cord-002240-38aabxh1 178 144 randomised randomised JJ cord-002240-38aabxh1 178 145 , , , cord-002240-38aabxh1 178 146 placebo placebo NN cord-002240-38aabxh1 178 147 - - HYPH cord-002240-38aabxh1 178 148 controlled control VBN cord-002240-38aabxh1 178 149 trial trial NN cord-002240-38aabxh1 178 150 Corticosteroid Corticosteroid NNP cord-002240-38aabxh1 178 151 therapy therapy NN cord-002240-38aabxh1 178 152 for for IN cord-002240-38aabxh1 178 153 patients patient NNS cord-002240-38aabxh1 178 154 hospitalized hospitalize VBN cord-002240-38aabxh1 178 155 with with IN cord-002240-38aabxh1 178 156 communityacquired communityacquired JJ cord-002240-38aabxh1 178 157 pneumonia pneumonia NN cord-002240-38aabxh1 178 158 : : : cord-002240-38aabxh1 178 159 a a DT cord-002240-38aabxh1 178 160 systematic systematic JJ cord-002240-38aabxh1 178 161 review review NN cord-002240-38aabxh1 178 162 and and CC cord-002240-38aabxh1 178 163 meta meta NNP cord-002240-38aabxh1 178 164 - - HYPH cord-002240-38aabxh1 178 165 analysis analysis NN cord-002240-38aabxh1 178 166 Efficacy Efficacy NNP cord-002240-38aabxh1 178 167 and and CC cord-002240-38aabxh1 178 168 safety safety NN cord-002240-38aabxh1 178 169 of of IN cord-002240-38aabxh1 178 170 corticosteroids corticosteroid NNS cord-002240-38aabxh1 178 171 for for IN cord-002240-38aabxh1 178 172 community community NN cord-002240-38aabxh1 178 173 - - HYPH cord-002240-38aabxh1 178 174 acquired acquire VBN cord-002240-38aabxh1 178 175 pneumonia pneumonia NN cord-002240-38aabxh1 178 176 : : : cord-002240-38aabxh1 178 177 a a DT cord-002240-38aabxh1 178 178 systematic systematic JJ cord-002240-38aabxh1 178 179 review review NN cord-002240-38aabxh1 178 180 and and CC cord-002240-38aabxh1 178 181 meta meta NNP cord-002240-38aabxh1 178 182 - - HYPH cord-002240-38aabxh1 178 183 analysis analysis NN cord-002240-38aabxh1 179 1 A a DT cord-002240-38aabxh1 179 2 prediction prediction NN cord-002240-38aabxh1 179 3 rule rule NN cord-002240-38aabxh1 179 4 to to TO cord-002240-38aabxh1 179 5 identify identify VB cord-002240-38aabxh1 179 6 low low JJ cord-002240-38aabxh1 179 7 - - HYPH cord-002240-38aabxh1 179 8 risk risk NN cord-002240-38aabxh1 179 9 patients patient NNS cord-002240-38aabxh1 179 10 with with IN cord-002240-38aabxh1 179 11 community community NN cord-002240-38aabxh1 179 12 - - HYPH cord-002240-38aabxh1 179 13 acquired acquire VBN cord-002240-38aabxh1 179 14 pneumonia pneumonia NN cord-002240-38aabxh1 179 15 Adjunctive Adjunctive NNP cord-002240-38aabxh1 179 16 corticosteroids corticosteroid NNS cord-002240-38aabxh1 179 17 for for IN cord-002240-38aabxh1 179 18 Pneumocystis Pneumocystis NNP cord-002240-38aabxh1 179 19 jiroveci jiroveci NN cord-002240-38aabxh1 179 20 pneumonia pneumonia NN cord-002240-38aabxh1 179 21 in in IN cord-002240-38aabxh1 179 22 patients patient NNS cord-002240-38aabxh1 179 23 with with IN cord-002240-38aabxh1 179 24 HIV HIV NNP cord-002240-38aabxh1 179 25 infection infection NN cord-002240-38aabxh1 179 26 : : : cord-002240-38aabxh1 179 27 a a DT cord-002240-38aabxh1 179 28 metaanalysis metaanalysis NN cord-002240-38aabxh1 179 29 of of IN cord-002240-38aabxh1 179 30 randomised randomised JJ cord-002240-38aabxh1 179 31 controlled control VBN cord-002240-38aabxh1 179 32 trials trial NNS cord-002240-38aabxh1 179 33 Adjuvant Adjuvant NNP cord-002240-38aabxh1 179 34 corticosteroid corticosteroid NN cord-002240-38aabxh1 179 35 treatment treatment NN cord-002240-38aabxh1 179 36 in in IN cord-002240-38aabxh1 179 37 adults adult NNS cord-002240-38aabxh1 179 38 with with IN cord-002240-38aabxh1 179 39 influenza influenza NN cord-002240-38aabxh1 179 40 A a NN cord-002240-38aabxh1 179 41 ( ( -LRB- cord-002240-38aabxh1 179 42 H7N9 H7N9 NNP cord-002240-38aabxh1 179 43 ) ) -RRB- cord-002240-38aabxh1 179 44 viral viral JJ cord-002240-38aabxh1 179 45 pneumonia pneumonia NN cord-002240-38aabxh1 179 46 Corticosteroids Corticosteroids NNPS cord-002240-38aabxh1 179 47 as as IN cord-002240-38aabxh1 179 48 adjunctive adjunctive JJ cord-002240-38aabxh1 179 49 therapy therapy NN cord-002240-38aabxh1 179 50 in in IN cord-002240-38aabxh1 179 51 the the DT cord-002240-38aabxh1 179 52 treatment treatment NN cord-002240-38aabxh1 179 53 of of IN cord-002240-38aabxh1 179 54 influenza influenza NN cord-002240-38aabxh1 180 1 The the DT cord-002240-38aabxh1 180 2 influence influence NN cord-002240-38aabxh1 180 3 of of IN cord-002240-38aabxh1 180 4 corticosteroid corticosteroid NN cord-002240-38aabxh1 180 5 treatment treatment NN cord-002240-38aabxh1 180 6 on on IN cord-002240-38aabxh1 180 7 the the DT cord-002240-38aabxh1 180 8 outcome outcome NN cord-002240-38aabxh1 180 9 of of IN cord-002240-38aabxh1 180 10 influenza influenza NN cord-002240-38aabxh1 180 11 A(H1N1pdm09)-related a(h1n1pdm09)-relate VBN cord-002240-38aabxh1 180 12 critical critical JJ cord-002240-38aabxh1 180 13 illness illness NN cord-002240-38aabxh1 180 14 Association Association NNP cord-002240-38aabxh1 180 15 between between IN cord-002240-38aabxh1 180 16 systemic systemic JJ cord-002240-38aabxh1 180 17 corticosteroids corticosteroid NNS cord-002240-38aabxh1 180 18 and and CC cord-002240-38aabxh1 180 19 outcomes outcome NNS cord-002240-38aabxh1 180 20 of of IN cord-002240-38aabxh1 180 21 intensive intensive JJ cord-002240-38aabxh1 180 22 care care NN cord-002240-38aabxh1 180 23 unit unit NN cord-002240-38aabxh1 180 24 - - HYPH cord-002240-38aabxh1 180 25 acquired acquire VBN cord-002240-38aabxh1 180 26 pneumonia pneumonia NN cord-002240-38aabxh1 180 27 Prevalence prevalence NN cord-002240-38aabxh1 180 28 and and CC cord-002240-38aabxh1 180 29 predictors predictor NNS cord-002240-38aabxh1 180 30 of of IN cord-002240-38aabxh1 180 31 corticosteroid corticosteroid NN cord-002240-38aabxh1 180 32 - - HYPH cord-002240-38aabxh1 180 33 related relate VBN cord-002240-38aabxh1 180 34 hyperglycemia hyperglycemia NN cord-002240-38aabxh1 180 35 in in IN cord-002240-38aabxh1 180 36 hospitalized hospitalize VBN cord-002240-38aabxh1 180 37 patients patient NNS cord-002240-38aabxh1 180 38 Hyperglycaemia Hyperglycaemia NNP cord-002240-38aabxh1 180 39 is be VBZ cord-002240-38aabxh1 180 40 associated associate VBN cord-002240-38aabxh1 180 41 with with IN cord-002240-38aabxh1 180 42 poor poor JJ cord-002240-38aabxh1 180 43 outcomes outcome NNS cord-002240-38aabxh1 180 44 in in IN cord-002240-38aabxh1 180 45 patients patient NNS cord-002240-38aabxh1 180 46 admitted admit VBN cord-002240-38aabxh1 180 47 to to IN cord-002240-38aabxh1 180 48 hospital hospital NN cord-002240-38aabxh1 180 49 with with IN cord-002240-38aabxh1 180 50 acute acute JJ cord-002240-38aabxh1 180 51 exacerbations exacerbation NNS cord-002240-38aabxh1 180 52 of of IN cord-002240-38aabxh1 180 53 chronic chronic JJ cord-002240-38aabxh1 180 54 obstructive obstructive JJ cord-002240-38aabxh1 180 55 pulmonary pulmonary JJ cord-002240-38aabxh1 180 56 disease disease NN cord-002240-38aabxh1 180 57 Hyperglycaemia Hyperglycaemia NNP cord-002240-38aabxh1 180 58 as as IN cord-002240-38aabxh1 180 59 a a DT cord-002240-38aabxh1 180 60 predictor predictor NN cord-002240-38aabxh1 180 61 of of IN cord-002240-38aabxh1 180 62 outcome outcome NN cord-002240-38aabxh1 180 63 during during IN cord-002240-38aabxh1 180 64 non non JJ cord-002240-38aabxh1 180 65 - - JJ cord-002240-38aabxh1 180 66 invasive invasive JJ cord-002240-38aabxh1 180 67 ventilation ventilation NN cord-002240-38aabxh1 180 68 in in IN cord-002240-38aabxh1 180 69 decompensated decompensated JJ cord-002240-38aabxh1 180 70 COPD COPD NNP cord-002240-38aabxh1 180 71 Intensive intensive JJ cord-002240-38aabxh1 180 72 insulin insulin NN cord-002240-38aabxh1 180 73 therapy therapy NN cord-002240-38aabxh1 180 74 in in IN cord-002240-38aabxh1 180 75 the the DT cord-002240-38aabxh1 180 76 critically critically RB cord-002240-38aabxh1 180 77 ill ill JJ cord-002240-38aabxh1 180 78 patients patient NNS cord-002240-38aabxh1 180 79 Intensive intensive JJ cord-002240-38aabxh1 180 80 insulin insulin NN cord-002240-38aabxh1 180 81 therapy therapy NN cord-002240-38aabxh1 180 82 in in IN cord-002240-38aabxh1 180 83 the the DT cord-002240-38aabxh1 180 84 medical medical JJ cord-002240-38aabxh1 180 85 ICU ICU NNP cord-002240-38aabxh1 180 86 Glucocorticoid Glucocorticoid NNP cord-002240-38aabxh1 180 87 - - HYPH cord-002240-38aabxh1 180 88 induced induce VBN cord-002240-38aabxh1 180 89 myopathy myopathy NN cord-002240-38aabxh1 180 90 Paresis Paresis NNP cord-002240-38aabxh1 180 91 acquired acquire VBD cord-002240-38aabxh1 180 92 in in IN cord-002240-38aabxh1 180 93 the the DT cord-002240-38aabxh1 180 94 intensive intensive JJ cord-002240-38aabxh1 180 95 care care NN cord-002240-38aabxh1 180 96 unit unit NN cord-002240-38aabxh1 180 97 : : : cord-002240-38aabxh1 180 98 a a DT cord-002240-38aabxh1 180 99 prospective prospective JJ cord-002240-38aabxh1 180 100 multicenter multicenter JJ cord-002240-38aabxh1 180 101 study study NN cord-002240-38aabxh1 180 102 Infectious Infectious NNP cord-002240-38aabxh1 180 103 Diseases Diseases NNPS cord-002240-38aabxh1 180 104 Society Society NNP cord-002240-38aabxh1 180 105 of of IN cord-002240-38aabxh1 180 106 America America NNP cord-002240-38aabxh1 180 107 / / SYM cord-002240-38aabxh1 180 108 American American NNP cord-002240-38aabxh1 180 109 Thoracic Thoracic NNP cord-002240-38aabxh1 180 110 Society Society NNP cord-002240-38aabxh1 180 111 consensus consensus NN cord-002240-38aabxh1 180 112 guidelines guideline NNS cord-002240-38aabxh1 180 113 on on IN cord-002240-38aabxh1 180 114 the the DT cord-002240-38aabxh1 180 115 management management NN cord-002240-38aabxh1 180 116 of of IN cord-002240-38aabxh1 180 117 community community NN cord-002240-38aabxh1 180 118 - - HYPH cord-002240-38aabxh1 180 119 acquired acquire VBN cord-002240-38aabxh1 180 120 pneumonia pneumonia NN cord-002240-38aabxh1 180 121 in in IN cord-002240-38aabxh1 180 122 adults adult NNS cord-002240-38aabxh1 180 123 Anti anti JJ cord-002240-38aabxh1 180 124 - - JJ cord-002240-38aabxh1 180 125 inflammatory inflammatory JJ cord-002240-38aabxh1 180 126 effects effect NNS cord-002240-38aabxh1 180 127 of of IN cord-002240-38aabxh1 180 128 macrolides macrolide NNS cord-002240-38aabxh1 180 129 - - : cord-002240-38aabxh1 180 130 an an DT cord-002240-38aabxh1 180 131 underappreciated underappreciated JJ cord-002240-38aabxh1 180 132 benefit benefit NN cord-002240-38aabxh1 180 133 in in IN cord-002240-38aabxh1 180 134 the the DT cord-002240-38aabxh1 180 135 treatment treatment NN cord-002240-38aabxh1 180 136 of of IN cord-002240-38aabxh1 180 137 community community NN cord-002240-38aabxh1 180 138 - - HYPH cord-002240-38aabxh1 180 139 acquired acquire VBN cord-002240-38aabxh1 180 140 respiratory respiratory JJ cord-002240-38aabxh1 180 141 tract tract NN cord-002240-38aabxh1 180 142 infections infection NNS cord-002240-38aabxh1 180 143 and and CC cord-002240-38aabxh1 180 144 chronic chronic JJ cord-002240-38aabxh1 180 145 inflammatory inflammatory JJ cord-002240-38aabxh1 180 146 pulmonary pulmonary JJ cord-002240-38aabxh1 180 147 conditions condition NNS cord-002240-38aabxh1 180 148 ? ? . cord-002240-38aabxh1 181 1 Immunomodulatory immunomodulatory JJ cord-002240-38aabxh1 181 2 effects effect NNS cord-002240-38aabxh1 181 3 of of IN cord-002240-38aabxh1 181 4 macrolides macrolide NNS cord-002240-38aabxh1 181 5 during during IN cord-002240-38aabxh1 181 6 community community NN cord-002240-38aabxh1 181 7 - - HYPH cord-002240-38aabxh1 181 8 acquired acquire VBN cord-002240-38aabxh1 181 9 pneumonia pneumonia NN cord-002240-38aabxh1 181 10 : : : cord-002240-38aabxh1 181 11 a a DT cord-002240-38aabxh1 181 12 literature literature NN cord-002240-38aabxh1 181 13 review review NN cord-002240-38aabxh1 181 14 Antibiotic antibiotic JJ cord-002240-38aabxh1 181 15 treatment treatment NN cord-002240-38aabxh1 181 16 strategies strategy NNS cord-002240-38aabxh1 181 17 for for IN cord-002240-38aabxh1 181 18 community community NN cord-002240-38aabxh1 181 19 - - HYPH cord-002240-38aabxh1 181 20 acquired acquire VBN cord-002240-38aabxh1 181 21 pneumonia pneumonia NN cord-002240-38aabxh1 181 22 in in IN cord-002240-38aabxh1 181 23 adults adult NNS cord-002240-38aabxh1 182 1 beta beta NN cord-002240-38aabxh1 182 2 - - HYPH cord-002240-38aabxh1 182 3 Lactam Lactam NNP cord-002240-38aabxh1 182 4 monotherapy monotherapy NN cord-002240-38aabxh1 182 5 vs vs IN cord-002240-38aabxh1 182 6 beta beta NN cord-002240-38aabxh1 182 7 - - HYPH cord-002240-38aabxh1 182 8 lactam lactam NN cord-002240-38aabxh1 182 9 - - HYPH cord-002240-38aabxh1 182 10 macrolide macrolide NN cord-002240-38aabxh1 182 11 combination combination NN cord-002240-38aabxh1 182 12 treatment treatment NN cord-002240-38aabxh1 182 13 in in IN cord-002240-38aabxh1 182 14 moderately moderately RB cord-002240-38aabxh1 182 15 severe severe JJ cord-002240-38aabxh1 182 16 community community NN cord-002240-38aabxh1 182 17 - - HYPH cord-002240-38aabxh1 182 18 acquired acquire VBN cord-002240-38aabxh1 182 19 pneumonia pneumonia NN cord-002240-38aabxh1 182 20 : : : cord-002240-38aabxh1 182 21 a a DT cord-002240-38aabxh1 182 22 randomized randomized JJ cord-002240-38aabxh1 182 23 noninferiority noninferiority NN cord-002240-38aabxh1 182 24 trial trial NN cord-002240-38aabxh1 182 25 Efficacy Efficacy NNP cord-002240-38aabxh1 182 26 of of IN cord-002240-38aabxh1 182 27 increasing increase VBG cord-002240-38aabxh1 182 28 dosages dosage NNS cord-002240-38aabxh1 182 29 of of IN cord-002240-38aabxh1 182 30 clarithromycin clarithromycin NNS cord-002240-38aabxh1 182 31 for for IN cord-002240-38aabxh1 182 32 treatment treatment NN cord-002240-38aabxh1 182 33 of of IN cord-002240-38aabxh1 182 34 experimental experimental JJ cord-002240-38aabxh1 182 35 Mycoplasma Mycoplasma NNP cord-002240-38aabxh1 182 36 pneumoniae pneumoniae NN cord-002240-38aabxh1 182 37 pneumonia pneumonia NN cord-002240-38aabxh1 182 38 Lung Lung NNP cord-002240-38aabxh1 182 39 inflammatory inflammatory JJ cord-002240-38aabxh1 182 40 pattern pattern NN cord-002240-38aabxh1 182 41 and and CC cord-002240-38aabxh1 182 42 antibiotic antibiotic JJ cord-002240-38aabxh1 182 43 treatment treatment NN cord-002240-38aabxh1 182 44 in in IN cord-002240-38aabxh1 182 45 pneumonia pneumonia NN cord-002240-38aabxh1 183 1 Systemic systemic JJ cord-002240-38aabxh1 183 2 corticosteroids corticosteroid NNS cord-002240-38aabxh1 183 3 for for IN cord-002240-38aabxh1 183 4 community community NN cord-002240-38aabxh1 183 5 - - HYPH cord-002240-38aabxh1 183 6 acquired acquire VBN cord-002240-38aabxh1 183 7 pneumonia pneumonia NN cord-002240-38aabxh1 183 8 : : : cord-002240-38aabxh1 184 1 reasons reason NNS cord-002240-38aabxh1 184 2 for for IN cord-002240-38aabxh1 184 3 use use NN cord-002240-38aabxh1 184 4 and and CC cord-002240-38aabxh1 184 5 lack lack NN cord-002240-38aabxh1 184 6 of of IN cord-002240-38aabxh1 184 7 benefit benefit NN cord-002240-38aabxh1 184 8 on on IN cord-002240-38aabxh1 184 9 outcome outcome NN cord-002240-38aabxh1 184 10 Systemic systemic JJ cord-002240-38aabxh1 184 11 inflammatory inflammatory JJ cord-002240-38aabxh1 184 12 pattern pattern NN cord-002240-38aabxh1 184 13 of of IN cord-002240-38aabxh1 184 14 community community NN cord-002240-38aabxh1 184 15 - - HYPH cord-002240-38aabxh1 184 16 acquired acquire VBN cord-002240-38aabxh1 184 17 pneumonia pneumonia NN cord-002240-38aabxh1 184 18 ( ( -LRB- cord-002240-38aabxh1 184 19 CAP cap NN cord-002240-38aabxh1 184 20 ) ) -RRB- cord-002240-38aabxh1 184 21 patients patient NNS cord-002240-38aabxh1 184 22 with with IN cord-002240-38aabxh1 184 23 and and CC cord-002240-38aabxh1 184 24 without without IN cord-002240-38aabxh1 184 25 chronic chronic JJ cord-002240-38aabxh1 184 26 obstructive obstructive JJ cord-002240-38aabxh1 184 27 pulmonary pulmonary JJ cord-002240-38aabxh1 184 28 disease disease NN cord-002240-38aabxh1 184 29 ( ( -LRB- cord-002240-38aabxh1 184 30 COPD COPD NNP cord-002240-38aabxh1 184 31 ) ) -RRB- cord-002240-38aabxh1 185 1 Inhaled inhale VBN cord-002240-38aabxh1 185 2 corticosteroids corticosteroid NNS cord-002240-38aabxh1 185 3 and and CC cord-002240-38aabxh1 185 4 systemic systemic JJ cord-002240-38aabxh1 185 5 inflammatory inflammatory JJ cord-002240-38aabxh1 185 6 response response NN cord-002240-38aabxh1 185 7 in in IN cord-002240-38aabxh1 185 8 community community NN cord-002240-38aabxh1 185 9 - - HYPH cord-002240-38aabxh1 185 10 acquired acquire VBN cord-002240-38aabxh1 185 11 pneumonia pneumonia NN cord-002240-38aabxh1 185 12 : : : cord-002240-38aabxh1 185 13 a a DT cord-002240-38aabxh1 185 14 prospective prospective JJ cord-002240-38aabxh1 185 15 clinical clinical JJ cord-002240-38aabxh1 185 16 study study NN cord-002240-38aabxh1 185 17 Pneumonic Pneumonic NNP cord-002240-38aabxh1 185 18 and and CC cord-002240-38aabxh1 185 19 non non JJ cord-002240-38aabxh1 185 20 - - JJ cord-002240-38aabxh1 185 21 pneumonic pneumonic JJ cord-002240-38aabxh1 185 22 exacerbations exacerbation NNS cord-002240-38aabxh1 185 23 of of IN cord-002240-38aabxh1 185 24 COPD COPD NNP cord-002240-38aabxh1 185 25 : : : cord-002240-38aabxh1 185 26 systemic systemic JJ cord-002240-38aabxh1 185 27 inflammatory inflammatory JJ cord-002240-38aabxh1 185 28 response response NN cord-002240-38aabxh1 185 29 and and CC cord-002240-38aabxh1 185 30 clinical clinical JJ cord-002240-38aabxh1 185 31 characteristics characteristic NNS cord-002240-38aabxh1 185 32 Immunomodulatory immunomodulatory JJ cord-002240-38aabxh1 185 33 effects effect NNS cord-002240-38aabxh1 185 34 of of IN cord-002240-38aabxh1 185 35 quinolones quinolone NNS cord-002240-38aabxh1 185 36 Assessment Assessment NNP cord-002240-38aabxh1 185 37 of of IN cord-002240-38aabxh1 185 38 plasmatic plasmatic JJ cord-002240-38aabxh1 185 39 immunoglobulin immunoglobulin NN cord-002240-38aabxh1 185 40 G g NN cord-002240-38aabxh1 185 41 , , , cord-002240-38aabxh1 185 42 A A NNP cord-002240-38aabxh1 185 43 and and CC cord-002240-38aabxh1 185 44 M M NNP cord-002240-38aabxh1 185 45 levels level NNS cord-002240-38aabxh1 185 46 in in IN cord-002240-38aabxh1 185 47 septic septic JJ cord-002240-38aabxh1 185 48 shock shock NN cord-002240-38aabxh1 185 49 patients patient NNS cord-002240-38aabxh1 186 1 Endogenous endogenous JJ cord-002240-38aabxh1 186 2 IgG igg NN cord-002240-38aabxh1 186 3 hypogammaglobulinaemia hypogammaglobulinaemia NN cord-002240-38aabxh1 186 4 in in IN cord-002240-38aabxh1 186 5 critically critically RB cord-002240-38aabxh1 186 6 ill ill JJ cord-002240-38aabxh1 186 7 adults adult NNS cord-002240-38aabxh1 186 8 with with IN cord-002240-38aabxh1 186 9 sepsis sepsis NN cord-002240-38aabxh1 186 10 : : : cord-002240-38aabxh1 186 11 systematic systematic JJ cord-002240-38aabxh1 186 12 review review NN cord-002240-38aabxh1 186 13 and and CC cord-002240-38aabxh1 186 14 meta meta NNP cord-002240-38aabxh1 186 15 - - HYPH cord-002240-38aabxh1 186 16 analysis analysis NN cord-002240-38aabxh1 186 17 Serum serum NN cord-002240-38aabxh1 186 18 immunoglobulins immunoglobulin NNS cord-002240-38aabxh1 186 19 in in IN cord-002240-38aabxh1 186 20 the the DT cord-002240-38aabxh1 186 21 infected infected JJ cord-002240-38aabxh1 186 22 and and CC cord-002240-38aabxh1 186 23 convalescent convalescent JJ cord-002240-38aabxh1 186 24 phases phase NNS cord-002240-38aabxh1 186 25 in in IN cord-002240-38aabxh1 186 26 community community NN cord-002240-38aabxh1 186 27 - - HYPH cord-002240-38aabxh1 186 28 acquired acquire VBN cord-002240-38aabxh1 186 29 pneumonia pneumonia NN cord-002240-38aabxh1 186 30 Pooled pool VBN cord-002240-38aabxh1 186 31 human human JJ cord-002240-38aabxh1 186 32 immunoglobulin immunoglobulin NN cord-002240-38aabxh1 186 33 therapy therapy NN cord-002240-38aabxh1 186 34 in in IN cord-002240-38aabxh1 186 35 critically critically RB cord-002240-38aabxh1 186 36 Ill ill JJ cord-002240-38aabxh1 186 37 patients patient NNS cord-002240-38aabxh1 186 38 with with IN cord-002240-38aabxh1 186 39 pandemic pandemic NN cord-002240-38aabxh1 186 40 2009 2009 CD cord-002240-38aabxh1 186 41 influenza influenza NN cord-002240-38aabxh1 186 42 A(H1N1 a(h1n1 NN cord-002240-38aabxh1 186 43 ) ) -RRB- cord-002240-38aabxh1 186 44 pneumonitis pneumonitis NN cord-002240-38aabxh1 186 45 and and CC cord-002240-38aabxh1 186 46 immunoglobulin immunoglobulin NN cord-002240-38aabxh1 186 47 G2 G2 NNP cord-002240-38aabxh1 186 48 subclass subclass NN cord-002240-38aabxh1 186 49 ( ( -LRB- cord-002240-38aabxh1 186 50 IgG2 igg2 NN cord-002240-38aabxh1 186 51 ) ) -RRB- cord-002240-38aabxh1 186 52 deficiency deficiency NN cord-002240-38aabxh1 187 1 Intravenous intravenous JJ cord-002240-38aabxh1 187 2 immunoglobulin immunoglobulin NN cord-002240-38aabxh1 187 3 for for IN cord-002240-38aabxh1 187 4 treating treat VBG cord-002240-38aabxh1 187 5 sepsis sepsis NN cord-002240-38aabxh1 187 6 , , , cord-002240-38aabxh1 187 7 severe severe JJ cord-002240-38aabxh1 187 8 sepsis sepsis NN cord-002240-38aabxh1 187 9 and and CC cord-002240-38aabxh1 187 10 septic septic JJ cord-002240-38aabxh1 187 11 shock shock NN cord-002240-38aabxh1 187 12 Use use NN cord-002240-38aabxh1 187 13 of of IN cord-002240-38aabxh1 187 14 polyclonal polyclonal JJ cord-002240-38aabxh1 187 15 immunoglobulins immunoglobulin NNS cord-002240-38aabxh1 187 16 as as IN cord-002240-38aabxh1 187 17 adjunctive adjunctive JJ cord-002240-38aabxh1 187 18 therapy therapy NN cord-002240-38aabxh1 187 19 for for IN cord-002240-38aabxh1 187 20 sepsis sepsis NN cord-002240-38aabxh1 187 21 or or CC cord-002240-38aabxh1 188 1 septic septic JJ cord-002240-38aabxh1 188 2 shock shock NN cord-002240-38aabxh1 189 1 Intravenous intravenous JJ cord-002240-38aabxh1 189 2 immunoglobulin immunoglobulin NN cord-002240-38aabxh1 189 3 and and CC cord-002240-38aabxh1 189 4 mortality mortality NN cord-002240-38aabxh1 189 5 in in IN cord-002240-38aabxh1 189 6 pneumonia pneumonia NN cord-002240-38aabxh1 189 7 patients patient NNS cord-002240-38aabxh1 189 8 with with IN cord-002240-38aabxh1 189 9 septic septic JJ cord-002240-38aabxh1 189 10 shock shock NN cord-002240-38aabxh1 189 11 : : : cord-002240-38aabxh1 189 12 an an DT cord-002240-38aabxh1 189 13 observational observational JJ cord-002240-38aabxh1 189 14 nationwide nationwide JJ cord-002240-38aabxh1 189 15 study study NN cord-002240-38aabxh1 189 16 Concept Concept NNP cord-002240-38aabxh1 189 17 for for IN cord-002240-38aabxh1 189 18 a a DT cord-002240-38aabxh1 189 19 study study NN cord-002240-38aabxh1 189 20 design design NN cord-002240-38aabxh1 189 21 in in IN cord-002240-38aabxh1 189 22 patients patient NNS cord-002240-38aabxh1 189 23 with with IN cord-002240-38aabxh1 189 24 severe severe JJ cord-002240-38aabxh1 189 25 community community NN cord-002240-38aabxh1 189 26 - - HYPH cord-002240-38aabxh1 189 27 acquired acquire VBN cord-002240-38aabxh1 189 28 pneumonia pneumonia NN cord-002240-38aabxh1 189 29 : : : cord-002240-38aabxh1 189 30 a a DT cord-002240-38aabxh1 189 31 randomised randomised JJ cord-002240-38aabxh1 189 32 controlled control VBN cord-002240-38aabxh1 189 33 trial trial NN cord-002240-38aabxh1 189 34 with with IN cord-002240-38aabxh1 189 35 a a DT cord-002240-38aabxh1 189 36 novel novel JJ cord-002240-38aabxh1 189 37 IGM IGM NNP cord-002240-38aabxh1 189 38 - - HYPH cord-002240-38aabxh1 189 39 enriched enrich VBN cord-002240-38aabxh1 189 40 immunoglobulin immunoglobulin NN cord-002240-38aabxh1 189 41 preparation preparation NN cord-002240-38aabxh1 189 42 - - : cord-002240-38aabxh1 189 43 The the DT cord-002240-38aabxh1 189 44 CIGMA CIGMA NNP cord-002240-38aabxh1 189 45 study study NN cord-002240-38aabxh1 189 46 Not not RB cord-002240-38aabxh1 189 47 applicable applicable JJ cord-002240-38aabxh1 189 48 . . . cord-002240-38aabxh1 190 1 Adrian Adrian NNP cord-002240-38aabxh1 190 2 Ceccato Ceccato NNP cord-002240-38aabxh1 190 3 is be VBZ cord-002240-38aabxh1 190 4 a a DT cord-002240-38aabxh1 190 5 recipient recipient NN cord-002240-38aabxh1 190 6 of of IN cord-002240-38aabxh1 190 7 an an DT cord-002240-38aabxh1 190 8 ERS ERS NNP cord-002240-38aabxh1 190 9 Long Long NNP cord-002240-38aabxh1 190 10 Term Term NNP cord-002240-38aabxh1 190 11 Fellowship Fellowship NNP cord-002240-38aabxh1 190 12 . . . cord-002240-38aabxh1 191 1 All all DT cord-002240-38aabxh1 191 2 authors author NNS cord-002240-38aabxh1 191 3 participated participate VBD cord-002240-38aabxh1 191 4 in in IN cord-002240-38aabxh1 191 5 the the DT cord-002240-38aabxh1 191 6 design design NN cord-002240-38aabxh1 191 7 and and CC cord-002240-38aabxh1 191 8 writing writing NN cord-002240-38aabxh1 191 9 of of IN cord-002240-38aabxh1 191 10 the the DT cord-002240-38aabxh1 191 11 paper paper NN cord-002240-38aabxh1 191 12 . . . cord-002240-38aabxh1 192 1 All all DT cord-002240-38aabxh1 192 2 authors author NNS cord-002240-38aabxh1 192 3 read read VBP cord-002240-38aabxh1 192 4 and and CC cord-002240-38aabxh1 192 5 approved approve VBD cord-002240-38aabxh1 192 6 the the DT cord-002240-38aabxh1 192 7 final final JJ cord-002240-38aabxh1 192 8 manuscript manuscript NN cord-002240-38aabxh1 192 9 . . .