Beware dexamethasone for lung disease of prematurity
Dexamethasone given shortly after birth to babies with extremely poor lung function has adverse effects on neuromotor and cognitive function by the time the recipients reach school age, researchers have found.
In a trial, administration of the steroid reduced the incidence of chronic
lung disease in preterm infants. However, the researchers do not recommend
this regimen because of adverse effects they found subsequently. In 146
children followed up to school age, those who had received dexamethasone
at birth were shorter than controls; they also had poorer motor skills
and motor co-ordination, and lower IQ scores (New England Journal of Medicine 2004;350:1304). |