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Evaluation of the effect of haematopoietic growth factors on the course of myelosuppression in children with neoplastic disease

机译:造血生长因子对肿瘤性疾病患儿骨髓抑制过程影响的评估

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The aim of the study was to analyse the effect of granulocyte (G-CSF) and granulocyte-macrophage (GMCSF) growth factor on the course of neutropenia in 54 children subject to intensive chemotherapy due to neoplastic diseases. The efficiency of factors mentioned above was assessed on the basis of neutropenia duration and its intensity, the frequency of infectious complications and the duration of resultant antibiotic-therapy and hospitalisation during treatment course. The results of our study indicate shorter duration of neutropenia, and thus, of antibiotic-therapy and hospitalisation in patients treated with haematopoietic growth factors when compared with control group of children who did not receive such treatment. In the case of intervention administration of growth factors when neutropenia has already developed, the duration of antibiotic-therapy and hospitalisation was longer. Considering lack of significant differences between the use of G-CSF and GM-CSF since 24th or 48th hour after the completion of chemotherapy cycle, it seems advisable to recommend the start of preventive measures after 48th hour as economically justified.
机译:本研究的目的是分析54例因肿瘤性疾病而接受强化化疗的儿童中粒细胞(G-CSF)和粒细胞巨噬细胞(GMCSF)生长因子对中性粒细胞减少的影响。根据中性粒细胞减少症的持续时间及其强度,感染并发症的发生频率以及治疗过程中抗生素治疗和住院的持续时间来评估上述因素的有效性。我们的研究结果表明,与未接受过造血生长因子治疗的儿童相比,接受造血生长因子治疗的患者的中性粒细胞减少症持续时间较短,因此可以进行抗生素治疗和住院治疗。在已经发生中性粒细胞减少症的情况下对生长因子进行干预管理的情况下,抗生素治疗和住院时间更长。考虑到自化疗周期结束后第24或48小时以来使用G-CSF和GM-CSF之间没有显着差异,因此从经济上合理的角度考虑,建议在48小时后开始采取预防措施。

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