Impact of colony-stimulating factor therapy on clinical outcome and frequency rate of nosocomial infections in intensive care unit neutropenic patients
| Autor: | J P Cardinaud, G Gbikpi-Benissan, Gilles Hilbert, Josy Reiffers, Geneviève Chêne, Ruddy Valentino, Frédéric Vargas, Jean-Michel Boiron, Didier Gruson |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Neutropenia Filgrastim Colony-Stimulating Factor Therapy Critical Care and Intensive Care Medicine law.invention law Internal medicine Granulocyte Colony-Stimulating Factor medicine Humans Infusions Intravenous Intensive care medicine Survival rate Aged Retrospective Studies Cross Infection Leukopenia business.industry Mortality rate Retrospective cohort study Middle Aged medicine.disease Intensive care unit Recombinant Proteins Survival Rate Intensive Care Units Treatment Outcome Female medicine.symptom business medicine.drug |
| Zdroj: | Critical Care Medicine. 28:3155-3160 |
| ISSN: | 0090-3493 |
| Popis: | Objectives To determine whether the use of recombinant human granulocyte colony-stimulating factor (G-CSF, filgrastim) reduces the mortality rate and the frequency rate of nosocomial infections in neutropenic patients requiring intensive care unit (ICU) admission. Design Retrospective consecutive case series analysis. Setting Medical ICU of a teaching hospital. Patients We compared two groups of patients, according to whether or not they received G-CSF. In the ICU, 28 leukopenic patients received filgrastim (5 microg of body weight per day intravenously). In all these patients, G-CSF was continued until recovery from leukopenia, defined as a leukocyte count >1,000/mm3. A total of 33 ICU leukopenic patients did not receive G-CSF. End points included leukocyte count, bone marrow recovery, frequency of ICU nosocomial infections (pneumonia, urinary tract, and catheter-related infections), and mortality rate. Measurements and main results There were no differences in number of patients who recovered from leukopenia or in whom blood leukocyte count increased. Nosocomial infections occurred in the same percentage in both groups. The percentage of patients who died was identical in both groups. The percentage of patients with and without filgrastim therapy who recovered from leukopenia but died, was 86% and 78%, respectively. Conclusion In the ICU, clinical outcome of neutropenic patients was not changed by G-CSF therapy. It is possible that G-CSF therapy may not be helpful in improving the ICU clinical outcome of neutropenic patients. Additional controlled studies designed to address this question are warranted. |
| Databáze: | OpenAIRE |
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