The impact of hyperglycemia on risk of infection and early death during induction therapy for acute lymphoblastic leukemia (ALL)

Autor: Julianne M, Dare, John P, Moppett, Julian Ph, Shield, Linda P, Hunt, Michael Cg, Stevens
Rok vydání: 2013
Předmět:
Zdroj: Pediatric bloodcancer. 60(12)
ISSN: 1545-5017
Popis: Hyperglycemia during induction chemotherapy for childhood acute lymphoblastic leukemia (ALL) has been inconsistently associated with risk of infection. We investigated the incidence of hyperglycemia during induction for childhood ALL in a retrospective cohort study of 144 patients treated on a single national protocol (UKALL2003) and explored its association with infection. All patients received dexamethasone. Overt hyperglycemia was seen in 36% and proven bacterial or fungal infection was most common in this group (OR 4.1 (1.1-15.6), P = 0.039). Both hyperglycaemia and infection were particularly common in patients with Down Syndrome.
Databáze: OpenAIRE