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G-CSF zur Prophylaxe der Neutropenie und der febrilen Neutropenie, Anämie bei Krebserkrankung: Supportivtherapieleitlinien, Teil 1
Infections in patients with neutropenia following chemotherapy are mostly manifested as fever (febrile neutropenia, FN). Some of the most important determinants of the risk of FN are the type of chemotherapy, the dose intensity and patient-specific factors. When the risk of FN is 20% or more granulo...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer Medizin
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9207169/ http://dx.doi.org/10.1007/s11654-022-00398-0 |
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author | Link, Hartmut |
author_facet | Link, Hartmut |
author_sort | Link, Hartmut |
collection | PubMed |
description | Infections in patients with neutropenia following chemotherapy are mostly manifested as fever (febrile neutropenia, FN). Some of the most important determinants of the risk of FN are the type of chemotherapy, the dose intensity and patient-specific factors. When the risk of FN is 20% or more granulopoiesis is prophylactically stimulated with granulocyte colony stimulating factor (G-CSF) after the treatment. Anemia should always be clarified and if necessary be treated according to the cause when symptomatic. If an absolute or functional iron deficiency is present, intravenous iron substitution is mostly necessary. Erythropoiesis-stimulating agents can be used after chemotherapy with hemoglobin (Hb) levels less than 10 g/dl (6.2 mmol/l). In cases of chronic anemia and Hb levels less than 7–8 g/dl (<4.3–5.0 mmol/l) the indications for transfusion of erythrocyte concentrates should be assessed primarily based on the individual clinical symptoms. |
format | Online Article Text |
id | pubmed-9207169 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Medizin |
record_format | MEDLINE/PubMed |
spelling | pubmed-92071692022-06-21 G-CSF zur Prophylaxe der Neutropenie und der febrilen Neutropenie, Anämie bei Krebserkrankung: Supportivtherapieleitlinien, Teil 1 Link, Hartmut best practice onkologie CME-Topic Infections in patients with neutropenia following chemotherapy are mostly manifested as fever (febrile neutropenia, FN). Some of the most important determinants of the risk of FN are the type of chemotherapy, the dose intensity and patient-specific factors. When the risk of FN is 20% or more granulopoiesis is prophylactically stimulated with granulocyte colony stimulating factor (G-CSF) after the treatment. Anemia should always be clarified and if necessary be treated according to the cause when symptomatic. If an absolute or functional iron deficiency is present, intravenous iron substitution is mostly necessary. Erythropoiesis-stimulating agents can be used after chemotherapy with hemoglobin (Hb) levels less than 10 g/dl (6.2 mmol/l). In cases of chronic anemia and Hb levels less than 7–8 g/dl (<4.3–5.0 mmol/l) the indications for transfusion of erythrocyte concentrates should be assessed primarily based on the individual clinical symptoms. Springer Medizin 2022-06-20 2022 /pmc/articles/PMC9207169/ http://dx.doi.org/10.1007/s11654-022-00398-0 Text en © The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2022, korrigierte Publikation 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | CME-Topic Link, Hartmut G-CSF zur Prophylaxe der Neutropenie und der febrilen Neutropenie, Anämie bei Krebserkrankung: Supportivtherapieleitlinien, Teil 1 |
title | G-CSF zur Prophylaxe der Neutropenie und der febrilen Neutropenie, Anämie bei Krebserkrankung: Supportivtherapieleitlinien, Teil 1 |
title_full | G-CSF zur Prophylaxe der Neutropenie und der febrilen Neutropenie, Anämie bei Krebserkrankung: Supportivtherapieleitlinien, Teil 1 |
title_fullStr | G-CSF zur Prophylaxe der Neutropenie und der febrilen Neutropenie, Anämie bei Krebserkrankung: Supportivtherapieleitlinien, Teil 1 |
title_full_unstemmed | G-CSF zur Prophylaxe der Neutropenie und der febrilen Neutropenie, Anämie bei Krebserkrankung: Supportivtherapieleitlinien, Teil 1 |
title_short | G-CSF zur Prophylaxe der Neutropenie und der febrilen Neutropenie, Anämie bei Krebserkrankung: Supportivtherapieleitlinien, Teil 1 |
title_sort | g-csf zur prophylaxe der neutropenie und der febrilen neutropenie, anämie bei krebserkrankung: supportivtherapieleitlinien, teil 1 |
topic | CME-Topic |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9207169/ http://dx.doi.org/10.1007/s11654-022-00398-0 |
work_keys_str_mv | AT linkhartmut gcsfzurprophylaxederneutropenieundderfebrilenneutropenieanamiebeikrebserkrankungsupportivtherapieleitlinienteil1 |