Pentaglobin® Efficacy in Reducing the Incidence of Sepsis and Transplant-Related Mortality in Pediatric Patients Undergoing Hematopoietic Stem Cell Transplantation: A Retrospective Study

Journal of Clinical Medicine

Carlone Giorgia¹  Barbi Egidio¹  Torelli Lucio¹  Maximova Natalia²  Maestro Alessandra²  Zanon Davide² 

[1] Department of Medicine, Surgery and Health Sciences, University of Trieste, Piazzale Europa 1, 34127 Trieste, Italy;Institute for Maternal and Child Health - IRCC Burlo Garofolo, via dell’Istria 65/1, 34137 Trieste, Italy;

关键词: hematopoietic stem cell transplantation;    pediatric patients;    aplasia;    Pentaglobin^®;    infection-related mortality rate;   

DOI  :  10.3390/jcm9051592

来源: DOAJ

【 摘 要 】

The 12-month mortality rate in patients undergoing hematopoietic stem cell transplantation (HSCT) remains high, especially with respect to transplant-related mortality (TRM), which includes mortality due to infection complications through the aplasia phase. The aim of this study was to determine whether the administration of Pentaglobin^® could decrease TRM by lowering sepsis onset or weakening sepsis through the aplasia phase. One hundred and ninety-nine pediatric patients who had undergone HSCT were enrolled in our retrospective study. The patients were divided into two groups: the Pentaglobin group, which had received Pentaglobin^® in addition to the standard antibiotic treatment protocol established for the aplasia phase, and the Control group, which received only the standard treatment. As compared to the control group outcome, Pentaglobin^® led to a significant decrease in the days of temperature increase (p < 0.001) and a reduced infection-related mortality rate (p = 0.04). In addition, the number of antibiotics used to control infections, and the number of antibiotic therapy changes needed following first-line drug failure, were significantly lowered in the Pentaglobin group as compared to the control group (p < 0.0001). With respect to the onset of new infections following the primary infection detected, the Pentaglobin group showed a significant reduction for bacterial events, as compared to the control group (p < 0.03). Pentaglobin^® use in patients undergoing HSCT seems to produce a significant decrease in infection-associated TRM rate.

【 授权许可】

Unknown