The Management of Young Children With a Likely Infectious Condition Presenting Moderate to Severe Neutropenia

被引:1
|
作者
Larouche, Valerie [1 ]
Pelland-Marcotte, Marie-Claude [1 ]
Blanchet, Marie-Eve [1 ]
Simonyan, David [2 ]
Belanger, Richard E. [1 ,3 ]
机构
[1] Univ Laval, CHU Quebec, Res Ctr, Dept Pediat, Quebec City, PQ, Canada
[2] Univ Laval, CHU Quebec, Res Ctr, Clin & Evaluat Res Platform, Quebec City, PQ, Canada
[3] CHU Quebec, Res Ctr, Populat Hlth & Optimal Hlth Practices Res Branch, Quebec City, PQ, Canada
关键词
children; neutropenia; leucopenia; infectious disease; TRANSIENT NEUTROPENIA; FEBRILE NEUTROPENIA; ETIOLOGIES;
D O I
10.1097/MPH.0000000000001749
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objective: The objective of this study was to describe the outcome of healthy children presenting with newly-diagnosed neutropenia in an infectious context. Results: A total of 184 episodes of neutropenia were included in children 3 months to 5 years of age. There were 118 (64%) episodes of moderate neutropenia and 66 (36%) of severe neutropenia (SN). SN episodes were more likely related to intensification of antibiotic regimen used and further investigations. The median duration of neutropenia was 8.5 days. Chronic benign neutropenia occurred in 7 (4%) patients. Conclusion: SN led to intensification of antibiotic therapy, but no children encountered an unfavorable outcome and the neutropenia episodes were short-lived.
引用
收藏
页码:E778 / E782
页数:5
相关论文
共 50 条
  • [21] The effectiveness of oral dexamethasone in the treatment of moderate to severe pharyngitis in children and young adults
    Olympia, RP
    Khine, H
    Avner, JR
    JOURNAL OF INVESTIGATIVE MEDICINE, 2003, 51 : S418 - S418
  • [22] Therapeutic options for children and young people with moderate-to-severe ulcerative colitis
    Ashton, James
    Lee, Kwang Yang
    Thangarajah, Anthi
    Rodrigues, Astor
    Kammermeier, Jochen
    FRONTLINE GASTROENTEROLOGY, 2024, 15 (05) : 387 - 394
  • [23] Consensus of the Chilean Society of Infectious Diseases for the management of episodes of febrile neutropenia in adults and children with cancer
    Alvarez, Ana Maria
    Morales, Ricardo
    Raijmakers, Mariella
    Barraza, Marlon
    Lafourcade, Monica
    Duran, Luisa
    Contardo, Veronica
    Amador, Roberto
    Bidart, Teresa
    Santolaya, Maria Elena
    Flores, Ivonne
    Gambra, Pilar
    Gonzalez, Claudio
    Lopez, Tania
    Rabagliati, Ricardo
    Vizcaya, Cecilia
    Zubieta, Marcela
    REVISTA CHILENA DE INFECTOLOGIA, 2023, 40 (02): : 105 - 165
  • [24] Identification of children presenting with fever in chemotherapy-induced neutropenia at low risk for severe bacterial infection
    Ammann, RA
    Hirt, A
    Lüthy, AR
    Aebi, C
    MEDICAL AND PEDIATRIC ONCOLOGY, 2003, 41 (05): : 436 - 443
  • [25] Management of Children with Mild, Moderate, and Moderately Severe Sensorineural Hearing Loss
    Tharpe, Anne Marie
    Gustafson, Samantha
    OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA, 2015, 48 (06) : 983 - +
  • [26] Recurrent Sclerema in a Young Infant Presenting with Severe Sepsis and Severe Pneumonia: An Uncommon but Extremely Life-threatening Condition
    Afroze, Farzana
    Pietroni, Mark A. C.
    Chisti, Mohammod Jobayer
    JOURNAL OF HEALTH POPULATION AND NUTRITION, 2013, 31 (04) : 538 - 542
  • [27] Management of fever without source in young children presenting to an emergency room
    Massin, Martial M.
    Montesanti, Jessica
    Lepage, Philippe
    ACTA PAEDIATRICA, 2006, 95 (11) : 1446 - 1450
  • [28] Cost of management of severe pneumonia in young children: systematic analysis
    Zhang, Shanshan
    Sammon, Peter M.
    King, Isobel
    Andrade, Ana Lucia
    Toscano, Cristiana M.
    Araujo, Sheila N.
    Sinha, Anushua
    Madhi, Shabir A.
    Khandaker, Gulam
    Yin, Jiehui Kevin
    Booy, Robert
    Huda, Tanvir M.
    Rahman, Qazi S.
    El Arifeen, Shams
    Gentile, Angela
    Giglio, Norberto
    Bhuiyan, Mejbah U.
    Sturm-Ramirez, Katharine
    Gessner, Bradford D.
    Nadjib, Mardiati
    Carosone-Link, Phyllis J.
    Simoes, Eric A. F.
    Child, Jason A.
    Ahmed, Imran
    Bhutta, Zulfiqar A.
    Soofi, Sajid B.
    Khan, Rumana J.
    Campbell, Harry
    Nair, Harish
    JOURNAL OF GLOBAL HEALTH, 2016, 6 (01)
  • [29] Costs and effectiveness of spacer versus nebulizer in young children with moderate and severe acute asthma
    Leversha, AM
    Campanella, SG
    Aickin, RP
    Asher, MI
    JOURNAL OF PEDIATRICS, 2000, 136 (04): : 497 - 502
  • [30] Assessing Asthma Management Knowledge in Caregivers of Children with Moderate-to-Severe Asthma
    Kanaley, Madeleine K.
    Boon, Kathy L.
    Blumenstock, Jesse A.
    Bozen, Alexandria
    Chadha, Avneet S.
    Newmark, Pamela J.
    Szkodon, Jolanta W.
    Kan, Kristin
    Vojta, Deneen
    Gupta, Ruchi S.
    JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2019, 143 (02) : AB196 - AB196