Infections During Induction Therapy of Protocol CCLG-2008 in Childhood Acute Lymphoblastic Leukemia: A Single-center Experience with 256 Cases in China
Background: Infections remain a major cause of therapy-associated morbidity and mortality in children with acute lymphoblastic leukemia (ALL). Methods: We retrospectively analyzed the medical charts of 256 children treated for ALL under the CCLG-2008 protocol in Beijing Children's Hospital. Results: There were 65 infectious complications in 50 patients during vincristine, daunorubicin, L-asparaginase and dexamethasone induction therapy, including microbiologically documented infections (n = 12; 18.5%), clinically documented infections (n = 23; 35.3%) and fever of unknown origin (n = 30; 46.2%). Neutropenia was present in 83.1% of the infectious episodes. In all, most infections occurred around the 15th day of induction treatment (n = 28), and no patients died of infection-associated complications. Conclusions: The infections in this study was independent of treatment response, minimal residual diseases at the end of induction therapy, gender, immunophenotype, infection at first visit, risk stratification at diagnosis, unfavorable karyotypes at diagnosis and morphologic type. The infection rate of CCLG-2008 induction therapy is low, and the outcome of patients is favorable.
基金:
Beijing Municipal Administration of Hospitals Clinical medicine Development of special funding support [ZY201404]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81300433]; Beijing Municipal Natural Science FoundationBeijing Natural Science Foundation [7144211]; Specialized Research Fund for the Doctoral Program of Higher EducationSpecialized Research Fund for the Doctoral Program of Higher Education (SRFDP) [20131107120008]; BCH Young Investigator Program [BCHYIPA-2013-06]
第一作者机构:[1]Capital Med Univ, Beijing Childrens Hosp, Hematol Oncol Ctr, Beijing Key Lab Pediat Hematol Oncol, Beijing 100045, Peoples R China;[2]Capital Med Univ, Beijing Childrens Hosp, Hematol Oncol Ctr, Natl Key Discipline Pediat,Minist Educ, Beijing 100045, Peoples R China;[3]Capital Med Univ, Beijing Childrens Hosp, Hematol Oncol Ctr, Key Lab Major Dis Children,Minist Educ, Beijing 100045, Peoples R China;
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Childrens Hosp, Hematol Oncol Ctr, Beijing Key Lab Pediat Hematol Oncol, Beijing 100045, Peoples R China;[2]Capital Med Univ, Beijing Childrens Hosp, Hematol Oncol Ctr, Natl Key Discipline Pediat,Minist Educ, Beijing 100045, Peoples R China;[3]Capital Med Univ, Beijing Childrens Hosp, Hematol Oncol Ctr, Key Lab Major Dis Children,Minist Educ, Beijing 100045, Peoples R China;
推荐引用方式(GB/T 7714):
Li Si-Dan,Chen Yong-Bing,Li Zhi-Gang,et al.Infections During Induction Therapy of Protocol CCLG-2008 in Childhood Acute Lymphoblastic Leukemia: A Single-center Experience with 256 Cases in China[J].CHINESE MEDICAL JOURNAL.2015,128(4):472-476.doi:10.4103/0366-6999.151085.
APA:
Li, Si-Dan,Chen, Yong-Bing,Li, Zhi-Gang,Wu, Run-Hui,Qin, Mao-Quan...&Wu, Min-Yuan.(2015).Infections During Induction Therapy of Protocol CCLG-2008 in Childhood Acute Lymphoblastic Leukemia: A Single-center Experience with 256 Cases in China.CHINESE MEDICAL JOURNAL,128,(4)
MLA:
Li, Si-Dan,et al."Infections During Induction Therapy of Protocol CCLG-2008 in Childhood Acute Lymphoblastic Leukemia: A Single-center Experience with 256 Cases in China".CHINESE MEDICAL JOURNAL 128..4(2015):472-476