Infection profile of patients undergoing autologous bone marrow transplantation in a Brazilian institution
CONTEXT AND OBJECTIVE: Hematopoietic stem cell transplantation (HSCT) has been widely used for treating oncological and hematological diseases. Although HSCT has helped to improve patient survival, the risk of developing infection during hospitalization is an important cause of morbidity and mortali...
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| Format: | Article |
| Language: | English |
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Associação Paulista de Medicina
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| Series: | São Paulo Medical Journal |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802012000100003&lng=en&tlng=en |
| _version_ | 1819052732625977344 |
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| author | Kelli Borges Santos Abrahão Elias Hallack Neto Girlene Alves Silva Angelo Atalla Marcus Matta Abreu Luiz Cláudio Ribeiro |
| author_facet | Kelli Borges Santos Abrahão Elias Hallack Neto Girlene Alves Silva Angelo Atalla Marcus Matta Abreu Luiz Cláudio Ribeiro |
| author_sort | Kelli Borges Santos |
| collection | DOAJ |
| description | CONTEXT AND OBJECTIVE: Hematopoietic stem cell transplantation (HSCT) has been widely used for treating oncological and hematological diseases. Although HSCT has helped to improve patient survival, the risk of developing infection during hospitalization is an important cause of morbidity and mortality. This study aimed to analyze the infection profile during hospitalization and the associated risk factors among patients undergoing autologous HSCT at the University Hospital, Universidade Federal de Juiz de Fora. DESIGN AND SETTING: This was a cross-sectional study on patients undergoing autologous HSCT at a public university hospital. METHODS: Patients with febrile neutropenia between 2004 and 2009 were retrospectively evaluated regarding their infection profile and associated risk factors. RESULTS: Infection occurred in 57.2% of 112 patients with febrile neutropenia. The main source of infection was the central venous catheter (25.9%). Infection was chiefly due to Gram-positive bacteria, although Gram-negative-related infections were more severe and caused a higher death rate. Sex, age, skin color, nutritional status and underlying disease were not associated with the development of infection. Patients with severe mucositis (Grades III and IV) had a higher infection rate (P < 0.001). Patients who developed pulmonary complications during hospitalization had higher infection rates (P = 0.002). Infection was the main cause of death (57.1%) in the study sample. CONCLUSION: Strategies aimed at reducing infection-related mortality rates among patients undergoing autologous HSCT are necessary. |
| first_indexed | 2024-12-21T12:24:31Z |
| format | Article |
| id | doaj.art-3d9bf994d4a84c9790ebf4b6cc6ac8e1 |
| institution | Directory Open Access Journal |
| issn | 1806-9460 |
| language | English |
| last_indexed | 2024-12-21T12:24:31Z |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj.art-3d9bf994d4a84c9790ebf4b6cc6ac8e12022-12-21T19:04:13ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94601301101610.1590/S1516-31802012000100003S1516-31802012000100003Infection profile of patients undergoing autologous bone marrow transplantation in a Brazilian institutionKelli Borges Santos0Abrahão Elias Hallack Neto1Girlene Alves Silva2Angelo Atalla3Marcus Matta Abreu4Luiz Cláudio Ribeiro5Universidade Federal de Juiz de ForaUniversidade Federal de Juiz de ForaUniversidade Federal de Juiz de ForaUniversidade Federal de Juiz de ForaFaculdade de Ciências Médicas e da Saúde de Juiz de ForaUniversidade Federal de Juiz de ForaCONTEXT AND OBJECTIVE: Hematopoietic stem cell transplantation (HSCT) has been widely used for treating oncological and hematological diseases. Although HSCT has helped to improve patient survival, the risk of developing infection during hospitalization is an important cause of morbidity and mortality. This study aimed to analyze the infection profile during hospitalization and the associated risk factors among patients undergoing autologous HSCT at the University Hospital, Universidade Federal de Juiz de Fora. DESIGN AND SETTING: This was a cross-sectional study on patients undergoing autologous HSCT at a public university hospital. METHODS: Patients with febrile neutropenia between 2004 and 2009 were retrospectively evaluated regarding their infection profile and associated risk factors. RESULTS: Infection occurred in 57.2% of 112 patients with febrile neutropenia. The main source of infection was the central venous catheter (25.9%). Infection was chiefly due to Gram-positive bacteria, although Gram-negative-related infections were more severe and caused a higher death rate. Sex, age, skin color, nutritional status and underlying disease were not associated with the development of infection. Patients with severe mucositis (Grades III and IV) had a higher infection rate (P < 0.001). Patients who developed pulmonary complications during hospitalization had higher infection rates (P = 0.002). Infection was the main cause of death (57.1%) in the study sample. CONCLUSION: Strategies aimed at reducing infection-related mortality rates among patients undergoing autologous HSCT are necessary.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802012000100003&lng=en&tlng=enHematopoietic stem cell transplantationTransplantation, autologousInfectionRisk factorsInfection control |
| spellingShingle | Kelli Borges Santos Abrahão Elias Hallack Neto Girlene Alves Silva Angelo Atalla Marcus Matta Abreu Luiz Cláudio Ribeiro Infection profile of patients undergoing autologous bone marrow transplantation in a Brazilian institution São Paulo Medical Journal Hematopoietic stem cell transplantation Transplantation, autologous Infection Risk factors Infection control |
| title | Infection profile of patients undergoing autologous bone marrow transplantation in a Brazilian institution |
| title_full | Infection profile of patients undergoing autologous bone marrow transplantation in a Brazilian institution |
| title_fullStr | Infection profile of patients undergoing autologous bone marrow transplantation in a Brazilian institution |
| title_full_unstemmed | Infection profile of patients undergoing autologous bone marrow transplantation in a Brazilian institution |
| title_short | Infection profile of patients undergoing autologous bone marrow transplantation in a Brazilian institution |
| title_sort | infection profile of patients undergoing autologous bone marrow transplantation in a brazilian institution |
| topic | Hematopoietic stem cell transplantation Transplantation, autologous Infection Risk factors Infection control |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802012000100003&lng=en&tlng=en |
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