Article ; Online: Significant impact of antibiotic exposure on GI-GVHD, NRM, and GRFS following allogeneic HCT with non-myeloablative Flu-TBI conditioning.
2024 , Page(s) 1–8
Abstract: Background: Acute gastro-intestinal graft-: Methods: We did a retrospective single-center analysis of patients receiving Flu-TBI-based NMA HCT for a high-grade myeloid malignancy, mostly AML, and MDS, or acute lymphoblastic leukemia (ALL). We ... ...
Abstract | Background: Acute gastro-intestinal graft- Methods: We did a retrospective single-center analysis of patients receiving Flu-TBI-based NMA HCT for a high-grade myeloid malignancy, mostly AML, and MDS, or acute lymphoblastic leukemia (ALL). We analyzed the impact of pre-engraftment antibiotic exposure, prophylactic ciprofloxacin, and or treatment with broad-spectrum cephalosporin/carbapenem, on HCT outcomes, with a focus on the incidence of acute GI-GVHD by day 180 and NRM at 1 year. Results: A total of 150 patients were evaluable with a median age of 62 years. Antibiotics were used in 90 patients; 60 prophylactic use only and 30 therapeutic use with or without previous prophylaxis. Antibiotic use resulted in a significant higher incidence of GI-GVHD Stage 1-4; 29% (26/90) Conclusions: Use of antibiotics was related to the occurrence of GI-GVHD, NRM, and GRFS in patients receiving truly NMA HCT. Therefore, in the absence of mucositis and low incidence of bacteremia, antibiotics can and should be used restrictively in this setting. |
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Language | English |
Publishing date | 2024-03-23 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 1042374-6 |
ISSN | 1029-2403 ; 1042-8194 |
ISSN (online) | 1029-2403 |
ISSN | 1042-8194 |
DOI | 10.1080/10428194.2024.2331081 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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