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发热性中性粒细胞减少症患儿的下呼吸道感染:约旦某医院的 1 例病例。

Lower Respiratory Infections in Children With Febrile Neutropenic Leukemia: A Case in a Jordanian Hospital.

机构信息

Faculty of Pharmacy, Philadelphia University, Amman, Jordan.

Pediatric Oncology and Hematology Department, Queen Rania Al-Abdullah Children Hospital, Royal Medical Services, Amman, Jordan.

出版信息

Clin Pediatr (Phila). 2023 Nov;62(11):1342-1349. doi: 10.1177/00099228231159087. Epub 2023 Mar 12.

Abstract

The study aimed to examine the prevalence of pneumonia in pediatric children diagnosed with leukemia at King Hussein Medical Center, Royal Medical Services, Amman, Jordan. The study was conducted from January 2019 to March 2020. A total of 100 hospitalized leukemia patients with febrile neutropenic episodes were evaluated for the presence of pneumonia. Samples were collected from all patients and tested for microbial growth. Univariate analysis revealed that age ( = .033) and packed cell volume ( = .006) were statistically significant risk factors, associated with the prevalence of pneumonia in leukemia patients with febrile neutropenia episodes. Similarly, as the absolute neutrophil count counts increased with an odds ratio and a 95% confidence interval of 2.386 (0.859-6.625), the odds of pneumonia in febrile neutropenic patients were more prevalent. The study reported the prevalence of pneumonia in immunocompromised febrile neutropenic patients with leukemia, which could lead to the development of evidence-based febrile neutropenic treatment protocol development. It will assure more responsive patient management and treatment.

摘要

本研究旨在探讨约旦安曼皇家医疗服务的侯赛因国王医学中心诊断为白血病的儿科儿童中肺炎的患病率。该研究于 2019 年 1 月至 2020 年 3 月进行。对 100 例患有发热性中性粒细胞减少症的住院白血病患者进行评估,以确定是否存在肺炎。从所有患者中采集样本并进行微生物生长检测。单因素分析显示,年龄(=.033)和红细胞压积(=.006)是与发热性中性粒细胞减少症白血病患者肺炎患病率相关的统计学显著危险因素。同样,随着绝对中性粒细胞计数的增加,肺炎的几率比为 2.386(0.859-6.625),发热性中性粒细胞减少症患者的肺炎患病率更高。本研究报告了免疫功能低下的发热性中性粒细胞减少症白血病患者中肺炎的患病率,这可能导致制定基于证据的发热性中性粒细胞减少症治疗方案。它将确保对患者的管理和治疗更加迅速。

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