Author: De Jong, Cornelis N.; Saes, Lotte; Klerk, Clara P. W.; Van der Klift, Marjolein; Cornelissen, Jan J.; Broers, Annoek E. C.
Title: Etanercept for steroid-refractory acute graft-versus-host disease: A single center experience Document date: 2017_10_26
ID: 1hcp36cw_12
Snippet: Prophylaxis for all patients included (val)acyclovir (herpes viruses) and cotrimoxazole (Pneumocystis jirovecii) until at least one year after transplantation or prolonged in case of GVHD. Patients with SR-aGVHD treated with etanercept received additional anti-aspergillus prophylaxis with voriconazole. Furthermore, since August 2012, patients with aGVHD of the lower gastrointestinal tract (irrespective of steroid responsiveness) with complaints o.....
Document: Prophylaxis for all patients included (val)acyclovir (herpes viruses) and cotrimoxazole (Pneumocystis jirovecii) until at least one year after transplantation or prolonged in case of GVHD. Patients with SR-aGVHD treated with etanercept received additional anti-aspergillus prophylaxis with voriconazole. Furthermore, since August 2012, patients with aGVHD of the lower gastrointestinal tract (irrespective of steroid responsiveness) with complaints of bloody diarrhea or large mucosal defects at endoscopy, received levofloxacin. Patients at risk for cytomegalovirus (CMV) and Epstein-Barr virus (EBV) reactivations were monitored by quantitative polymerase chain reaction (PCR) of plasma and treated preemptively according to local protocols.
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