The impact of hyperglycemia on risk of infection and early death during induction therapy for acute lymphoblastic leukemia (ALL).

Abstract:

:Hyperglycemia during induction chemotherapy for childhood acute lymphoblastic leukemia (ALL) has been inconsistently associated with risk of infection. We investigated the incidence of hyperglycemia during induction for childhood ALL in a retrospective cohort study of 144 patients treated on a single national protocol (UKALL2003) and explored its association with infection. All patients received dexamethasone. Overt hyperglycemia was seen in 36% and proven bacterial or fungal infection was most common in this group (OR 4.1 (1.1-15.6), P = 0.039). Both hyperglycaemia and infection were particularly common in patients with Down Syndrome.

journal_name

Pediatr Blood Cancer

journal_title

Pediatric blood & cancer

authors

Dare JM,Moppett JP,Shield JP,Hunt LP,Stevens MC

doi

10.1002/pbc.24689

subject

Has Abstract

pub_date

2013-12-01 00:00:00

pages

E157-9

issue

12

eissn

1545-5009

issn

1545-5017

journal_volume

60

pub_type

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