Review and update of the use of urokinase in the prevention and management of CVAD-related complications in pediatric oncology patients.
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Review and update of the use of urokinase in the prevention and management of CVAD-related complications in pediatric oncology patients. / Simon, Arne; Udo, Bode; Lieber, Kerstin; Beutel, Karin; Fleischhack, Gudrun.
in: AM J INFECT CONTROL, Jahrgang 36, Nr. 1, 1, 2008, S. 54-58.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Review and update of the use of urokinase in the prevention and management of CVAD-related complications in pediatric oncology patients.
AU - Simon, Arne
AU - Udo, Bode
AU - Lieber, Kerstin
AU - Beutel, Karin
AU - Fleischhack, Gudrun
PY - 2008
Y1 - 2008
N2 - Pediatric oncologists from Germany systematically reviewed the literature, considering the use of urokinase in pediatric oncology patients published since 1998 and came to the following conclusions. The use of urokinase to prevent central venous access device (CVAD)-related infections in pediatric cancer patients represents an evidence-based approach, at least in external, tunneled catheters (eg, Hickman, Broviac). The effectiveness of urokinase prophylaxis in decreasing infections and thrombotic events is probably related not only to the concentration and timing of the urokinase intervention but also to the type of CVAD, and perhaps to the intensity of the concomitant chemotherapy program. Urokinase can safely and effectively be used on CVADs with malfunctioning or intraluminal occlusion in a dose of 5000 IU/mL or as salvage 3-hour infusion with 1000 IU/kg/hour. Hitherto, adjuvant treatment with urokinase in the management of CVADs with intraluminal infection still relies on case reports and small case series. In this field, a randomized controlled study is necessary.
AB - Pediatric oncologists from Germany systematically reviewed the literature, considering the use of urokinase in pediatric oncology patients published since 1998 and came to the following conclusions. The use of urokinase to prevent central venous access device (CVAD)-related infections in pediatric cancer patients represents an evidence-based approach, at least in external, tunneled catheters (eg, Hickman, Broviac). The effectiveness of urokinase prophylaxis in decreasing infections and thrombotic events is probably related not only to the concentration and timing of the urokinase intervention but also to the type of CVAD, and perhaps to the intensity of the concomitant chemotherapy program. Urokinase can safely and effectively be used on CVADs with malfunctioning or intraluminal occlusion in a dose of 5000 IU/mL or as salvage 3-hour infusion with 1000 IU/kg/hour. Hitherto, adjuvant treatment with urokinase in the management of CVADs with intraluminal infection still relies on case reports and small case series. In this field, a randomized controlled study is necessary.
M3 - SCORING: Zeitschriftenaufsatz
VL - 36
SP - 54
EP - 58
JO - AM J INFECT CONTROL
JF - AM J INFECT CONTROL
SN - 0196-6553
IS - 1
M1 - 1
ER -
