Management of infection prophylaxis in Dutch patients with myelodysplastic syndromes, a web-based case vignette questionnaire: The MINDSET study.


Journal

European journal of haematology
ISSN: 1600-0609
Titre abrégé: Eur J Haematol
Pays: England
ID NLM: 8703985

Informations de publication

Date de publication:
Oct 2022
Historique:
revised: 21 06 2022
received: 25 04 2022
accepted: 22 06 2022
pubmed: 27 6 2022
medline: 14 9 2022
entrez: 26 6 2022
Statut: ppublish

Résumé

Infections are a major cause of morbidity and mortality in patients with myelodysplastic syndromes (MDS). The objective of the MINDSET study was to evaluate haematologists' management of infection prevention in MDS patients using a case vignette study and to assess the availability of guidelines. We conducted a web-based, nationwide survey amongst haematologists in the Netherlands between September and December 2021. The survey included a set of case vignettes. In addition, the availability of protocols was evaluated. Sixty responses were obtained (23.6%). These responses were well distributed across hospital types as well as level of experience. No protocols regarding infection prophylaxis specifically for MDS patients were received. In the case vignette of a 75-year-old MDS patient, respondents would primarily prescribe infection prophylaxis in case of recurrent infections (96.7%) and neutropenia (75.0% for absolute neutrophil count [ANC] < 0.2 × 10 This study showed diverse reasons and considerations of haematologists regarding whether to prescribe infection prophylaxis in MDS patients. Given the seriousness of infections in MDS patients, patient-tailored recommendations might be valuable in clinical decision-making.

Identifiants

pubmed: 35753043
doi: 10.1111/ejh.13820
pmc: PMC9544536
doi:

Substances chimiques

Antifungal Agents 0
Lenalidomide F0P408N6V4

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

381-387

Informations de copyright

© 2022 The Authors. European Journal of Haematology published by John Wiley & Sons Ltd.

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Auteurs

Johanne Rozema (J)

Unit of Pharmacotherapy, Epidemiology and Economics, Department of Pharmacy, University of Groningen, Groningen, The Netherlands.
Department of Clinical Pharmacy & Pharmacology, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.

Eric van Roon (E)

Unit of Pharmacotherapy, Epidemiology and Economics, Department of Pharmacy, University of Groningen, Groningen, The Netherlands.
Department of Clinical Pharmacy & Pharmacology, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.

Lars Vogelzang (L)

Unit of Pharmacotherapy, Epidemiology and Economics, Department of Pharmacy, University of Groningen, Groningen, The Netherlands.

Robby Kibbelaar (R)

Pathology Friesland, Leeuwarden, The Netherlands.

Nic Veeger (N)

MCL Academy, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.
Department of Epidemiology, University of Groningen, University Medical Centre Groningen, Groningen, The Netherlands.

Arjan van de Loosdrecht (A)

Department of Haematology, Amsterdam University Medical Centre, Amsterdam, The Netherlands.

Mels Hoogendoorn (M)

Department of Internal Medicine, Medical Centre Leeuwarden, Leeuwarden, The Netherlands.

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