Titre : Neutropénie fébrile induite par la chimiothérapie

Neutropénie fébrile induite par la chimiothérapie : Questions médicales fréquentes

Termes MeSH sélectionnés :

Child Development
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neutropénie fébrile ?\nQuand administrer des antibiotiques ?\nQuels facteurs de croissance sont utilisés ?\nLa transfusion de plaquettes est-elle nécessaire ?\nComment surveiller l'efficacité du traitement ?", "url": "https://questionsmedicales.fr/mesh/D064146?mesh_terms=Child+Development&page=4#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Neutropénie fébrile induite par la chimiothérapie", "description": "Quelles sont les complications possibles ?\nLa neutropénie fébrile peut-elle être mortelle ?\nQuels types d'infections sont fréquents ?\nComment le sepsis se développe-t-il ?\nY a-t-il des risques de complications à long terme ?", "url": "https://questionsmedicales.fr/mesh/D064146?mesh_terms=Child+Development&page=4#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Neutropénie fébrile induite par la chimiothérapie", "description": "Quels sont les 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numération inférieure à 1500 neutrophiles par microlitre est considérée comme neutropénie." } }, { "@type": "Question", "name": "Quand doit-on suspecter une neutropénie fébrile ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "En cas de fièvre supérieure à 38°C chez un patient sous chimiothérapie." } }, { "@type": "Question", "name": "Quels signes cliniques peuvent alerter ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Des frissons, une fatigue extrême et des infections cutanées peuvent alerter." } }, { "@type": "Question", "name": "Quels sont les symptômes de la neutropénie fébrile ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Fièvre, frissons, infections fréquentes et fatigue intense sont courants." } }, { "@type": "Question", "name": "La neutropénie fébrile cause-t-elle des douleurs ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Elle peut entraîner des douleurs abdominales ou thoraciques dues à des infections." } }, { "@type": "Question", "name": "Comment se manifeste la fièvre dans cette condition ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "La fièvre est souvent supérieure à 38°C et peut être persistante." } }, { "@type": "Question", "name": "Y a-t-il des symptômes cutanés associés ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Des éruptions cutanées ou des ulcères peuvent apparaître en raison d'infections." } }, { "@type": "Question", "name": "Les symptômes varient-ils selon les patients ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les symptômes peuvent varier en fonction de l'état immunitaire et des infections." } }, { "@type": "Question", "name": "Comment prévenir la neutropénie fébrile ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "La prévention inclut l'utilisation de facteurs de croissance et une bonne hygiène." } }, { "@type": "Question", "name": "Les patients doivent-ils éviter certains aliments ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, éviter les aliments crus ou mal cuits pour réduire le risque d'infection." } }, { "@type": "Question", "name": "Quelles mesures d'hygiène sont recommandées ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Se laver les mains fréquemment et éviter les foules sont recommandés." } }, { "@type": "Question", "name": "Les vaccinations sont-elles importantes ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les vaccinations doivent être à jour pour prévenir les infections." } }, { "@type": "Question", "name": "Comment gérer les contacts avec des malades ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Éviter les contacts avec des personnes malades est crucial pour la prévention." } }, { "@type": "Question", "name": "Quel est le traitement principal de la neutropénie fébrile ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement principal inclut des antibiotiques et des facteurs de croissance des neutrophiles." } }, { "@type": "Question", "name": "Quand administrer des antibiotiques ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Les antibiotiques doivent être administrés dès que la neutropénie fébrile est suspectée." } }, { "@type": "Question", "name": "Quels facteurs de croissance sont utilisés ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Le G-CSF (facteur de stimulation des colonies de granulocytes) est couramment utilisé." } }, { "@type": "Question", "name": "La transfusion de plaquettes est-elle nécessaire ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Elle peut être nécessaire si le patient présente une thrombopénie sévère." } }, { "@type": "Question", "name": "Comment surveiller l'efficacité du traitement ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "La numération sanguine doit être surveillée régulièrement pour évaluer la réponse." } }, { "@type": "Question", "name": "Quelles sont les complications possibles ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des infections graves, des sepsis et des hospitalisations prolongées." } }, { "@type": "Question", "name": "La neutropénie fébrile peut-elle être mortelle ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elle peut être mortelle si des infections ne sont pas traitées rapidement." } }, { "@type": "Question", "name": "Quels types d'infections sont fréquents ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Les infections bactériennes et fongiques sont les plus fréquentes chez ces patients." } }, { "@type": "Question", "name": "Comment le sepsis se développe-t-il ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Le sepsis peut se développer à partir d'infections non traitées en raison de la neutropénie." } }, { "@type": "Question", "name": "Y a-t-il des risques de complications à long terme ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des complications à long terme peuvent inclure des problèmes immunitaires persistants." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les principaux facteurs incluent le type de chimiothérapie et l'âge avancé du patient." } }, { "@type": "Question", "name": "Les antécédents médicaux influencent-ils le risque ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents de maladies hématologiques augmentent le risque de neutropénie." } }, { "@type": "Question", "name": "Le sexe du patient joue-t-il un rôle ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Le sexe n'a pas d'impact significatif sur le risque de neutropénie fébrile." } }, { "@type": "Question", "name": "Les traitements antérieurs affectent-ils le risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des traitements antérieurs peuvent sensibiliser le patient à la neutropénie." } }, { "@type": "Question", "name": "L'état nutritionnel influence-t-il le risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Un état nutritionnel déficient peut augmenter le risque d'infections et de neutropénie." } } ] } ] }

Sources (10000 au total)

Cohort profile: the U-BIRTH study on peripartum depression and child development in Sweden.

The current U-BIRTH cohort (Uppsala Birth Cohort) extends our previous cohort Biology, Affect, Stress, Imaging and Cognition (BASIC), assessing the development of children up to 11 years after birth. ... All mothers participating in the previous BASIC cohort are invited, and mother-child dyads recruited in the U-BIRTH study are consecutively invited to questionnaire assessments and biological sampling... Based on the complete data from pregnancy to 18 months post partum, peripartum mental health was significantly associated with the development of attentional control and gaze-following behaviours, whi... Given that the data collection at 18 months is complete, analyses are now being undertaken. Currently, assessments for children reaching 6 and 11 years are ongoing....

Training packages for the use of child development tools in low/middle-income countries: a review.

We are now moving beyond the focus of 'child survival' to an era which promotes children thriving and developing rather than simply 'surviving'. In doing so, we are becoming more aware of the large va... This narrative review identifies 24 child development tools used in LMICs. We aimed to identify information on training accessibility and training design, assessment methods and cost of training. For ... Information on training features was identified for 18 tools. All of the tools are identified as screening tools with some also identified as surveillance or assessment tools. The training material fo... Training is a key factor when selecting a child development screening or surveillance tool particularly in a low-income or middle-income setting where funds may be limited. The accessibility of traini...

Predictors of early child development for screening pregnant women most in need of support in Brazil.

Home visiting programmes can support child development and reduce inequalities, but failure to identify the most vulnerable families can undermine such efforts. We examined whether there are strong pr... We undertook a prospective cohort study on 3603 children whom we followed from gestation to age four years. We then used 27 potential socioeconomic, psychosocial, and clinical risk factors measurable ... The decision tree analyses identified maternal schooling as the most important variable for predicting BDI, followed by paternal schooling. Based on these variables, a group of 214 children who had th... Information on maternal and paternal schooling can improve the focus of home visiting programmes if used for initial population-level screening of pregnant women in Brazil. However, enrolment decision...

Effects of prenatal subjective well-being on birth outcomes and child development: A longitudinal study.

Although maternal mental illnesses have been found to influence child health and development, little is known about the impact of maternal positive well-being on child health and development. Therefor... Pregnant women in early stages of pregnancy were recruited at five selected hospitals in Taipei, Taiwan, during their prenatal appointments since 2011. Self-reported evaluations were conducted at seve... Higher prenatal eudaimonic well-being was associated with longer gestational length (adjusted beta [aβ] = 0.36, 95% confidence interval [CI] = 0.03, 0.68) and higher birth weight (aβ = 124.71, 95% CI ... Positive prenatal maternal mental health may benefit birth outcomes and child development, particularly for children of multiparous mothers. Interventions for improving prenatal mental health may be b...

Social inequalities in child development: the role of differential exposure and susceptibility to stressful family conditions.

Stressful family conditions may contribute to inequalities in child development because they are more common among disadvantaged groups (ie, differential exposure) and/or because their negative effect... We used data from the Generation R Study, a population-based birth cohort in the Netherlands (n=6842). Mother's education was used as the exposure. Developmental outcomes, measured at age 13 years, we... Differential exposure to financial stress caused a 0.07 (95% CI -0.12 to -0.01) SD worse emotional and behavioural problem -score, a 0.05 (95% CI -0.08 to -0.02) SD lower intelligence score and a 0.05... Among children of less-educated mothers, higher exposure to financial stress in the family substantially contributes to inequalities in socioemotional development, but less so for cognitive developmen...

Missed initial appointments at Israeli child development centres: Rate, reasons, and associated characteristics.

Missed appointments (MAs) at child development centres (ChDCs) cause multiple problems: they preclude timely diagnosis and treatment of both the invited child and children whose appointment was delaye... This nested case-control study included all children scheduled for initial appointments (N = 1143) at three centres during 1 year. Parents of children who missed their appointment and a sample of thos... The rate of missed appointments was 26.6%, and the most frequent reasons were unexpected events (26.0%) and lack of insurance coverage (23.4%). Variables associated with lower MA rates were: having ha... Encouraging physician's referral letters and personal-contact reminders can reduce missed appointments. Understanding the family's and the child's personal characteristics, and the organisational/admi...

Understanding child development and care integrality: Primary Health Care doctors and nurses' view.

To identify perceptions of primary care health professionals regarding the conceptual aspects of child development and propose strategies to address difficulties.... This descriptive-analytical study was conducted in a small municipality in the countryside of the State of São Paulo, Brazil. The primary health care in this region is comprised of Family Health Units... Among the participants, 54% were nurses, and the average duration of working with the pediatric population was ten years. 80% reported never having undergone training in child development. The analysi... The findings underscore the necessity of implementing health education initiatives and service projects in primary care settings. It is crucial to strengthen a comprehensive perspective of child healt...