Document Detail


Safety of infliximab treatment in pediatric patients with inflammatory bowel disease.
MedLine Citation:
PMID:  15319627     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Infliximab appears to be efficacious in the treatment of pediatric Crohn disease (CD). There are few large-scale pediatric studies on the complications of infliximab therapy. METHODS: A retrospective review of all infliximab infusions administered to IBD patients at a tertiary children's hospital was undertaken. Data was obtained from an infliximab infusion database maintained in the section of Pediatric Gastroenterology, pharmacy records and patient charts. RESULTS: 594 infusions were administered to 111 IBD patients (88 CD and 23 UC; 55 male and 56 female; ages 4 to 20 years; mean age, 13.4 years). The number of infusions ranged from 1 to 24 with a mean of 5.4/patient. Infusion reactions occurred in 8.1% of patients (seven early and two delayed) and in 1.5% of all infusions. Reactions occurred more frequently in female patients (14% versus 2%; P = 0.03). All reactions were mild and responded rapidly to treatment. Four patients had infections deemed unusual, including three cutaneous tinea infections and one case of shingles. CONCLUSION: Infliximab is safe in pediatric IBD patients with a low incidence of generally mild reactions that respond rapidly to intervention. Infusion reactions are more common in female patients. Our patients had no serious infectious complications, although cutaneous tinea infection may represent a newly reported associated complication.
Authors:
Craig A Friesen; Cheryl Calabro; Kathy Christenson; Ellen Carpenter; Eleanor Welchert; James F Daniel; Sara Haslag; Charles C Roberts
Related Documents :
8675087 - Smoking may prevent pouchitis in patients with restorative proctocolectomy for ulcerati...
7656747 - Effects of short chain fatty acids on mucosal proliferation and inflammation of ileal p...
20848457 - Capsule endoscopy in inflammatory bowel disease type unclassified and indeterminate col...
8274797 - The incidence of sweet's syndrome in geneva. a retrospective study of 29 cases.
3929747 - The laboratory heterogeneity of lupus anticoagulants.
19329937 - Spectrum of histologic changes in colonic biopsies in patients treated with mycophenola...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric gastroenterology and nutrition     Volume:  39     ISSN:  0277-2116     ISO Abbreviation:  J. Pediatr. Gastroenterol. Nutr.     Publication Date:  2004 Sep 
Date Detail:
Created Date:  2004-08-20     Completed Date:  2005-04-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211545     Medline TA:  J Pediatr Gastroenterol Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  265-9     Citation Subset:  IM    
Affiliation:
Section of Gastroenterology, The Children's Mercy Hospital and Clinics, Kansas City, Missouri 64108, USA. cfriesen@cmh.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Antibodies, Monoclonal / adverse effects,  therapeutic use*
Child
Child, Preschool
Colitis, Ulcerative / drug therapy
Crohn Disease / drug therapy
Female
Gastrointestinal Agents / adverse effects,  therapeutic use*
Humans
Inflammatory Bowel Diseases / drug therapy*
Infusions, Parenteral
Male
Retrospective Studies
Safety
Sex Factors
Treatment Outcome
Chemical
Reg. No./Substance:
0/Antibodies, Monoclonal; 0/Gastrointestinal Agents; 0/infliximab

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Esophagitis: optimizing diagnostic yield by biopsy orientation.
Next Document:  Intestinal imaging of children with acute rotavirus gastroenteritis.