Prevention of chemotherapy-induced neutropenia by special honey intake

被引:12
作者
Zidan, Jamal
Shetver, Lika
Gershuny, Anthony
Abzah, Amira
Tamam, Sigalit
Stein, Moshe
Friedman, Eitan
机构
[1] Sieff Hosp, Oncol Unit, Safed, Israel
[2] Technion Israel Inst Technol, Fac Med, Haifa, Israel
[3] Oldchurch Hosp, Dept Clin Oncol, Romford RM7 0BE, Essex, England
[4] Rambam Med Ctr, Dept Oncol, Haifa, Israel
[5] Chaim Sheba Med Ctr, Oncogenet Unit, IL-52621 Tel Hashomer, Israel
关键词
chemotherapy; cancer patients; hematologic toxicity; honey;
D O I
10.1385/MO:23:4:549
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Febrile neutropenia is a serious side effect of chemotherapy. Colony-stimulating factors (CSFs) are used for primary and secondary treatment in patients with grade 4 neutropenia. The use of CSFs is expensive and accompanied by side effects. In the current study, Life-Mel Honey (LMH) was administered to prevent neutropenia and to reduce the need for CSFs in patients treated with chemotherapy. Thirty cancer patients receiving chemotherapy for primary or metastatic disease were included. All patients had grade 4 neutropenia and were treated with CSFs. The patients repeated the same chemotherapy schedule, with the addition of LMH for 5 d. Blood count was performed weekly. There was no recurrence of neutropenia after LMH intake and no need for treatment with CSFs in 12 (40%) of patients. Eighteen (60%) patients with LMH developed neutropenia grade 4 and were treated with CSFs (p = 0.007). Hemoglobin levels remained > 11 g/dL during LMH intake in 19 (64%) patients. Only- three (10%) patients had thrombocytopenia. Eight (32%) patients reported improvement in quality of life. The use of LMH in patients who are at high risk of developing neutropenia as a result of chemotherapy decreases the risk of pancytopenia and the need for CSFs. LMH is inexpensive, has no side effects, and is easy to administer.
引用
收藏
页码:549 / 552
页数:4
相关论文
共 10 条
  • [1] BERMOND P, 1990, FOOD ANTIOXIDANTS, P193
  • [2] Early lymphopenia after cytotoxic chemotherapy as a risk factor for febrile neutropenia
    Blay, JY
    Chauvin, F
    LeCesne, A
    Anglaret, B
    Bouhour, D
    Lasset, C
    Freyer, G
    Philip, T
    Biron, P
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 1996, 14 (02) : 636 - 643
  • [3] Bokemeyer C, 1996, ANN HEMATOL, V72, P1
  • [4] 2002 guidelines for the use of antimicrobial agents in neutropenic patients with cancer
    Hughes, WT
    Armstrong, D
    Bodey, GP
    Bow, EJ
    Brown, AE
    Calandra, T
    Feld, R
    Pizzo, PA
    Rolston, KVI
    Shenep, JL
    Young, LS
    [J]. CLINICAL INFECTIOUS DISEASES, 2002, 34 (06) : 730 - 751
  • [5] KUKAGAWA K, 1990, CHEM IMPLICATIONS DE
  • [6] 2000 update of recommendations for the use of hematopoietic colony-stimulating factors: Evidence-based, clinical practice guidelines
    Ozer, H
    Armitage, JO
    Bennett, CL
    Crawford, J
    Demetri, GD
    Pizzo, PA
    Schiffer, CA
    Smith, TJ
    Somlo, G
    Wade, JC
    Wade, JL
    Winn, RJ
    Wozniak, AJ
    Somerfield, MR
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2000, 18 (20) : 3558 - 3585
  • [7] Design and interpretation of clinical trials that evaluate agents that may offer protection from the toxic effects of cancer chemotherapy
    Phillips, KA
    Tannock, IF
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 1998, 16 (09) : 3179 - 3190
  • [8] ROSENBLAT G, 1996, INT C BEE PROD PROP
  • [9] WHITE JW, 1978, ADV FOOD RES, V24, P288
  • [10] ZIDAN J, 2005, 16 INT C ANT TREATM, P349