Hydroxyurea reduces infections in children with sickle cell anemia in Uganda

Author:

Namazzi Ruth12,Bond Caitlin3,Conroy Andrea L.3,Datta Dibyadyuti3ORCID,Tagoola Abner4,Goings Michael J.3,Jang Jeong Hoon5ORCID,Ware Russell E.6ORCID,Opoka Robert2,John Chandy C.3ORCID

Affiliation:

1. 1Department of Pediatrics and Child Health, Makerere University College of Health Sciences, Kampala, Uganda

2. 2Global Health Uganda, Kampala, Uganda

3. 3Department of Pediatrics, Ryan White Center for Pediatric Infectious Disease and Global Health, Indiana University School of Medicine, Indianapolis, IN

4. 4Department of Pediatrics, Jinja Regional Referral Hospital, Jinja, Uganda

5. 5Underwood International College and Department of Applied Statistics, Yonsei University, Seoul, Korea

6. 6Division of Hematology, Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

Abstract

Abstract After starting hydroxyurea treatment, Ugandan children with sickle cell anemia had 60% fewer severe or invasive infections, including malaria, bacteremia, respiratory tract infections, and gastroenteritis, than before starting hydroxyurea treatment (incidence rate ratio, 0.40 [95% confidence interval, 0.29-0.54]; P < .001).

Publisher

American Society of Hematology

Reference22 articles.

1. Clinical analysis of mortality in hospitalized Zambian children with sickle cell anaemia;Athale;East Afr Med J,1994

2. Global burden of sickle cell anaemia in children under five, 2010-2050: modelling based on demographics, excess mortality, and interventions;Piel;PLoS Med,2013

3. The role of malaria in vaso-occlusive crisis of adult patients with sickle cell disease;Bolarinwa;J Med Med Sci,2010

4. Malaria, clinical features and acute crisis in children suffering from sickle cell disease in resource-limited settings: a retrospective description of 90 cases;Aloni;Pathog Glob Health,2013

5. Causes and outcomes of the acute chest syndrome in sickle cell disease;Vichinsky;N Engl J Med,2000

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