Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2005-11-30
pubmed:abstractText
Many patients require parenteral iron therapy for optimal correction of anemia, including cancer patients who require erythropoietic drugs. Available parenteral iron therapy options include iron dextran, iron gluconate, and iron sucrose. The purpose of this study is to summarize our institution's experience with parenteral iron therapy over a 5-year period, with a focus on comparative safety profiles. All patients receiving parenteral iron therapy over this period were included in the analysis. Chi-squared test and Fisher's exact test were used to compare the adverse event rates of each product. A total of 121 patients received 444 infusions of parenteral iron over this period. Iron dextran was the most commonly used product (85 patients) and iron sucrose was the least used (2 patients). Iron gluconate was used by 34 patients. Overall adverse event rates per patient with iron dextran and iron gluconate were 16.5% and 5.8%, respectively (P = .024). Premedication with diphenhydramine and acetaminophen before infusions of iron dextran reduced adverse event rates per infusion from 12.3% to 4.4% (P = .054). Test doses of iron dextran were used 88% of the time for initial infusions of iron dextran. All adverse events for all parenteral iron products were mild or moderate. There were no serious adverse events and no anaphylaxis was observed. Our results suggest that, if test doses and premedications are used, iron dextran is an acceptable product to treat iron deficiency.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
1540-1405
pubmed:author
pubmed:issnType
Print
pubmed:volume
3
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
791-5
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:16316614-Acetaminophen, pubmed-meshheading:16316614-Anemia, Iron-Deficiency, pubmed-meshheading:16316614-Diphenhydramine, pubmed-meshheading:16316614-Female, pubmed-meshheading:16316614-Ferric Compounds, pubmed-meshheading:16316614-Gastrointestinal Hemorrhage, pubmed-meshheading:16316614-Humans, pubmed-meshheading:16316614-Infusions, Parenteral, pubmed-meshheading:16316614-Iron Metabolism Disorders, pubmed-meshheading:16316614-Iron-Dextran Complex, pubmed-meshheading:16316614-Kidney Diseases, pubmed-meshheading:16316614-Male, pubmed-meshheading:16316614-Menorrhagia, pubmed-meshheading:16316614-Neoplasms, pubmed-meshheading:16316614-Premedication, pubmed-meshheading:16316614-Retrospective Studies, pubmed-meshheading:16316614-Telangiectasia, Hereditary Hemorrhagic, pubmed-meshheading:16316614-United States, pubmed-meshheading:16316614-von Willebrand Diseases
pubmed:year
2005
pubmed:articleTitle
Parenteral iron therapy: a single institution's experience over a 5-year period.
pubmed:affiliation
Department of Pharmacy Services, Huntsman Cancer Institute, Salt Lake City, UT 84132, USA.
pubmed:publicationType
Journal Article, Comparative Study