An overview of red blood cell and platelet alloimmunisation in transfusion

Garraud, Olivier; Chiaroni, Jacques

doi:10.1016/j.tracli.2022.08.140

Cited by 8 publications

(2 citation statements)

References 133 publications

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“…iron related infections, in the future, would be to design studies powered to determine if there is an increased risk of infection in well defined settings [51,52 & ]. Intravenous iron is associated with improved haemoglobin levels and reduced RBC transfusions requirements [15 & ,53,54], an important issue as RBC transfusions bear also an infectious risk, immunological and serious transfusion reactions, including circulatory overload and lung injury [55,56].…”

Section: Discussionmentioning

confidence: 99%

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A meta-analysis on the risk of infection associated with intravenous iron therapy in cancer-associated anaemia: a double-edged sword?

Meyers,

Salmon,

Libert

et al. 2024

Current Opinion in Oncology

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Purpose of review The increased use of i.v. iron in the treatment of cancer-associated anemia raises concerns about its risk of infectious complications. High levels of circulating iron could increase the risk of infection by compromising natural defence mechanisms and promoting pathogen growth. Since the risk of infection is particularly high in the oncological population, we have examined whether the use of i.v. iron increases the risk of infectious complications among cancer patients. Findings Among 18 randomized trials in our systematic review, only 8 reported infectious complications, with no significant difference linked to the type of i.v. iron preparation. Two trials showed a statistically significant increase in infectious complications, one trial found a lower risk, while the remaining 5 reported no significant difference. Our meta-analysis revealed a numerical increase in infectious complications in the i.v. iron group, but the lack of statistical significance and significant heterogeneity among the trials limit definitive conclusions on the actual infection risk. Summary Our findings suggest some increased risk in infectious complications after the administration of i.v. iron for cancer associated anaemia. However, i.v. iron therapy appears generally safe and effective in cancer-associated anaemia.

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Section: Discussionmentioning

confidence: 99%

“…Intravenous iron is associated with improved haemoglobin levels and reduced RBC transfusions requirements [15 ▪ ,53,54], an important issue as RBC transfusions bear also an infectious risk, immunological and serious transfusion reactions, including circulatory overload and lung injury [55,56].…”

Section: Discussionmentioning

confidence: 99%