Infections cause significant morbidity in children with acute lymphoblastic leukemia (ALL).
The incidence of viral infections commonly occurring in children with ALL receiving chemotherapy was compared with viral infections in control children and the spread of infections in families was traced.
Fifteen families of children with ALL receiving chemotherapy (62 members) and 26 matched control families (106 members) were monitored for a total of 36,197 and 36,583 days, respectively, from November/1987 to December/1989 for the occurrence of infections.
The children with ALL had more infections than their control counterparts (P<0.01) with respiratory infections the most common in both groups.
Viral etiology was verified for 47 episodes [5.2/1000 days at risk, 95% confidence interval (CI) 3.9-7.0] in the children with ALL and 22 (2.4/1000 days at risk, 95% CI 1.5-3.7) in the control subjects (P<0.01 for the difference).
Parainfluenza viruses, enteroviruses, and adenoviruses were the most common agents in both groups.
The infections of the other members of the patients'families were similar to those of their controls.
The children with ALL had more infections than their controls, but they managed to recover well from viral infections caused by common respiratory viruses.
The children with ALL did not change the spread of infections among family members.
Cancer 1995 ; 75 : 1712-7.
Mots-clés Pascal : Leucémie lymphoblastique, Enfant, Homme, Chimiothérapie, Anticancéreux, Virose, Infection, Complication, Incidence, Epidémiologie, Aigu, Hémopathie maligne, Lymphoprolifératif syndrome
Mots-clés Pascal anglais : Acute lymphocytic leukemia, Child, Human, Chemotherapy, Antineoplastic agent, Viral disease, Infection, Complication, Incidence, Epidemiology, Acute, Malignant hemopathy, Lymphoproliferative syndrome
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0396148
Code Inist : 002B19B. Création : 01/03/1996.