...Literature Review Neutropenia is an abnormally low count of neutrophils, white blood cells that help your immune system fight off infections, particularly of bacteria and fungi (Flores, 2010). A patient with neutronpenia is at an increased risk for infection. Neutropenia affects as many as one in three patients receiving chemotherapy for cancer, therefore neutropenia is commonly seen on oncology units at hospitals (Flores, 2010). It is also associated with many other diseases like Lupus, Malaria, Hepatitis viruses, Barth Syndrome, Rheumatoid Arthritis, Sjogren's Syndrome, Shwachman-Diamond Syndrome, Aplastic Anemia and Myelodysplastic Syndromes, Parvovirus, Felty's Syndrome, to name just a few (Duffy, 2009). In hospitals, a common practice to prevent someone with neutropenia from acquiring an infection is to put them on neutropenic precautions. This literature review will look at several articles to assess key aspects of neutropenic precautions. Typical neutropenic precautions in hospital include keeping neutropenic patients in a quarantined environment, instituting dietary constraints, and giving them protective clothing. According to Young (2009), the most important and basic aspect of neutopenic precautions is hand washing. While hand hygiene is important in all aspects of health care, it is particularly important when caring for a patient with neutropenia. Poor hand hygiene accounts for over seventy five percent of hospital acquired infections in patients with neutropenia...
Words: 473 - Pages: 2
...produce sufficient new cells to replenish blood cells. The condition, per its name, involves both aplasia and anemia. Typically, anemia refers to low red blood cell counts, but aplastic anemia patients have lower counts of all three blood cell types: red blood cells, white blood cells, and platelets, termed pancytopenia. Causes Congenital or inherited causes Congenital or inherited causes of aplastic anemia (20%) include the following: • Patients usually have dysmorphic features or physical stigmata; on occasion, marrow failure may be the initial presenting feature. • Fanconi anemia • Dyskeratosis congenita • Cartilage-hair hypoplasia • Pearson syndrome • Amegakaryocytic thrombocytopenia (thrombocytopenia-absent radius [TAR] syndrome) • Shwachman-Diamond syndrome • Dubowitz syndrome • Diamond-Blackfan syndrome • Familial aplastic anemia Acquired causes Acquired causes of aplastic anemia (80%) include the following: • Idiopathic factors • Infectious causes, such as hepatitis viruses, Epstein-Barr virus (EBV), human immunodeficiency virus (HIV), parvovirus, and mycobacteria • Toxic exposure to radiation and chemicals, such as benzene • Transfusional GVHD • Orthotopic liver transplantation for fulminant hepatitis • Pregnancy • Eosinophilic fasciitis Drugs and elements, such as chloramphenicol, phenylbutazone, and gold, may cause aplasia of the marrow. Staging Staging of aplastic anemia is based on the criteria of the International Aplastic Anemia Study...
Words: 1015 - Pages: 5