Granulocyte-colony stimulating factor and erythropoietin therapy in children with human immunodeficiency virus infection

J Int Med Res. 1996 Jan-Feb;24(1):115-21. doi: 10.1177/030006059602400115.

Abstract

To determine whether granulocyte-colony stimulating factor and erythropoietin are effective in the therapy of neutropenia and anaemia related to human immunodeficiency virus (HIV) infection and to anti-retroviral agents, we recruited 11 HIV-infected children (mean age 4 years 10 months). All the children were given granulocyte-colony stimulating factor at a dosage of 5 micrograms/kg twice or three times a week while erythropoietin was administered additionally to three patients at a dosage of 50 U/kg twice a week. Both agents were administered subcutaneously for at least 4 months. Leukocyte and neutrophil counts significantly increased during the treatment (after 1 months, P = 0.003 and P = 0.009, respectively). Erythropoietin prevented blood transfusions and increased haemoglobin levels in the three children treated. No side-effects were recorded during the administration of either agent. Granulocyte-colony stimulating factor and erythropoietin appear to be safe and useful agents in the management of HIV-infected children.

MeSH terms

  • Antiviral Agents / administration & dosage
  • Child
  • Child, Preschool
  • Drug Therapy, Combination
  • Drug Tolerance
  • Erythropoietin / administration & dosage*
  • Erythropoietin / adverse effects
  • Female
  • Granulocyte Colony-Stimulating Factor / administration & dosage*
  • Granulocyte Colony-Stimulating Factor / adverse effects
  • HIV Infections / blood
  • HIV Infections / drug therapy*
  • Humans
  • Infant
  • Leukocyte Count
  • Male
  • Neutrophils
  • Zidovudine / administration & dosage

Substances

  • Antiviral Agents
  • Erythropoietin
  • Granulocyte Colony-Stimulating Factor
  • Zidovudine