Limited Role of Sinus CT in the Management of Febrile Pediatric HSCT Recipients

作者：Dumitriu Anca; Armeson Kent; Hudspeth Michelle^*

来源：Journal of Pediatric Hematology/Oncology, 2016, 38(6): E186-E188.

DOI：10.1097/MPH.0000000000000464

• pediatric hematopoietic stem cell transplant
• sinus computed tomography
• fever

Management guidelines have questioned the role of sinus computed tomography (CT). We reviewed 55 febrile episodes with sinus CT during 1 year after admission for hematopoietic stem cell transplant to determine predictive factors for positive sinus CT and the impact on management. Positive sinus CT findings were seen in 42% of febrile episodes. No characteristics were identified as predictors of a positive sinus CT. No other infectious source was identified in 17% of positive sinus CT episodes, with no pharmacotherapy modifications based solely on a positive sinus CT. Sinus CT should be examined in multicenter groups to develop practice guidelines.

• 出版日期2016-8