Colony Stimulating Factors for at Risk Patients

Colony Stimulating Factors for at Risk Patients

PEP Topic 
Prevention of Infection: Transplant

Granulocyte (G-CSFs) and granulocyte-macrophage colony stimulating factors (GM-CSFs) are substances that bind to hematopoietic stem cells, activating them to proliferate and differentiate into granulocytes and macrophages – the specific cell type of interest.  CSFs administered systemically have been evaluated and recommended for patients with cancer for the prevention of infection and febrile neutropenia. CSFs may be used for primary or secondary prophylaxis.  In primary prophylaxis, CSFs are administered with the first course of chemotherapy in order to prevent neutropenic sequelae.  In secondary prophylaxis, CSFs are used for patients who had febrile neutropenia or infections during a prior course of therapy provided without CSF prophylaxis.  The National Comprehensive Cancer Network (NCCN), the American Society of Clinical Oncology, and the European Oncology Research and Treatment groups have guidelines regarding the use of prophylactic CSFs. Patients considered at risk are those in whom prolonged severe neutropenia is expected.

Recommended for Practice

Research Evidence Summaries

Guideline/Expert Opinion