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. 2016 Apr 29;2016(4):CD005339. doi: 10.1002/14651858.CD005339.pub2

1. Characteristics of Studies.

Study Number of participants Method of granulocyte procurement Dose of granulocyte transfusions
Median (Range)
Frequency of granulocyte transfusions Granulocytes Irradiated Period of observation post onset of fever Donor pre‐medication Donor selection
Alavi 1977 31 Filtration leukapheresis 3.3 x 1010/m2 children
(Not reported)
3.2 x 1010/m2 adults
(Not reported)
Daily Not reported 1 to 24 hours Hydrocortisone Red cell compatibility alone
Bow 1984 24 Discontinous flow centrifugation Mean 0.49 x 1010/m2
SD 0.20a
Not reported Not reported 72 hours Dexamethasone HLA compatibility
WBC compatibility/crossmatch
Herzig 1977 27 Continous flow centrifugation 0.4 x 1010/m2
(0.2 to 0.8)
Daily Yes
1500 to 2500 rads
variableb None WBC compatibility/crossmatch
Filtration leukapheresis 1.7 x 1010/m2
(0.6 to 4.6)
Higby 1975 36 Filtration leukapheresis 2.2 x 1010/m2
(1.1 to 5.0)
Daily Not reported 48 hours Dexamethasone WBC compatibility/crossmatch
Klastersky 1983 39 Not reported > 1.0 x 1010/m2
(Not reported)
Daily Not reported 24 hours Not reported Not reported
Price 2015 97 Continuous flow centrifugation 5.5 x 1010
(IQR 2.6 to 7.3)
Daily Yes
1500 to 2500 cGy
variablec G‐CSF and Dexamethasone Red cell compatibility alone
Scali 1978 25 Continous flow centrifugation 2.9 x 1010 Daily Not reported 24 hours Not reported Red cell compatibility alone
Seidel 2008a 74 Continous flow centrifugation 4.6 x 1010
(0.84 to 11.2)d
Alternate days Yes
30Gy
Not reported G‐CSF Not reported
Vogler 1977 30 Continous flow centrifugation 2.7 x 1010
(Not reported)
At least 4 transfusions in an 8 day period Not reported variablee None, hydrocortisone, or dexamethasone HLA compatibility
WBC compatibility/crossmatch
Winston 1982a 95 Discontinous flow centrifugation 0.5 x 1010
(0.1 to 2.7)
Daily No variablef None Red cell compatibility alone

aConverted to per m2 by dividing by the estimated adult body surface area (1.79) in adult patients according to Sacco 2010.

bWithin 24 hours of a positive blood culture result.

cEligibility criteria changed during the trial. Initially treatment was within 24 hours of a proven or probable bacterial fungal infection. After 31 months this was liberalised within one week. Time from eligibility to first transfusion was 2.3 ± 1.2 days.

dAssuming weight is 70kg.

eWhen patient had received at least 72 hours of appropriate antibiotics (bactericidal in vitro) to treat organism identified on culture. Five participants had an infection for more than 10 days (2 control, 3 granulocyte transfusions); 13 participants had an infection for 5 to 10 days (5 control, 8 granulocyte transfusions); and 12 participants had an infection for 3 to 5 days (6 control, 6 granulocyte transfusions).

fWithin 24 hours of a positive blood culture result, the appearance of an infiltrate on chest X‐ray, or the initial development of a cellulitis or abscess.