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) |
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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.