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. 2017 May 19;6(5):54. doi: 10.3390/jcm6050054

Table 1.

Definition of factor replacement protocol and prophylaxis regimen choice [6].

Protocol Prophylaxis Regimen Choice
Continuous prophylaxis If initiated with the intent of treating for 52 weeks of the year and is accomplished for at least 45 weeks of that year
Primary prophylaxis The regular, continuous use of treatment that is started before the second clinically evident large joint bleed (bleeds in ankles, knees, hips, elbows, or shoulders). It is initiated before three years of age in children without documented osteochondral joint disease (determined by a physical examination and/or imaging studies)
Secondary prophylaxis Initiated after ≥2 bleeds into large joints but before the onset of joint disease documented by physical examination and imaging studies
Tertiary prophylaxis The continuous treatment started after the onset of joint disease, as documented by physical examination and plain radiographs of the affected joints
Intermittent prophylaxis If the prophylaxis regimen does not exceed more than 45 weeks in a year
“On-demand” therapy Treatment given at the time of clinically evident bleeding