title: Supportive care of the marrow transplant recipient: the Seattle Experience.
abstract: It is now almost 2 decades after the first successful human marrow transplants from HLA-identical siblings for the treatment of life-threatening hematologic diseases. Results have improved, especially for patients transplanted earlier in the course of disease. However, major problems remain in supporting patients through the transplant. More effective and less toxic conditioning regimens are needed. Acceleration of hematopoietic and immunologic reconstitution by use of various cytokines holds promise for decreasing infectious morbidity and mortality. Improved regimens to control acute and chronic GVHD and prevent opportunistic infections will play a major role in the advancement of supportive care of the marrow transplant recipient.
authors.affiliation: Fred Hutchinson Cancer Research Center, Seattle, WA.
authors.forename: K M
authors.initials: KM
authors.lastname: Sullivan
authors.forename: J
authors.initials: J
authors.lastname: Meyers
authors.forename: F B
authors.initials: FB
authors.lastname: Petersen
authors.forename: R
authors.initials: R
authors.lastname: Bowden
authors.forename: G C
authors.initials: GC
authors.lastname: Counts
authors.forename: M
authors.initials: M
authors.lastname: Banaji
authors.forename: M
authors.initials: M
authors.lastname: Schubert
authors.forename: J
authors.initials: J
authors.lastname: Clark
authors.forename: R A
authors.initials: RA
authors.lastname: Clift
authors.forename: F R
authors.initials: FR
authors.lastname: Appelbaum
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use; D000903:Antibiotics, Antineoplastic / Q000009:adverse effects; D001803:Blood Transfusion; D016026:Bone Marrow Transplantation / Q000009:adverse effects / Q000276:immunology / Q000451:nursing; D003115:Colony-Stimulating Factors / Q000627:therapeutic use; D003131:Combined Modality Therapy; D006085:Graft Survival; D006086:Graft vs Host Disease; D006410:Hematopoiesis; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects; D007239:Infections / Q000188:drug therapy / Q000209:etiology; D014916:Whole-Body Irradiation / Q000009:adverse effects
chemical_list: D000890:Anti-Infective Agents; D000903:Antibiotics, Antineoplastic; D003115:Colony-Stimulating Factors