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- Title
Preparation for total body irradiation compulsory condition for the success of the technique and of the bone marrow transplant.
- Authors
Nibi, Mioara; Negrescu, Elena; Ianole, Gabriela
- Abstract
The total body irradiation technique is part of the international protocol for the preparation of the patients with malignant hematological diseases, especially acute lymphoblastic leukemia, in order to receive the bone marrow transplant. The transplant represents a procedure through which the patient receives hematopoietic stem cells (cells which help differentiate all the other blood cells) from a compatible donor. During the period of the transplant, the defence functions of the body will be very prejudiced, a condition necessary for accepting the hematopoietic graft. In this sense, the patient will be taken over in an especially built centre for protection against infection, where he/she will remain throughout the period of preparing the transplant and then for 4-5 additional weeks after the transplant. Amethyst Radiotherapy Otopeni is the only radiation therapy centre in Romania which performs the Total Body Irradiation (TBI) procedure through the newest IMRTVMAT technique. For TBI in the Amethyst Clinic, a special preparation is also performed for 6 days, while the therapy is administered. Preparation consists in daily general cleansing (performed during the night) followed by disinfection through nebulisation and the use of UV lamps, the disinfection of the waiting room, of the undressing cabin and of the rooms and contact surfaces (device table, retention elements, mask). At the same time, the equipment used by the patient and by the medical team applying the technique will be made up of scrubs, footwear, sterile bonnet, operating theatre and sterile beds, sterile surgical gloves. At the same time, the patient and the personnel should wear sterile gloves. Infection prophylaxis will positively and considerably influence the evolution of transplant.
- Subjects
TOTAL body irradiation; BONE marrow transplantation
- Publication
Oncolog-Hematolog, 2017, Issue 39, p69
- ISSN
2066-8716
- Publication type
Abstract