Effects of chlorhexidine during immunosuppressive chemotherapy : a preliminary report

Immunosuppressive chemotherapy and bone marrow transplantation are increasingly used to treat and, in some cases, cure numerous malignant conditions. The systemic sequelae as a result of these immunosuppressive techniques lead to a host of oral and dental complications. The direct and indirect stoma...

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Veröffentlicht in:Oral surgery, oral medicine, oral pathology oral medicine, oral pathology, 1993-10, Vol.76 (4), p.441-448
Hauptverfasser: RUTKAUSKAS, J. S, DAVIS, J. W
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DAVIS, J. W
description Immunosuppressive chemotherapy and bone marrow transplantation are increasingly used to treat and, in some cases, cure numerous malignant conditions. The systemic sequelae as a result of these immunosuppressive techniques lead to a host of oral and dental complications. The direct and indirect stomatotoxic effects lead to development of ulcerative, hemorrhagic, or infectious complications that potentially can lead to increased mortality and morbidity. Chlorhexidine was studied to evaluate its broad spectrum antimicrobial properties and to evaluate its effect on immunosuppression-induced mucositis. Our double-blind randomized study revealed that chlorhexidine versus controls had considerable effect in the bone marrow transplant cohort. Patients who received chlorhexidine while undergoing bone marrow transplantation were found to exhibit fewer and less painful mucositis lesions. This study supports prophylactic use of chlorhexidine in patients who undergo bone marrow transplantation.
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ispartof Oral surgery, oral medicine, oral pathology, 1993-10, Vol.76 (4), p.441-448
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subjects Antineoplastic agents
Antineoplastic Agents - adverse effects
Biological and medical sciences
Bone Marrow Transplantation - adverse effects
Chemotherapy
Chlorhexidine - therapeutic use
Dental Plaque Index
Dentistry
Double-Blind Method
Humans
Immunosuppressive Agents - adverse effects
Leukemia - drug therapy
Medical sciences
Mouth Mucosa - drug effects
Mouthwashes - therapeutic use
Periodontal Index
Pharmacology. Drug treatments
Remission Induction
Stomatitis - drug therapy
Stomatitis - etiology
Stomatitis - prevention & control
title Effects of chlorhexidine during immunosuppressive chemotherapy : a preliminary report
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