Management of iron deficiency in various clinical conditions and the role of intravenous iron: Recommendations of the Spanish Erythropathology Group of he Spanish Society of Haematology and Haemotherapy
Por:
Erce, JAG, Altes, A, Rubio, ML, Remacha, AF, de la Abio, M, Beneitez, D, de la Iglesia, S, de la Maya, MD, Flores, E, Perez, G, Ricard, MP, Vagace, JM
Publicada:
1 ene 2020
Resumen:
Iron deficiency due to blood loss, absorption disorders and dietary deficiencies causes iron -deficiency anaemia, whose treatment seeks to eliminate the underlying cause and restore haemoglobin and iron deposits. Typically, the latter 2 of these objectives can be achieved through oral iron therapy. Intravenous iron administration (IIA) should be limited to those patients refractory or intolerant to oral preparations or who require rapid repletion. The indiscriminate use of IIA can increase morbidity and mortality due to iatrogenic overload. This fact, coupled with the growing popularity of U4 and the lack of reference guidelines in Spanish, led the Spanish Erythropathology Group of the Spanish Society of Haematology and Haemotherapy to develop this study, which presents the main recommendations on the optimal use of IIA in iron deficiency and attempts to constitute reference guidelines on good practices for the clinical management of these conditions. (C) 2019 Elsevier Espana, S.L.U. and Sociedad Espanola de Medicina Interna (SEMI). All rights reserved.
Filiaciones:
Erce, JAG:
Banco Sangre & Tejidos Navarra, Serv Navarro Salud Osasunbidea, Pamplona, Spain
Grp Trabajo Sociedad Espanola Transfus Sanguinea, Pamplona, Spain
GERM, Pamplona, Spain
Altes, A:
Hosp St Joan de Deu, Barcelona, Spain
Rubio, ML:
Hosp Univ Principe Asturias, Madrid, Spain
Remacha, AF:
Hosp Santa Creu i St Pau, Barcelona, Spain
de la Abio, M:
Complejo Hosp Toledo, Toledo, Spain
Beneitez, D:
Hosp Univ Vall dHebron, Barcelona, Spain
de la Iglesia, S:
Hosp Univ Gran Canaria Dr Negrin, Las Palmas Gran Canaria, Spain
de la Maya, MD:
Hosp Materno Infantil Badajoz, Badajoz, Spain
Flores, E:
Hosp Univ Principe Asturias, Madrid, Spain
Perez, G:
Hosp Univ Marques Valdecilla, Santander, Spain
Ricard, MP:
Hosp Univ Fdn Alcorcon, Madrid, Spain
Vagace, JM:
Hosp Materno Infantil Badajoz, Badajoz, Spain
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