The journal article, 'long-term outcomes and safety trends of autologous stem-cell transplantation in non-hodgkin lymphoma: a report from a tertiary care center in india', describes a study on autologous stem-cell transplantation (asct) in non-hodgkin lymphoma (nhl) adult patients autografted between january 1, 2002, and december 15, 2020.Per the article, all patients developed febrile neutropenia at a median of 4 after transplant.Microbiological evidence of infection was available in 26 (32.5%) patients overall: gram-negative bacteria in 17 (21.2%), gram-positive isolates in six (7.5%), and mixed organism growth in three (3.7%) patients.A median of 5 (iqr, 2-8) antibiotics were used for a duration of 13 days (median, 7-37) days.Forty-four (55.0%) patients required therapeutic antifungals beginning on day 8 (median, iqr 5- 13) and amphotericin b was most commonly used (54.5%).Patients in group b used fewer numbers (4 v 5, p =.004) and durations (11 v 16 days, p =.01) of antibiotics, but therapeutic antifungal use was not different among the study groups.The most common grade 3 or 4 regimen-related toxicities were mucositis, diarrhea and vomiting.Overall, nine (11.2%) patients died within 100 days after transplantation; sepsis was the cause in seven (8.7%) patients, followed by pulmonary alveolar hemorrhage in two (2.5%).The median age at transplant was 38 (interquartile range [iqr], 22-60) years; the male to female ratio was 4:1.Further details about patients were not provided in the article, therefore this report is being submitted as a summary of events.The apheresis sets are not available for return for evaluation.
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