» Articles » PMID: 38169476

Hydroxyurea Reduces Infections in Children with Sickle Cell Anemia in Uganda

Overview
Journal Blood
Publisher Elsevier
Specialty Hematology
Date 2024 Jan 3
PMID 38169476
Authors
Affiliations
Soon will be listed here.
Abstract

After starting hydroxyurea treatment, Ugandan children with sickle cell anemia had 60% fewer severe or invasive infections, including malaria, bacteremia, respiratory tract infections, and gastroenteritis, than before starting hydroxyurea treatment (incidence rate ratio, 0.40 [95% confidence interval, 0.29-0.54]; P < .001).

Citing Articles

Incident Stroke in Pediatric Sickle cell Anemia Despite Overall Improved Transcranial Doppler Velocity in a Ugandan Hydroxyurea Trial: Antecedent and ongoing risks.

Wambaka B, Mpungu A, Mboizi V, Kalibbala D, Nambatya G, Murungi S medRxiv. 2025; .

PMID: 39974085 PMC: 11838932. DOI: 10.1101/2025.01.28.25320389.


Infections in sickle cell disease.

Scourfield L, Nardo-Marino A, Williams T, Rees D Haematologica. 2024; 110(3):546-561.

PMID: 39568431 PMC: 11873697. DOI: 10.3324/haematol.2024.285066.


Adherence to Hydroxyurea and Patients' Perceptions of Sickle Cell Disease and Hydroxyurea: A Cross-Sectional Study.

Madkhali M, Abusageah F, Hakami F, Zogel B, Hakami K, Alfaifi S Medicina (Kaunas). 2024; 60(1).

PMID: 38256385 PMC: 10819561. DOI: 10.3390/medicina60010124.

References
1.
Vichinsky E, Neumayr L, Earles A, Williams R, Lennette E, Dean D . Causes and outcomes of the acute chest syndrome in sickle cell disease. National Acute Chest Syndrome Study Group. N Engl J Med. 2000; 342(25):1855-65. DOI: 10.1056/NEJM200006223422502. View

2.
Olupot-Olupot P, Tomlinson G, Williams T, Tshilolo L, Santos B, Smart L . Hydroxyurea treatment is associated with lower malaria incidence in children with sickle cell anemia in sub-Saharan Africa. Blood. 2022; 141(12):1402-1410. PMC: 10273078. DOI: 10.1182/blood.2022017051. View

3.
Rosenkranz H . Some biological effects of carbamoyloxyurea, an oxidation product of hydroxyurea. J Bacteriol. 1970; 102(1):20-3. PMC: 284964. DOI: 10.1128/jb.102.1.20-23.1970. View

4.
Agrawal R, Patel R, Shah V, Nainiwal L, Trivedi B . Hydroxyurea in sickle cell disease: drug review. Indian J Hematol Blood Transfus. 2014; 30(2):91-6. PMC: 4022916. DOI: 10.1007/s12288-013-0261-4. View

5.
Kuong K, Kuzminov A . Cyanide, peroxide and nitric oxide formation in solutions of hydroxyurea causes cellular toxicity and may contribute to its therapeutic potency. J Mol Biol. 2009; 390(5):845-62. PMC: 2728359. DOI: 10.1016/j.jmb.2009.05.038. View