hem

there are approximately 10 million donors on the registry and the ideal hct donor is a young male donor or female that has never been pregnant. I believe antibodies are developed regardless of the sex of your baby. If there are several matches they would go with the most ideal donor. depending on ethnicity, there is an abundance for most Caucasions; however, this is certainly not the case for ethnic minorities. if it is a bone marrow donation, G-CSF is not used. We use a general anaesthetic for our donors and we usually collect a litre of marrow depending on the recipients weight. tylenol 3's are given for discomfort and it usually takes 3-4 days to get back to normal related to discomfort of the procedure.

i work in an outpatient BMT program where both allo and autologous transplant patients are seen daily at the start of their transplant treatment protocols. Patients continue to be outpatients until an inpatient admission is required. A fever is usually the reason for admissions in the early phases of transplant. If patient is stable we give IV ceftriaxone 1 gm q 24 hours. However, if fevers persist, cultures are positive or patient becomes unstable they are admitted for pip/tazo or treatment specific to culture sensitivity. We use neupogen day +7 for all of our autologous bmt patients. this is covered under the hospital admission. although, i am in Canada, so insurance is not an issue for our transplant patients when they are undergoing therapy as an inpatient.