Skip to main content
Erschienen in: Child's Nervous System 5/2017

27.03.2017 | Original Paper

Effect of Nigella sativa seed administration on prevention of febrile neutropenia during chemotherapy among children with brain tumors

verfasst von: HebatAlla Fathi Mohamed Mousa, Nesrin Kamal Abd-El-Fatah, Olfat Abdel-Hamid Darwish, Shehata Farag Shehata, Shady Hassan Fadel

Erschienen in: Child's Nervous System | Ausgabe 5/2017

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Seeds of Nigella sativa (NS) are used to combat various disease conditions through their antibacterial effects. To evaluate the seeds’ potential, we studied their effect on the prevention of febrile neutropenia (FN) in children with brain tumors.

Methods

A randomized pretest-post-test control group study including 80 children (2–18 years) with brain tumors undergoing chemotherapy were equally allocated into two groups. Intervention group received 5 g of NS seeds daily throughout treatment while controls received nothing. CBC with differentials, incidence of FN, and LOS were noted on each follow-up.

Results

The majority of children 38/40 (95%), of the intervention group, took the seeds for 3–9 consecutive months. Eight out of 372 (2.2%) FN episodes were experienced by children of intervention group compared to controls 63/327 (19.3%) (p = 0.001) and a shorter LOS (median = 2.5 days) vs 5 days in the control group (p = 0.006). Children in both groups belonged to almost same geographical area with similar socio-economic background. Weights of children were almost equal at diagnosis.

Conclusion

NS seeds showed a decrease in incidence of FN in children with brain tumors with shortening of subsequent LOS which may improve their outcome and thereby quality of life. Larger scale studies are needed to further evaluate the seeds’ potential.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
2.
Zurück zum Zitat Ostrom QT, de Blank PM, Kruchko C, Peterson CM, Liao P, Finlay JL, Stearns DS, Wolff JE, Wolinsky Y, Letterio JJ, Barnholtz-Sloan JS (2015) CBTRUS statistical report: Alex's lemonade stand foundation infant and childhood primary brain and central nervous system tumors diagnosed in the United States in 2007-2011. Neuro-Oncology 16(10):x1–x36CrossRefPubMed Ostrom QT, de Blank PM, Kruchko C, Peterson CM, Liao P, Finlay JL, Stearns DS, Wolff JE, Wolinsky Y, Letterio JJ, Barnholtz-Sloan JS (2015) CBTRUS statistical report: Alex's lemonade stand foundation infant and childhood primary brain and central nervous system tumors diagnosed in the United States in 2007-2011. Neuro-Oncology 16(10):x1–x36CrossRefPubMed
3.
Zurück zum Zitat El-Mahallawy H, El-Wakil M, Moneer MM, Shalaby L (2011) Antibiotic resistance is associated with longer bacteremic episodes and worse outcome in febrile neutropenic children with cancer. Pediatr Blood Cancer 57:283–288CrossRefPubMed El-Mahallawy H, El-Wakil M, Moneer MM, Shalaby L (2011) Antibiotic resistance is associated with longer bacteremic episodes and worse outcome in febrile neutropenic children with cancer. Pediatr Blood Cancer 57:283–288CrossRefPubMed
4.
Zurück zum Zitat Castagnola E, Fontana V, Caviglia I (2007) A prospective study on the epidemiology of febrile episodes during chemotherapy-induced neutropenia in children with cancer or after hemopoietic stem cell transplantation. Clin Infect Dis 45(10):1296–1304CrossRefPubMed Castagnola E, Fontana V, Caviglia I (2007) A prospective study on the epidemiology of febrile episodes during chemotherapy-induced neutropenia in children with cancer or after hemopoietic stem cell transplantation. Clin Infect Dis 45(10):1296–1304CrossRefPubMed
5.
Zurück zum Zitat Fortner BV, Houts AC, Schwartzberg LS (2006) A prospective investigation of chemotherapy-induced neutropenia and quality of life. J Support Oncol 4:472–478PubMed Fortner BV, Houts AC, Schwartzberg LS (2006) A prospective investigation of chemotherapy-induced neutropenia and quality of life. J Support Oncol 4:472–478PubMed
6.
Zurück zum Zitat Miguel SC, Calleja-Hernández MÁ, Menjón-Beltrán S, Vallejo-Rodríguez I (2015) Granulocyte colony-stimulating factors as prophylaxis against febrile neutropenia. Support Care Cancer 23(2):547–559CrossRef Miguel SC, Calleja-Hernández MÁ, Menjón-Beltrán S, Vallejo-Rodríguez I (2015) Granulocyte colony-stimulating factors as prophylaxis against febrile neutropenia. Support Care Cancer 23(2):547–559CrossRef
7.
Zurück zum Zitat Hossain S, Sikes-Thurston E, Leppla SH, Wein AN (2012) Thymoquinone as a novel antibiotic and chemotherapeutic agent: a natural therapeutic approach on Staphylococcus aureus, Bacillus anthracis, and four NCI-60 cancer cell lines. JESS 2(1):19–22 Hossain S, Sikes-Thurston E, Leppla SH, Wein AN (2012) Thymoquinone as a novel antibiotic and chemotherapeutic agent: a natural therapeutic approach on Staphylococcus aureus, Bacillus anthracis, and four NCI-60 cancer cell lines. JESS 2(1):19–22
9.
Zurück zum Zitat Packer RJ, Gajjar A, Vezina G, Adams LR, Burger PC, Robertson PL et al (2006) Phase III study of craniospinal radiation therapy followed by adjuvant chemotherapy for newly diagnosed average-risk medulloblastoma. J Clin Oncol 24:4202–4208CrossRefPubMed Packer RJ, Gajjar A, Vezina G, Adams LR, Burger PC, Robertson PL et al (2006) Phase III study of craniospinal radiation therapy followed by adjuvant chemotherapy for newly diagnosed average-risk medulloblastoma. J Clin Oncol 24:4202–4208CrossRefPubMed
10.
Zurück zum Zitat Gnekow A, De Salvo GL, Von Hornstein S, Perilongo G, Stokland T, Sandstrøm PE et al (2008) SIOP-LGG 2004: comprehensive treatment strategy for low-grade glioma in children and adolescents, including a randomized chemotherapy trial and a radiotherapy trial. Neuro-Oncology 10:452–453 Gnekow A, De Salvo GL, Von Hornstein S, Perilongo G, Stokland T, Sandstrøm PE et al (2008) SIOP-LGG 2004: comprehensive treatment strategy for low-grade glioma in children and adolescents, including a randomized chemotherapy trial and a radiotherapy trial. Neuro-Oncology 10:452–453
12.
Zurück zum Zitat Chi SN, Zimmerman MA, Yao X, Cohen KJ, Burger P, Biegel JA et al (2009) Intensive multimodality treatment for children with newly diagnosed CNS atypical teratoid rhabdoid tumor. J Clin Oncol 27(3):385–389CrossRefPubMedPubMedCentral Chi SN, Zimmerman MA, Yao X, Cohen KJ, Burger P, Biegel JA et al (2009) Intensive multimodality treatment for children with newly diagnosed CNS atypical teratoid rhabdoid tumor. J Clin Oncol 27(3):385–389CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Bueren AO, Hoff K, Pietsch T, Gerber NU, Metz MW, Deinlein F et al (2011) Treatment of young children with localized medulloblastoma by chemotherapy alone: results of the prospective, multicenter trial HIT 2000 confirming the prognostic impact of histology. Neuro-Oncology 13(6):669–679CrossRef Bueren AO, Hoff K, Pietsch T, Gerber NU, Metz MW, Deinlein F et al (2011) Treatment of young children with localized medulloblastoma by chemotherapy alone: results of the prospective, multicenter trial HIT 2000 confirming the prognostic impact of histology. Neuro-Oncology 13(6):669–679CrossRef
14.
Zurück zum Zitat Calaminus G, Kortmann R, Worch J, Nicholson JC, Alapetite C, Garrè ML (2013) SIOP CNS GCT 96: final report of outcome of a prospective, multinational nonrandomized trial for children and adults with intracranial germinoma, comparing craniospinal irradiation alone with chemotherapy followed by focal primary site irradiation for patients with localized disease. Neuro-Oncology 15(6):788–796CrossRefPubMedPubMedCentral Calaminus G, Kortmann R, Worch J, Nicholson JC, Alapetite C, Garrè ML (2013) SIOP CNS GCT 96: final report of outcome of a prospective, multinational nonrandomized trial for children and adults with intracranial germinoma, comparing craniospinal irradiation alone with chemotherapy followed by focal primary site irradiation for patients with localized disease. Neuro-Oncology 15(6):788–796CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Abdulrhman MA, Hamed AA, Mohamed SA, Hassanen NA (2016) Effect of honey on febrile neutropenia in children with acute lymphoblastic leukemia: a randomized crossover open-labeled study. Complement Ther Med 25:98–103CrossRefPubMed Abdulrhman MA, Hamed AA, Mohamed SA, Hassanen NA (2016) Effect of honey on febrile neutropenia in children with acute lymphoblastic leukemia: a randomized crossover open-labeled study. Complement Ther Med 25:98–103CrossRefPubMed
16.
Zurück zum Zitat Castagnola E, Boni L, Giacchino M, Cesaro S, De Sio L, Garaventa A, Zanazzo G, Biddau P, Rossi MR, Schettini F, Bruzzi P, Viscoli C (2003) A multicenter, randomized, double blind placebo-controlled trial of amoxicillin/clavulanate for the prophylaxis of fever and infection in neutropenic children with cancer. Pediatr Infect Dis J 22(4):359–365PubMed Castagnola E, Boni L, Giacchino M, Cesaro S, De Sio L, Garaventa A, Zanazzo G, Biddau P, Rossi MR, Schettini F, Bruzzi P, Viscoli C (2003) A multicenter, randomized, double blind placebo-controlled trial of amoxicillin/clavulanate for the prophylaxis of fever and infection in neutropenic children with cancer. Pediatr Infect Dis J 22(4):359–365PubMed
17.
Zurück zum Zitat Wittman B, Horan J, Lyman GH (2006) Prophylactic colony-stimulating factors in children receiving myelosuppressive chemotherapy: a meta-analysis of randomized controlled trials. Cancer Treat Rev 32(4):289–303CrossRefPubMed Wittman B, Horan J, Lyman GH (2006) Prophylactic colony-stimulating factors in children receiving myelosuppressive chemotherapy: a meta-analysis of randomized controlled trials. Cancer Treat Rev 32(4):289–303CrossRefPubMed
18.
Zurück zum Zitat Mitchell PL, Morland B, Stevens MC, Dick G, Easlea D, Meyer LC, Pinkerton CR (1997) Granulocyte colony-stimulating factor in established febrile neutropenia: a randomized study of pediatric patients. J Clin Oncol 15(3):1163–1170CrossRefPubMed Mitchell PL, Morland B, Stevens MC, Dick G, Easlea D, Meyer LC, Pinkerton CR (1997) Granulocyte colony-stimulating factor in established febrile neutropenia: a randomized study of pediatric patients. J Clin Oncol 15(3):1163–1170CrossRefPubMed
19.
Zurück zum Zitat Riikonen P, Saarinen UM, Mäkipernaa A, Hovi L, Komulainen A, Pihkala J, Jalanko H (1994) Recombinant human granulocyte-macrophage colony-stimulating factor in the treatment of febrile neutropenia: a double blind placebo-controlled study in children. Pediatr Infect Dis J 13(3):197–202CrossRefPubMed Riikonen P, Saarinen UM, Mäkipernaa A, Hovi L, Komulainen A, Pihkala J, Jalanko H (1994) Recombinant human granulocyte-macrophage colony-stimulating factor in the treatment of febrile neutropenia: a double blind placebo-controlled study in children. Pediatr Infect Dis J 13(3):197–202CrossRefPubMed
20.
Zurück zum Zitat Basu K, Fernandez ID, Fisher SG, Asselin BL, Lyman GH (2005) Length of stay and mortality associated with febrile neutropenia among children with cancer. J Clin Oncol 23(31):7958–7966CrossRefPubMed Basu K, Fernandez ID, Fisher SG, Asselin BL, Lyman GH (2005) Length of stay and mortality associated with febrile neutropenia among children with cancer. J Clin Oncol 23(31):7958–7966CrossRefPubMed
21.
Zurück zum Zitat Al Omar S, Nazer L, Alkayed K (2013) A prospective study of febrile neutropenia in pediatric cancer patients in Jordan. J Pediatr Hematol Oncol 35(8):614–617CrossRefPubMed Al Omar S, Nazer L, Alkayed K (2013) A prospective study of febrile neutropenia in pediatric cancer patients in Jordan. J Pediatr Hematol Oncol 35(8):614–617CrossRefPubMed
22.
23.
Zurück zum Zitat Alenzi FQ, El-Bolkiny Y-S, Salem ML (2010) Protective effects of Nigella sativa oil and thymoquinone against toxicity induced by the anticancer drug cyclophosphamide. Br J Biomed Sci 67(1):20–28CrossRefPubMed Alenzi FQ, El-Bolkiny Y-S, Salem ML (2010) Protective effects of Nigella sativa oil and thymoquinone against toxicity induced by the anticancer drug cyclophosphamide. Br J Biomed Sci 67(1):20–28CrossRefPubMed
24.
Zurück zum Zitat Haggag AA, Abd Elaal AM, Elsheik A, Elzamarany EA (2013) Protective effect of Nigella sativa oil against methotrexate induced hepatotoxicity in children with acute lymphoblastic leukemia. J Leuk 1(4):123–130 Haggag AA, Abd Elaal AM, Elsheik A, Elzamarany EA (2013) Protective effect of Nigella sativa oil against methotrexate induced hepatotoxicity in children with acute lymphoblastic leukemia. J Leuk 1(4):123–130
25.
Zurück zum Zitat El-Abhar HS, Abdallah DM, Saleh S (2003) Gastroprotective activityof Nigella sativa oil and its constituent, thymoquinone, against gastric mucosal injury induced by ischaemia/reperfusion in rats. J Ethnopharmacol 84(2–3):251–258CrossRefPubMed El-Abhar HS, Abdallah DM, Saleh S (2003) Gastroprotective activityof Nigella sativa oil and its constituent, thymoquinone, against gastric mucosal injury induced by ischaemia/reperfusion in rats. J Ethnopharmacol 84(2–3):251–258CrossRefPubMed
26.
Zurück zum Zitat Khaled AAS (2009) Gastroprotective effects of Nigella sativa oil on the formation of stress gastritis in hypothyroidal rats. Int J Physiol Pathophysiol Pharmacol 1:143–149 Khaled AAS (2009) Gastroprotective effects of Nigella sativa oil on the formation of stress gastritis in hypothyroidal rats. Int J Physiol Pathophysiol Pharmacol 1:143–149
27.
Zurück zum Zitat Tayman C, Cekmez F, Kafa IM, Canpolat FE, Cetinkaya M, Uysal S, Tunc T, Sarici SU (2012) Beneficial effects of Nigella sativa oil on intestinal damage in necrotizing enterocolitis. J Investig Surg 25(5):286–294CrossRef Tayman C, Cekmez F, Kafa IM, Canpolat FE, Cetinkaya M, Uysal S, Tunc T, Sarici SU (2012) Beneficial effects of Nigella sativa oil on intestinal damage in necrotizing enterocolitis. J Investig Surg 25(5):286–294CrossRef
28.
Zurück zum Zitat Beghetto MG, Luft VC, Mello ED, Polanczyk CA (2009) Accuracy of nutritional assessment tools for predicting adverse hospital outcomes. Nutr Hosp 24:56–62PubMed Beghetto MG, Luft VC, Mello ED, Polanczyk CA (2009) Accuracy of nutritional assessment tools for predicting adverse hospital outcomes. Nutr Hosp 24:56–62PubMed
29.
Zurück zum Zitat de Luis DA, Izaola O, Cuellar L, Terroba MC, Cabezas G, Rojo S, Aller R, Sagrado MG (2006) Nutritional assessment: predictive variables at hospital admission related with length of stay. Ann Nutr Metab 50:394–398CrossRefPubMed de Luis DA, Izaola O, Cuellar L, Terroba MC, Cabezas G, Rojo S, Aller R, Sagrado MG (2006) Nutritional assessment: predictive variables at hospital admission related with length of stay. Ann Nutr Metab 50:394–398CrossRefPubMed
30.
Zurück zum Zitat Diaz-Montes TP, Zahurak ML, Bristow RE (2007) Predictors of extended intensive care unit resource utilization following surgery for ovarian cancer. Gynecol Oncol 107:464–468CrossRefPubMed Diaz-Montes TP, Zahurak ML, Bristow RE (2007) Predictors of extended intensive care unit resource utilization following surgery for ovarian cancer. Gynecol Oncol 107:464–468CrossRefPubMed
31.
Zurück zum Zitat Gupta D, Vashi PG, Lammersfeld CA, Braun DP (2011) Role of nutritional status in predicting the length of stay in cancer: a systematic review of the epidemiological literature. Ann Nutr Metab 59:96–106CrossRefPubMed Gupta D, Vashi PG, Lammersfeld CA, Braun DP (2011) Role of nutritional status in predicting the length of stay in cancer: a systematic review of the epidemiological literature. Ann Nutr Metab 59:96–106CrossRefPubMed
Metadaten
Titel
Effect of Nigella sativa seed administration on prevention of febrile neutropenia during chemotherapy among children with brain tumors
verfasst von
HebatAlla Fathi Mohamed Mousa
Nesrin Kamal Abd-El-Fatah
Olfat Abdel-Hamid Darwish
Shehata Farag Shehata
Shady Hassan Fadel
Publikationsdatum
27.03.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Child's Nervous System / Ausgabe 5/2017
Print ISSN: 0256-7040
Elektronische ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-017-3372-7

Weitere Artikel der Ausgabe 5/2017

Child's Nervous System 5/2017 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.