[CIS PIDD] [cis-pidd] SubQ first dose

[Nicola Wright]

We give the first dose of SCIg in clinic at the same time as doing training.  Patients/families may come back for more training for the 2nd and 3rd dose depending on comfort level and distance from our center.  But we don't have an option as our home care is not as well developed, and thus far, they haven't agreed to do Ig therapy of any type in the home.

Nikki

Nicola Wright, MSc, MD, FRCPC
Pediatric Hematologist/Immunologist
Alberta Children's Hospital
2888 Shaganappi Trail NW
Calgary, AB, Canada T3B 6A8

Office Phone: (403) 955-3035
Clinic Phone: (403) 955-7155
Fax: (403) 955-3055

________________________________
From: Pere Soler Palacin [psoler at vhebron.net]
Sent: May 23, 2013 2:25 PM
To: CIS-PIDD
Subject: Re: [cis-pidd] SubQ first dose


Same as Nacho.



P.



Pere Soler Palacín, MD, PhD.
Pediatric Infectious Diseases and Immunodeficiencies Unit. Hospital Universitari Vall d'Hebron.
Assistant Professor. Universitat Autònoma de Barcelona.
Passeig de la Vall d'Hebron 119-129.
08035 Barcelona. Spain.
Tel: 0034934893140. Fax: 0034934893039.
E-mail: psoler at vhebron.net<mailto:psoler at vhebron.net>; 34660psp at comb.cat<mailto:34660psp at comb.cat>. Web: www.upiip.com<http://www.upiip.com/>.



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----- Mensaje original -----
De: "Nacho Gonzalez" <nachgonzalez at gmail.com>
Para: "CIS-PIDD" <cis-pidd at lists.clinimmsoc.org>
Enviados: Jueves, 23 de Mayo 2013 21:34:21
Asunto: RE: [cis-pidd] SubQ first dose


Dear all,

In our centre we do the same.first loading dose ivig. Next 2-3 sc doses at the office(training programme).26 patients.No systemic effects reported to date. We do not provide epinephrine as UK people do.

Best regards

Luis Ignacio Gonzalez Granado
Immunodeficiencies.Pediatrics
Hospital 12 octubre.
Madrid.Spain

El 23/05/2013 21:21, "Church, Joseph" <JChurch at chla.usc.edu<mailto:JChurch at chla.usc.edu>> escribió:
Kate:

Usually I try to give a single 'loading' dose of IVIG In clinic prior to initiating SCIG at home 1 week later.

For patients directly starting SCIG I try to give the first dose in clinic, with the home infusion team there.  It seems to ease parents' anxiety.

For other patients going directly to SCIG I may give the first and all doses at home, depending on family.

JC

-----Original Message-----
From: Sullivan, Kathleen [mailto:sullivak at mail.med.upenn.edu<mailto:sullivak at mail.med.upenn.edu>]
Sent: Thursday, May 23, 2013 12:14 PM
To: CIS-PIDD
Subject: [cis-pidd] SubQ first dose

Question to all...

It has been our tradition to always give a first dose of any new immunoglobulin product under medical supervision (i.e. not at home).   I wonder how many people do that for subcutaneous products though.  I think the risk of a reaction that needs medical attention is very low.

What do all of you do?

Kate
Kate Sullivan, MD PhD
Professor of Pediatrics
ARC 1216 Immunology CHOP
3615 Civic Center Blvd.
Philadelphia, PA 19104
(p) 215-590-1697
(f) 267-426-0363



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