造血生長因子於癌症患者接受化療的使用參考指引 Hematopoietic Growth Factor Guideline（2024 年更新）：初級預防、次級預防、治療時機

很常被問到「我可以用 G-CSF 嗎？ "May I use G-CSF now?”」，乾脆在晨會上教學 + 寫文章來介紹一下初級預防、次級預防、治療時機。

注意：此篇所稱之癌症患者不包括骨髓性癌症 (e.g., AML, MDS…)。

初級預防 Primary prophylaxis

• G-CSF was not recommended as primary prophylaxis.

• May be considered in patients with high-risk clinical features.

次級預防 Secondary prophylaxis

• If FN occur, need to consider G-CSF use.

• Repeated assessment after each subsequent cycle.

治療 Therapeutic

• If patient had been using G-CSF → Continue

• If not, assess risk factors → consider to use