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Prophylaxis in Hemophilia - Blood CME Center

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<strong>Prophylaxis</strong> for Non<strong>in</strong>hibitor Patients<br />

<strong>Prophylaxis</strong> = <strong>in</strong>fused factor replacement before the occurrence<br />

of, and to prevent, bleed<strong>in</strong>g 1,2<br />

• S<strong>in</strong>ce the 1990s, supported by WHO, NHF, and WFH as firstl<strong>in</strong>e<br />

treatment for children with severe hemophilia 2,3<br />

• Usage <strong>in</strong>creas<strong>in</strong>g for adult patients 4<br />

• Demonstrated benefits<br />

Prevents jo<strong>in</strong>t damage and decreases frequency of jo<strong>in</strong>t<br />

and other hemorrhages 5<br />

• 21st century standard of care for severe hemophilia 6<br />

1. Berntorp E, et al. Haemophilia. 2003;9(suppl 1):1-4; 2. Carcao M, et al. Haemophilia.<br />

2010;16(suppl 2):4-9; 3. Rodriguez NI, et al. Hematol Oncol Cl<strong>in</strong> North Am. 2010;24:181-<br />

198; 4. Coll<strong>in</strong>s PW, et al. J Thromb Haemost. 2010;8:269-275; 5. Manco-Johnson MJ, et al. N<br />

Engl J Med. 2007;357:535-544; 6. van den Berg HM. Haematologica. 2004;89:645-650. 6

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