Management of iron deficiency in various clinical conditions and the role of intravenous iron: Recommendations of the Spanish Erythropathology Group of the Spanish Society of Haematology and Haemotherapy.

Abstract

Iron deficiency due to blood loss, absorption disorders and dietary deficiencies causes iron-deficiency anaemia, whose treatment seeks to eliminate the underlying cause and restore haemoglobin and iron deposits. Typically, the latter 2 of these objectives can be achieved through oral iron therapy. Intravenous iron administration (IIA) should be limited to those patients refractory or intolerant to oral preparations or who require rapid repletion. The indiscriminate use of IIA can increase morbidity and mortality due to iatrogenic overload. This fact, coupled with the growing popularity of IIA and the lack of reference guidelines in Spanish, led the Spanish Erythropathology Group of the Spanish Society of Haematology and Haemotherapy to develop this study, which presents the main recommendations on the optimal use of IIA in iron deficiency and attempts to constitute reference guidelines on good practices for the clinical management of these conditions.

• Authors: J A García Erce, A Altés, M López Rubio, A F Remacha, en representación del Grupo Español de Eritropatología de la Sociedad Española de Hematología y Hemoterapia, Otros componentes del Grupo Español de Eritropatología de la Sociedad Española de Hematología y Hemoterapia
• Journal: Revista clinica espanola (Rev Clin Esp (Barc)) 2020 Jan - Feb Vol. 220 Issue 1 Pg. 31-42 ISSN: 2254-8874 [Electronic] Spain
• Vernacular Title: Manejo del déficit de hierro en distintas situaciones clínicas y papel del hierro intravenoso: recomendaciones del Grupo Español de Eritropatología de la SEHH.
• PMID: 31783987 (Publication Type: Journal Article)
• Copyright: Copyright © 2019 Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI). All rights reserved.