[Infections in cancer patients with granulocytopenia. Retrospective studies of 59 febrile episodes with hospitalization]

J Med Liban. 1994;42(3):117-22.
[Article in French]

Abstract

A total of 59 febrile neutropenic episodes were retrospectively recorded at Hôtel-Dieu de France Hospital between August 1st 1991 and December 31st 1992. These episodes were recorded in 51 cancer patients. Median neutropenia was less than one week in 50% of the cases. The etiology of these fever was documented in 27 episodes (46%) and in 70% of the cases gram (-) rods were documented. B-Lactam and Aminoglycoside antibiotics were used in 34 episodes at the initial treatment of these patients. Success rate at this initial treatment or with a modification of the antibiotic therapy was recorded in 85% of the patients. Only 15% of the patients failed to this antibiotherapy, 2/3 of them had their disease in progression. The systemic use of Amphotericine E in those patients with prolonged febrile neutropenia and the concommitent use of growth factors in a sub-group of patients at high risk could lead to a higher success rate in these patients.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Adult
  • Agranulocytosis / complications*
  • Amphotericin B / therapeutic use
  • Anti-Bacterial Agents / therapeutic use
  • Bacteria / isolation & purification
  • Bacterial Infections / drug therapy
  • Bacterial Infections / etiology*
  • Bacterial Infections / microbiology
  • Female
  • Fever / etiology
  • Hospitalization
  • Humans
  • Male
  • Neoplasms / complications*
  • Retrospective Studies
  • Risk Factors

Substances

  • Anti-Bacterial Agents
  • Amphotericin B