Source:http://linkedlifedata.com/resource/pubmed/id/11720836
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
18
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pubmed:dateCreated |
2001-11-26
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pubmed:abstractText |
We carried out a retrospective study on the infection rate--in episodes per 100 person months at risk (p/m/r)--of septicaemia and invasive mycoses in children with solid tumours treated at a single institution between 1985 and 1996. Among 982 patients, accounting for 8108 p/m/r, 257 infectious episodes were documented, for an infection rate of 3.2. The infection rate for "intensive" treatment was greater than that for "less intensive" treatments, 3.7 compared with 0.5, respectively; P<0.001. 58% of infectious episodes were associated with neutropenia, 22% were megatherapy-related, and 39% were related to central venous catheter (CVC), while in 13% of the episodes no risk factor was identified. Of the episodes, single organism Gram-positive bacteraemias accounted for 62%, single organism Gram-negative for 23%, multiple organism bacteraemias for 7%, invasive mycoses for 4%, and isolated fungaemias for 4%. The infection rate for Gram-positive organisms decreased significantly over time (-5.9% per year; P<0.01), but increased for the Gram-negative organisms (+3.4% per year; P=0.4). This study demonstrates that the risk of bacteraemia increases in parallel with the treatment intensity, and that a considerable number of children with solid tumours develop bacteraemia in the absence of an identifiable risk factor.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0959-8049
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
37
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
2413-9
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:11720836-Adolescent,
pubmed-meshheading:11720836-Bacteremia,
pubmed-meshheading:11720836-Catheterization, Central Venous,
pubmed-meshheading:11720836-Child,
pubmed-meshheading:11720836-Child, Preschool,
pubmed-meshheading:11720836-Equipment Contamination,
pubmed-meshheading:11720836-Fungemia,
pubmed-meshheading:11720836-Humans,
pubmed-meshheading:11720836-Incidence,
pubmed-meshheading:11720836-Infant,
pubmed-meshheading:11720836-Infant, Newborn,
pubmed-meshheading:11720836-Italy,
pubmed-meshheading:11720836-Neoplasms,
pubmed-meshheading:11720836-Quality of Health Care,
pubmed-meshheading:11720836-Regression Analysis,
pubmed-meshheading:11720836-Retrospective Studies,
pubmed-meshheading:11720836-Risk Factors
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pubmed:year |
2001
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pubmed:articleTitle |
Incidence of septicaemias and invasive mycoses in children undergoing treatment for solid tumours: a 12-year experience at a single Italian institution.
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pubmed:affiliation |
Clinical Epidemiology and Biostatistics Section, Gaslini Children's Hospital, Genoa, Italy.
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pubmed:publicationType |
Journal Article
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