Source:http://linkedlifedata.com/resource/pubmed/id/12512921
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
2003-1-6
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pubmed:abstractText |
Patients with hematological malignancies who are receiving chemotherapy suffer prolonged periods of neutropenia, which leads to a greater risk of infection and mortality. A prospective study was conduced to determine the incidence of bacteremia in patients of hematological malignancies over a 2-yr period. A total of 119 episodes of febrile neutropenia occurred among 96 consecutive patients, of which 35 episodes were associated with bacteremia. Forty-four percent of the isolated bacteria were Gram-positive aerobes and 46% were Gram-negative aerobes. Staphylococcus aureus, Enterococcus spp., and Escherichia coli were the most common isolates. Gram-negative bacteremia was associated with a higher mortality. Anaerobes accounted for 4.4% of all isolates. The episodes of anaerobic bacteremia were polymicrobial and had a fatal outcome. A high incidence of antimicrobial resistance among aerobic and anaerobic bacteria was also recorded. Compared to previous years, a shift from a predominating Gram-negative to a Gram-positive etiology was noted. The initial empiric antibiotic regimens should be based on a local knowledge of the most common causative microorganisms, their sensitivity pattern, and the outcome of bacteremia.
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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:issn |
1357-0560
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
19
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
267-72
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:12512921-Adolescent,
pubmed-meshheading:12512921-Adult,
pubmed-meshheading:12512921-Aged,
pubmed-meshheading:12512921-Bacteremia,
pubmed-meshheading:12512921-Bacteria, Anaerobic,
pubmed-meshheading:12512921-Child,
pubmed-meshheading:12512921-Drug Resistance, Bacterial,
pubmed-meshheading:12512921-Fever,
pubmed-meshheading:12512921-Humans,
pubmed-meshheading:12512921-Microbial Sensitivity Tests,
pubmed-meshheading:12512921-Middle Aged,
pubmed-meshheading:12512921-Neutropenia
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pubmed:year |
2002
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pubmed:articleTitle |
A study of bacteremia in febrile neutropenic patients at a tertiary-care hospital with special reference to anaerobes.
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pubmed:affiliation |
Department of Microbiology, All India Institute of Medical Sciences, New Delhi-10 029, India.
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pubmed:publicationType |
Journal Article
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