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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4-5
|
pubmed:dateCreated |
1992-10-19
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pubmed:abstractText |
We evaluated the efficacy of piperacillin-pefloxacin as a non-nephrotoxic antibiotic combination in febrile neutropenic cancer patients treated with nephrotoxic chemotherapy. 40 patients: 34 with solid tumours and 6 with non-Hodgkin lymphoma, were treated during 55 episodes with: piperacillin 4 g intravenously every 8 h and pefloxacin 400 mg intravenously every 12 h. If the patient remained febrile after 72 h, 1 g vancomycin intravenously was added every 12 h. The mean duration of neutropenia was 7 days (range 3-13). Infection was microbiologically documented in 13 episodes (8 gram-positive cocci and 7 gram-negative bacilli). Temperature became normal in 38 patients with piperacillin-pefloxacin and 12 further episodes were resolved by the addition of vancomycin. 2 patients had an early change of antibiotics because of clinical deterioration, there were 2 protocol violations and 1 patient's temperature became normal after the addition of amphotericin. Neither septic death nor toxicity were observed. We conclude that this empirical treatment is active and safe and warrants further comparative trials.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0959-8049
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
28A
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
867-70
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pubmed:dateRevised |
2005-11-17
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pubmed:meshHeading |
pubmed-meshheading:1524911-Adolescent,
pubmed-meshheading:1524911-Adult,
pubmed-meshheading:1524911-Aged,
pubmed-meshheading:1524911-Antineoplastic Agents,
pubmed-meshheading:1524911-Drug Therapy, Combination,
pubmed-meshheading:1524911-Female,
pubmed-meshheading:1524911-Fever,
pubmed-meshheading:1524911-Gram-Negative Bacterial Infections,
pubmed-meshheading:1524911-Gram-Positive Bacterial Infections,
pubmed-meshheading:1524911-Humans,
pubmed-meshheading:1524911-Kidney,
pubmed-meshheading:1524911-Kidney Diseases,
pubmed-meshheading:1524911-Male,
pubmed-meshheading:1524911-Middle Aged,
pubmed-meshheading:1524911-Neoplasms,
pubmed-meshheading:1524911-Neutropenia,
pubmed-meshheading:1524911-Pefloxacin,
pubmed-meshheading:1524911-Piperacillin,
pubmed-meshheading:1524911-Vancomycin
|
pubmed:year |
1992
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pubmed:articleTitle |
Non-nephrotoxic empiric antimicrobial therapy in febrile neutropenic cancer patients.
|
pubmed:affiliation |
Department of Medicine, Institut Gustave-Roussy, Villejuif, France.
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pubmed:publicationType |
Journal Article,
Clinical Trial
|