Source:http://linkedlifedata.com/resource/pubmed/id/16029455
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
2005-7-20
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pubmed:abstractText |
We report on 232 patients undergoing autologous haematopoietic stem cell transplantation (ASCT) entered into a multicentre, randomised trial comparing the efficacy and tolerability of meropenem (MPM) with that of piperacillin/tazobactam (P/T) as empirical antimicrobial first-line therapy for febrile neutropenia. In 27.6% of patients in the MPM group and 22.4% in the P/T group, therapy was initially supplemented with a glycopeptide for venous catheter infection or bacteraemia because of coagulase-negative staphylococci. Complete response rate after 72 h was 63.8% in the MPM group and 49.6% in the P/T group (P = 0.034). Overall complete response rate after treatment modification was 94.0% in the MPM group and 93.1% in the P/T group. Median time to defervescence was 2 d in the MPM group and 3 d in the P/T group. The most frequently isolated pathogens were Gram-positive cocci. Treatment was well tolerated in both groups. One patient (0.4%) died from infection. Empirical first-line therapy with MPM as well as with P/T is safe and effective in febrile episodes emerging after ASCT. Higher response rates to primary treatment can be achieved with MPM.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antineoplastic Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Penicillanic Acid,
http://linkedlifedata.com/resource/pubmed/chemical/Piperacillin,
http://linkedlifedata.com/resource/pubmed/chemical/Thienamycins,
http://linkedlifedata.com/resource/pubmed/chemical/meropenem,
http://linkedlifedata.com/resource/pubmed/chemical/tazobactam
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0007-1048
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
130
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
265-70
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:16029455-Adolescent,
pubmed-meshheading:16029455-Adult,
pubmed-meshheading:16029455-Aged,
pubmed-meshheading:16029455-Antineoplastic Agents,
pubmed-meshheading:16029455-Drug Therapy, Combination,
pubmed-meshheading:16029455-Female,
pubmed-meshheading:16029455-Fever,
pubmed-meshheading:16029455-Hematopoietic Stem Cell Transplantation,
pubmed-meshheading:16029455-Humans,
pubmed-meshheading:16029455-Male,
pubmed-meshheading:16029455-Middle Aged,
pubmed-meshheading:16029455-Neoplasms,
pubmed-meshheading:16029455-Neutropenia,
pubmed-meshheading:16029455-Opportunistic Infections,
pubmed-meshheading:16029455-Penicillanic Acid,
pubmed-meshheading:16029455-Piperacillin,
pubmed-meshheading:16029455-Prospective Studies,
pubmed-meshheading:16029455-Thienamycins
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pubmed:year |
2005
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pubmed:articleTitle |
Empirical antimicrobial monotherapy in patients after high-dose chemotherapy and autologous stem cell transplantation: a randomised, multicentre trial.
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pubmed:affiliation |
Department of Haematology, Oncology and Tumour Immunology, Charité University Hospital, Campus Buch, Lindenberger Weg, Berlin, Germany. gmaschmeyer@klinikumevb.de
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't,
Multicenter Study
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