Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
1986-7-25
pubmed:abstractText
Timentin (5.2 g tds) and tobramycin (40 mg tds) were administered to 51 patients (22 male, 29 female, age range 17-72, mean age 40.4) with acute leukaemia, chronic myeloid leukaemia in blastic crisis, severe aplastic anaemia and acute agranulocytopenia. All patients had neutropenia (PMN less than 1000/mm3) and fever (greater than 38 degrees C). Febrile episodes consisted of 22 proved septicaemias due to Gram-positive organisms (Staphylococcus aureus, S. epidermidis, enterococcus) in 11 cases and to Gram-negative organisms (Escherichia coli, Pseudomonas aeruginosa, Alkaligenes faecalis, Serratia marcescens, Klebsiella pneumoniae) in 10 cases. One patient had a polymicrobial infection (P. aeruginosa, S. aureus, non-haemolytic streptococcus). Twenty-nine infections were diagnosed only clinically. The mean duration of treatment was 11.1 days (range 4-20 days). Eighty-seven per cent of evaluable febrile episodes improved. Among 11 infections due to Gram-positive cocci, eight (72%) resolved, and in nine (90%) of ten cases due to Gram-negative bacilli success was obtained. The polymicrobial infection also resolved. In only four patients were mild side effects seen, e.g. exanthema, pruritus, phlebitis: renal toxicity was not observed. These data suggest that the combination of Timentin and tobramycin is an effective and safe empirical antibiotic regimen in febrile neutropenic patients.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0305-7453
pubmed:author
pubmed:issnType
Print
pubmed:volume
17 Suppl C
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
211-7
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:3636336-Adolescent, pubmed-meshheading:3636336-Adult, pubmed-meshheading:3636336-Aged, pubmed-meshheading:3636336-Agranulocytosis, pubmed-meshheading:3636336-Anemia, Aplastic, pubmed-meshheading:3636336-Bacteria, pubmed-meshheading:3636336-Bacterial Infections, pubmed-meshheading:3636336-Clavulanic Acids, pubmed-meshheading:3636336-Drug Combinations, pubmed-meshheading:3636336-Drug Evaluation, pubmed-meshheading:3636336-Drug Therapy, Combination, pubmed-meshheading:3636336-Female, pubmed-meshheading:3636336-Fever, pubmed-meshheading:3636336-Humans, pubmed-meshheading:3636336-Leukemia, pubmed-meshheading:3636336-Male, pubmed-meshheading:3636336-Middle Aged, pubmed-meshheading:3636336-Neutropenia, pubmed-meshheading:3636336-Penicillin Resistance, pubmed-meshheading:3636336-Penicillins, pubmed-meshheading:3636336-Ticarcillin, pubmed-meshheading:3636336-Tobramycin
pubmed:year
1986
pubmed:articleTitle
Timentin in combination with tobramycin as empirical therapy in febrile neutropenic patients with haematological malignancies.
pubmed:publicationType
Journal Article