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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
|
pubmed:dateCreated |
1978-2-18
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pubmed:abstractText |
The frequency of fever days was measured in 67 patients with acute leukemia in the initial phase until remission was obtained or the patient died. A total of 3411 hospital days were studied. Three antibiotic schedules were examined between 1970 and 1975. There were 50% fever days when penicillin and streptomycin were combined as initial antibiotics, 37% when cephalosporin and gentamycin were used, and 31% when, in addition, semi-isolation was used prophylactically and granulocytes were given in a therapeutic attempt (0.05 greater than p greater than 0.01). The corresponding frequencies of early death were 9/21 (43%), 6/23 (26%) and 5/23 (22%). Early death occurred on an average 14, 23 and 21 days after admission. The frequencies of remission (complete and partial) were 8/21 (38%), 12/23 (52%), and 13/23 (57%). A randomized subgroup (12 patients) with intestinal sterilization was studied separately. It had 28% fever days, which is significantly less (p less than 0.01) than in the 13 patients given the same systemic antibiotics without intestinal sterilization. Fever was significantly lower (0.05 greater than p greater than 0.01) on the day after a series of granulocyte transfusions than before, although only 10(9) granulocytes were given. However, this fever reduction may have been due to concomitant antibiotics.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0001-6101
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
202
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
523-8
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:596252-Acute Disease,
pubmed-meshheading:596252-Blood Transfusion,
pubmed-meshheading:596252-Cephalosporins,
pubmed-meshheading:596252-Female,
pubmed-meshheading:596252-Granulocytes,
pubmed-meshheading:596252-Humans,
pubmed-meshheading:596252-Intestines,
pubmed-meshheading:596252-Leukemia,
pubmed-meshheading:596252-Leukocyte Count,
pubmed-meshheading:596252-Male,
pubmed-meshheading:596252-Patient Isolation,
pubmed-meshheading:596252-Penicillins,
pubmed-meshheading:596252-Remission, Spontaneous,
pubmed-meshheading:596252-Sepsis,
pubmed-meshheading:596252-Streptomycin
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pubmed:year |
1977
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pubmed:articleTitle |
Management of septicemia and early death in acute leukemia.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
|