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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1984-5-18
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pubmed:abstractText |
The clinical records of 66 consecutive episodes of Gram-negative bacteremia occurring in 60 patients with hematologic malignancies during a 66-month period were reviewed to assess the major prognostic factors. The bacteremia-related mortality was 53%. Overall, Pseudomonas aeruginosa (54%) and Escherichia coli (24%) were the predominant isolates (fatality rate 78 and 31% respectively). The majority of patients (58/66) were granulocytopenic (PMN less than 1000/microliters). Among the 18 patients whose circulating granulocytes increased by one log10 or to above 1000/mmc during therapy, the fatality rate was 39%, as opposed to 70% in the 40 patients without such an increase. Pneumonia-associated bacteremia (56%) had a high fatality rate (73%) compared to isolated bacteremias (27%). Septic shock and inappropriate antibiotic therapy accounted for the highest mortality. Our data suggest that Pseudomonas etiology, persistent neutropenia, associated pneumonia, septic shock and inappropriate antibiotic therapy account for a bad prognosis in Gram-negative bacteremia in hematologic malignancies.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0277-5379
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
20
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
327-31
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:6368245-Agranulocytosis,
pubmed-meshheading:6368245-Anti-Bacterial Agents,
pubmed-meshheading:6368245-Escherichia coli Infections,
pubmed-meshheading:6368245-Humans,
pubmed-meshheading:6368245-Leukemia,
pubmed-meshheading:6368245-Lymphoma,
pubmed-meshheading:6368245-Pneumonia,
pubmed-meshheading:6368245-Prognosis,
pubmed-meshheading:6368245-Pseudomonas Infections,
pubmed-meshheading:6368245-Sepsis,
pubmed-meshheading:6368245-Shock, Septic
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pubmed:year |
1984
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pubmed:articleTitle |
Gram-negative septicemia in patients with hematologic malignancies.
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pubmed:publicationType |
Journal Article
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