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恶性血液病发热性中性粒细胞减少患者的感染(第二个研究期)

Infections of febrile neutropenic patients in malignant hematological diseases (second study period).

作者信息

Rókusz László, László Liptay

机构信息

First Department of Medicine, Central Military Hospital of the Hungarian Defense Forces, 1553 P.f. 1, Budapest, Hungary.

出版信息

Mil Med. 2005 Aug;170(8):653-7. doi: 10.7205/milmed.170.8.653.

DOI:10.7205/milmed.170.8.653
PMID:16173203
Abstract

Sixty-one febrile episodes among 27 neutropenic patients with malignant hematological diseases were studied during a study period between 1998 and 2001. The results were compared with the previous 3-year period. The main differences in treatment were that we did not use ciprofloxacin prophylaxis routinely and we added granulocyte-macrophage colony-stimulating factor to the antimicrobial treatment regimen. The clinical and microbiological spectra of diseases shifted toward Gram-positive bacteremia and lower respiratory infections. The number and rate of infections and the mortality rate did not change significantly.

摘要

在1998年至2001年的研究期间,对27例患有恶性血液病的中性粒细胞减少患者的61次发热发作进行了研究。将结果与前三年进行了比较。治疗的主要差异在于我们没有常规使用环丙沙星进行预防,并且在抗菌治疗方案中添加了粒细胞-巨噬细胞集落刺激因子。疾病的临床和微生物谱向革兰氏阳性菌血症和下呼吸道感染转移。感染的数量和发生率以及死亡率没有显著变化。

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