Improved management of infectious complications of cancer hascontributed substantially to the success of care over the pastseveral decades. In the 1960s it became clear that neutropeniawas highly correlated with the occurrence of rapidly progressivesepsis.1 In the 1970s, strategies for empirical antibacterialtherapy were devised to minimize these complications. This therapywas directed primarily against gram-negative rods, especiallyPseudomonas aeruginosa, with good results.2 Paradoxically, thisstrategy has caused gram-positive cocci to become the most frequentcause of bacteremia among patients with cancer. However, theneed for empirical treatment of infections with gram-positivecocci is rare because they . . . [Full Text of this Article]
Related Letters:
Antibacterial Prophylaxis in Patients with Cancer and Neutropenia
Freifeld A. G., Sepkowitz K. A., Almyroudis N. G., Segal B. H., Castagna L., Santoro A., Pasqualotto A. C., Rosa D. D., Machado A. L., Ito J. I., Tegtmeier B. R., O'Donnell M. R., Eller P., Pechlaner C., Del Favero A., Bucaneve G., Martino P., Steven N., Billingham L., Cullen M., Baden L. R.
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N Engl J Med 2006;
354:90-94, Jan 5, 2006.
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Freifeld, A. G., Sepkowitz, K. A., Almyroudis, N. G., Segal, B. H., Castagna, L., Santoro, A., Pasqualotto, A. C., Rosa, D. D., Machado, A. L., Ito, J. I., Tegtmeier, B. R., O'Donnell, M. R., Eller, P., Pechlaner, C., Del Favero, A., Bucaneve, G., Martino, P., Steven, N., Billingham, L., Cullen, M., Baden, L. R.
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