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Editorial
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Volume 353:1052-1054 September 8, 2005 Number 10
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Prophylactic Antimicrobial Agents and the Importance of Fitness
Lindsey R. Baden, M.D.

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 by Bucaneve, G.
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Improved management of infectious complications of cancer has contributed substantially to the success of care over the past several decades. In the 1960s it became clear that neutropenia was highly correlated with the occurrence of rapidly progressive sepsis.1 In the 1970s, strategies for empirical antibacterial therapy were devised to minimize these complications. This therapy was directed primarily against gram-negative rods, especially Pseudomonas aeruginosa, with good results.2 Paradoxically, this strategy has caused gram-positive cocci to become the most frequent cause of bacteremia among patients with cancer. However, the need for empirical treatment of infections with gram-positive cocci 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. Correspondence

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