The importance of neutropenia in the risk of serious infectionin patients with cancer who are receiving cytotoxic chemotherapywas first recognized nearly 30 years ago1. Since then, considerableprogress has been made in the management of fever and neutropeniain both adults and children, resulting in improved survivalrates not only for these patients but also for other immunosuppressedpatients, including those undergoing organ or bone marrow transplantationand those with bone marrow failure or human immunodeficiencyvirus (HIV) infection2,3.
Some of the current principles for the management of fever inpatients with neutropenia are outlined in . . . [Full Text of this Article]
The Foundations of Empirical Therapy
Modifications of Initial Management and the Acceleration of Neutrophil Recovery
Changes in the Predominant Organisms
Patients at Risk for Infection
Diagnostic Methods and the Frequency with Which Infection Is Identified
Antimicrobial Therapy in Patients with Neutropenia
Care of Patients with Indwelling Catheters
Improvement of Host Defenses with Hematopoietic Growth Factors
Goals for the Future
Source Information
From the Pediatric Branch, National Cancer Institute, Bldg. 10, Rm. 13N240, Bethesda, MD 20892, where reprint requests should be addressed to Dr. Pizzo.
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