[Clinical analysis of neutropenic fever associated with hematological disorders].
We evaluated the efficacy of combination therapy with sulbactam/cefoperazone (SBT/CPZ) and amikacin sulfate (AMK) in eligible patients with hematological disorders of neutrophil count less than 1,000/microliter. The clinical efficacy rate in 157 evaluated patients was 65.6%. The clinical efficacy rates were related to neutrophil counts and serum albumin levels at the 1 week later. The clinical efficacy rates were 87.1% in patients with neutrophil counts over 500/microliter and 34.8% in patients with serum albumin levels under 3 g/dl after 1 week. G-CSF treatment were not significant but tended to be more effective in patients with sepsis, and the neutrophil counts increased significantly. The group using G-CSF before the antibiotic treatment had a high clinical efficacy rate. It is suggested that G-CSF is effective in patients with neutropenia with the high risk to infection and in those who already have severe infections.
Fukuda
M
M
Division of Hematology and Infectious Diseases, Department of Medicine, Saitama Medical School.
Endo
K
K
Ito
K
K
Kawai
N
N
Tominaga
K
K
Bessho
M
M
Hirasima
K
K
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000583:Amikacin / Q000627:therapeutic use*; D000892:Anti-Infective Agents, Urinary / Q000627:therapeutic use*; D002438:Cefoperazone / Q000627:therapeutic use*; D004338:Drug Combinations; D004359:Drug Therapy, Combination; D005260:Female; D005334:Fever / Q000188:drug therapy*; D016179:Granulocyte Colony-Stimulating Factor / Q000627:therapeutic use*; D019337:Hematologic Neoplasms / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009503:Neutropenia / Q000188:drug therapy*; D012709:Serum Albumin / Q000032:analysis; D013407:Sulbactam / Q000627:therapeutic use*
D000892:Anti-Infective Agents, Urinary; D004338:Drug Combinations; D012709:Serum Albumin; D016179:Granulocyte Colony-Stimulating Factor; D002438:Cefoperazone; D000583:Amikacin; C057923:sulperazone; D013407:Sulbactam