[Febrile neutropenia].
Chemotherapy-related neutropenia is frequently complicated by infections. In granulocytopenic cancer patients, the early empiric administration of broad-spectrum antibiotics is the cornerstone of the management and has dramatically decreased the infection-related mortality. Several intravenous antibiotic regimens have been shown to be effective and well tolerated, especially monotherapies with broad-spectrum beta-lactams. The analysis of the outcome of febrile neutropenic patients has allowed the differentiation of those at high risk from those at low risk of infectious complications. In low risk patients, oral antibiotic regimens have been shown as effective as intravenous regimens. Running studies will allow to determine the advantages and limits of an outpatient management.
Service des maladies infectieuses, département de médecine interne, centre hospitalier universitaire vaudois, CH-1011 Lausanne, Suisse.
Frank
F
Bally
Oscar
O
Marchetti
Alain
A
Cometta
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D005334:Fever; D006801:Humans; D007239:Infections / Q000150:complications / Q000209:etiology; D009503:Neutropenia / Q000139:chemically induced / Q000175:diagnosis* / Q000628:therapy*; D010356:Patient Isolation; D012307:Risk Factors
D000900:Anti-Bacterial Agents