[Febrile neutropenia in children who have leukemia].
BACKGROUND
Neutropenia febriles are the most frequent complications during the hospital treatment of children who are ill of malignant. It is urgent state end each of feverish should be treated as infection, until it is proved as opposite. It is necessary immediately to begin with antibiotical therapy according to the algoritham for therapy of neutropenia febriles. Neutropenia febriles is caused by virus, bacteria and fungus infection.


RESULTS
It were 83 leukemia treated children on Hematooncology department of pediatrical Clinic in Sarajevo in period from 01.01.1997 until 31.12.2002. Neutropenia febriles were seen at 41 of children (49.4%). Between all of neutropenia febriles the causes were isolated at 27 children (65%). The most of them had sepsis, and at 40% of children had positive hemo-cultures. In the hemo-cultures the gr. positive causes were isolated at the 55% of children, gr. negative causes were isolated at 25% of children, and fungus were isolated at 20%. Between the other cultures urino-cultures were positive at 18.5% of children. RTG pulmo was isolated at 18.5%, smear pharyngs was isolated at 11%.


CONCLUSIONS
In such state of patient it should be thought about the possibility of contamination of patient and protect him/her from superinfection, by him/her in isolation box and staff should take care about sepsis and antisepsis.
Sakić
Meliha
M
Pedijatrijska Klinika, Klinicki Centar Univerziteta u Sarajevu.
D002648:Child; D005334:Fever / Q000150:complications* / Q000628:therapy; D006801:Humans; D007938:Leukemia / Q000150:complications*; D009503:Neutropenia / Q000150:complications* / Q000628:therapy