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- Title
Niños con cáncer, neutropenia y fiebre.
- Authors
Medina, Lucila Martínez; Ortega, Juana Dávila; Avelar, Adriana Cajero; Pérez Maldonado, Ricardo González
- Abstract
With the arrival of the modern chemotherapeutic schemes, the secondary infectious disorders have arisen as serious threatening conditions. A protocol was carried out in order to know in the patients that attend the Pediatric Oncology Unit at the Hospital Miguel Hidalgo, the frequency of cancer, neutropenia and fever, the isolated infectious agents, their antimicrobial sensitivity, and the low or high risk to acquire an infectious complication. With this information, we propose an outpatient therapeutic approach for low risk patients. From 106 events of neutropenia and fever, an infectious agent was isolated only in 29.2% of the cases. Most were Gram negative bacilli sensitive to third generation cephalosporin and aminoglucosides. Two or more high risk factors for serious bacterial infections were identified in 68 of 106 (64%) events of neutropenia and fever. Low risk factors were identified in 38 of 106 (36%) events of neutropenia and fever. Most of the patients with low risk factors remained at the hospital from three to five days. Thus, each pediatric oncologist must investigate in their patients, in order to plan the best early empirical approach, and to identify the low and high risk factors to acquire an infectious complication. With this information, the physician can select the best therapeutic option for each patient: at the hospital or in an outpatient basis.
- Subjects
DRUG therapy; COMMUNICABLE diseases; MEDICAL protocols; OUTPATIENT medical care; NEUTROPENIA; FEVER; CEPHALOSPORINS
- Publication
Revista de Enfermedades Infecciosas en Pediatría, 2008, Vol 21, Issue 84, p104
- ISSN
1405-0749
- Publication type
Article