Discontinuation of empirical antibiotic therapy in neutropenic acute myeloid leukaemia patients with fever of unknown origin: Is it ethical?

J. B. Micol, C. Chahine, P. L. Woerther, D. Ghez, F. Netzer, C. Dufour, M. Merad, F. Blot, E. Chachaty, S. de Botton, B. Gachot

    Résultats de recherche: Contribution à un journalArticleRevue par des pairs

    20 Citations (Scopus)

    Résumé

    Based on recommendations of the ECIL-4, we prospectively evaluated discontinuation of empirical antibiotic therapy in high-risk neutropenic acute myeloid leukaemia patients with fever of unknown origin. Seven patients (median neutropenia duration 30 days) were included. Four of them remained afebrile but quickly recovered from neutropenia. The other three had rapid recurrent fever. Two of these three patients had bacteraemia with susceptible strains and one of them was transferred to the ICU for septic shock. Median duration of sparing of antibiotics for the seven patients was 3 days (2-4). Because of these limited results the study was stopped. Clinical Microbiology and Infection

    langue originaleAnglais
    Pages (de - à)O453-O455
    journalClinical Microbiology and Infection
    Volume20
    Numéro de publication7
    Les DOIs
    étatPublié - 1 janv. 2014

    Contient cette citation