Mise en place de recommandations thérapeutiques pour la prise en charge des neutropénies fébriles chez les enfants atteints de cancer: Expérience du RIFHOP

L. Le Carrer, J. Saulpic, M. Dubrel, M. O. Serinet, H. Pacquement, G. Raimondo, M. D. Tabone, P. Trioche, B. Mesples, J. Furioli, S. Perdereau, H. Seaumes, M. Guillon, C. Guillaumat, A. Chavlon Demersay, B. Chevallier, B. Brethon, C. Ferry, F. Gouraud, M. BelloyP. Bensaid, C. Dallot, B. Pellegrino, H. Sarda, J. Michon, C. Dufour

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    Résumé

    Purpose. - To evaluate the implementation of clinical guideline for the use of antimicrobial agents in febrile neutropenia in the Île-de-France Network of Pediatric Hematology-Oncology (RIFHOP) and the incidence of documented infections in febrile neutropenia. Patients and methods. - Prospective observational multicenter study in children treated for solid tumors or hematologic malignancies with febrile neutropenia after conventional chemotherapy in Pediatric unit of RIFHOP over a period of 6 months. Results. - One hundred and seventy-six febrile neutropenia occurred in 144 children (77 malignancies - 67 solid tumors). Guideline for first-line antimicrobial treatment was followed in 91% of cases. Antimicrobial treatment has been adapted according to the guidelines of RIFHOP in 88% of cases and the recommendations for the management of outpatients were observed in 87 % of febrile neutropenia. Microbiological documentation was found in 33.5% with a prevalence of urinary tract infection (Escherichia coli). Conclusions. - The feasibility and effectiveness of these guidelines seem to be excellent with an incidence of documented infection comparable to the literature.

    Titre traduit de la contributionClinical practice guideline for the use of antimicrobial agents in neutropenic children with cancer: Experience of the RIFHOP
    langue originaleFrançais
    Pages (de - à)132-140
    Nombre de pages9
    journalRevue d'Oncologie Hematologie Pediatrique
    Volume2
    Numéro de publication3
    Les DOIs
    étatPublié - 1 sept. 2014

    mots-clés

    • Antimicrobial agents
    • Cancer
    • Childhood
    • Neutropenia

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