Dilemmas and choices in infection management of the cancer patient

摘要: Dilemmas related to fever and infection in the granulocytopenic cancer patient demand management choices frequently face of inadequate data assure confidence decision taken. Key elements decision-making include: recognition types infections which tend occur these patients within one's own institution usual antimicrobial susceptibility patterns common pathogens institution. Second, one must differentiate moderately from likely have profound, persistent granulocytopenia and, hence, a high risk mortality gram-negative rod bacteremia. This information will assist selection an initial empiric regimen. The same conjunction with results surveillance cultures especially repeat daily history physical examination decisions discontinuation antibiotics, alterations original regimen, possible superinfections.