A randomized study of carbenicillin plus cefamandole or tobramycin in the treatment of febrile episodes in cancer patients

作者: Gerald P. Bodey , Steven J. Ketchel , Victorio Rodriguez

DOI: 10.1016/0002-9343(79)90242-0

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摘要: Abstract Patients were randomly assigned to receive carbenicillin plus tobramycin by continuous infusion (C+T), cefamandole (C+CC) or intermittent (C+IC) during 490 febrile episodes. Carbenicillin was administered over 2 hours every 4 hours. The per cent of cures achieved the 235 documented infections 65 for C+CC, 57 C+IC and 54 C+T. Among those caused single gram-negative bacilli, C+CC produced a higher cure rate than C+T (74 versus 59 50 cent). significantly more effective among patients with persistent severe neutropenia 3 (65 21 cent, p=0.03). If infecting organism sensitive both antibiotics, 94 cent. only major toxicity azotemia which occurred 12 13 episodes, regardless antibiotic regimen. However, it often fevers unknown etiology (20 6 p

参考文章(27)
Gerald P. Bodey, Carbenicillin Therapy for Pseudomonas Infections JAMA: The Journal of the American Medical Association. ,vol. 218, pp. 62- 66 ,(1971) , 10.1001/JAMA.1971.03190140038007
J. Klastersky, Gram-negative infections in cancer. Study of empiric therapy comparing carbenicillin-cephalothin with and without gentamicin JAMA: The Journal of the American Medical Association. ,vol. 227, pp. 45- 48 ,(1974) , 10.1001/JAMA.227.1.45
GERALD P. BODEY, THERESA PAN, Effect of cephalothin on growth patterns of micro-organisms. The Journal of Antibiotics. ,vol. 29, pp. 1092- 1095 ,(1976) , 10.7164/ANTIBIOTICS.29.1092
GERALD P. BODEY, MANUEL VALDIVIESO, RONALD FELD, VICTORIO RODRIGUEZ, KENNETH McCREDIE, Carbenicillin plus cephalothin or cefazolin as therapy for infections in neutropenic patients. The American Journal of the Medical Sciences. ,vol. 273, pp. 309- 318 ,(1977) , 10.1097/00000441-197705000-00009
Gerald P. Bodey, Infectious complications in the cancer patient Current Problems in Cancer. ,vol. 1, pp. 1- 63 ,(1977) , 10.1016/S0147-0272(77)80007-X
Elizabeth T. Anderson, Lowell S. Young, William L. Hewitt, Antimicrobial Synergism in the Therapy of Gram-Negative Rod Bacteremia Chemotherapy. ,vol. 24, pp. 45- 54 ,(1978) , 10.1159/000237759
Gerald P. Bodey, Victorio Rodriguez, Hui-Yen Chang, Gino Narboni, Fever and infection in leukemic patients. A study of 494 consecutive patients Cancer. ,vol. 41, pp. 1610- 1622 ,(1978) , 10.1002/1097-0142(197804)41:4<1610::AID-CNCR2820410452>3.0.CO;2-B
S. C. Schimpff, S. Landesman, D. M. Hahn, H. C. Standiford, C. L. Fortner, V. M. Young, P. H. Wiernik, Ticarcillin in Combination with Cephalothin or Gentamicin as Empiric Antibiotic Therapy in Granulocytopenic Cancer Patients Antimicrobial Agents and Chemotherapy. ,vol. 10, pp. 837- 844 ,(1976) , 10.1128/AAC.10.5.837