Article ; Online: Outcome of febrile neutropenic patients treated for bacteriuria in hematology.
2023 Volume 31, Issue 2, Page(s) 102
Abstract: Introduction: Positive urine sample is a frequent finding in post-chemotherapy febrile neutropenia (FN) and can lead to prolonged antibiotic therapy. The aim of this study was to assess the outcome of bacteriuria episodes in FN patients receiving ... ...
Abstract | Introduction: Positive urine sample is a frequent finding in post-chemotherapy febrile neutropenia (FN) and can lead to prolonged antibiotic therapy. The aim of this study was to assess the outcome of bacteriuria episodes in FN patients receiving targeted antibiotic therapy. Materials and methods: A multi-centric retrospective study was conducted over a four-year period (2014-2019) on systematic urinalysis. All consecutive first bacteriuria episodes (≤ 2 bacteria with at least ≥ 10 Results: Among 97 patients, 105 bacteriuria episodes on systematic urinalysis were analyzed; 67.6% occurred in women, 41.9% in AML patients, 17.1% were bacteremic, 14.2% presented with UTS, and 61.9% were treated with short-course antibiotic treatment. One death was reported. In men, no relapse/recurrence was noted, even in the short-course antibiotic group. In women, 2.8% of episodes treated with short-course antibiotic led to relapse or recurrence. Conclusions: Relapse, recurrence, and mortality were uncommon events in FN patients experiencing bacteriuria episode, whatever the antibiotic duration. To distinguish asymptomatic bacteriuria from infection remained challenging in women. In men, systematic urinalysis at onset of FN could be useful. |
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MeSH term(s) | Adult ; Male ; Humans ; Female ; Bacteriuria/drug therapy ; Bacteriuria/etiology ; Bacteriuria/diagnosis ; Retrospective Studies ; Neoplasm Recurrence, Local/drug therapy ; Anti-Bacterial Agents/therapeutic use ; Fever/drug therapy ; Fever/etiology ; Hematology ; Febrile Neutropenia/drug therapy ; Urinary Tract Infections/drug therapy ; Urinary Tract Infections/etiology |
Chemical Substances | Anti-Bacterial Agents |
Language | English |
Publishing date | 2023-01-09 |
Publishing country | Germany |
Document type | Journal Article |
ZDB-ID | 1134446-5 |
ISSN | 1433-7339 ; 0941-4355 |
ISSN (online) | 1433-7339 |
ISSN | 0941-4355 |
DOI | 10.1007/s00520-022-07522-4 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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