ANTIBIOTIC STRATEGY IN OROFACIAL HEAD AND NECK INFECTIONS IN SEVERE NEUTROPENIA

被引:8
作者
BARRETT, AP [1 ]
SCHIFTER, M [1 ]
机构
[1] WESTMEAD SCH,DEPT MED,WESTMEAD,NSW 2145,AUSTRALIA
来源
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTICS | 1994年 / 77卷 / 04期
关键词
D O I
10.1016/0030-4220(94)90196-1
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
A strategy for empiric antibiotic therapy for orofacial/head and neck bacterial infections that appear as clinical swellings in patients with severe neutropenia is assessed. Daily examinations were made in the hospital. Only those with peripheral blood neutrophil counts < 100/MM3 that persisted for at least 5 days after the commencement of resolution of the swelling were included in this article. The strategy consisted of sequential additions of a beta-lactam/aminoglycoside combination, metronidazole to intensify anaerobe cover and a beta-lactamase stable agent (such as vancomycin and floxacillin) as dictated by clinical signs. Progressive and complete resolution of infection occurred in 26 of 27 patients treated.
引用
收藏
页码:350 / 355
页数:6
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