TURKISH JOURNAL OF ONCOLOGY 1999 , Vol 14 , Num 3
FEBRIL NEUTROPENIA IN PEDIATRIC ONCOLOGY
TİRAJE CELKAN, HİLMİ APAK, ALP ÖZKAN, LEBRİZ YÜKSEL, İNCİ YILDIZ
İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Pediyatrik Hematoloji-Onkoloji BD. From May 1994 to February 1996, 40 children with leukemia / lymphoma and 18 children with solid tumors, 34 males and 24 females (ranging in age from 10 months to 14.5 years) had neutropenia on 115 occasions. The patients received one of three empirical antibiotic regimens: A: piperacillin + ceftinazolin + netilmicin; B: cefoperazone/sulbactam + netilmicin; C: imipenem/cilastan. Microbiologically documented infections occurred in 56 episodes (48.6%). Frequency of gram negative and positive bacteria isolated were being the most frequent G (-) pathogens. Blood cultures were positive in 24 episodes (20.8%) in 15 which (62.5%) the causative organism was G (+), primarily S. epidermidis and S. aureus. There were 5 cases of infection related deaths, three due to G (-) bacteremia (P.aeruginosa and E.coli) and one due to systemic Candida infection. Keywords :