Staphylococcus Epidermidis Infections in Acute Myeloblastic Leukaemia Patients Fitted With Hickman Catheters

Sanz, M.I. de Tosetti; Such, Miguel; Rafecas, F Javier; Martin, G.; Santos, Margarida M. Correia dos

doi:10.1016/s0140-6736(83)91234-5

The Lancet

1983

DOI: 10.1016/s0140-6736(83)91234-5

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Staphylococcus Epidermidis Infections in Acute Myeloblastic Leukaemia Patients Fitted With Hickman Catheters

M.I. de Tosetti Sanz¹,

Miguel Such²,

F Javier Rafecas³

et al.

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1983

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Cited by 9 publications

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“…The rate of grampositive bacteremia, however, has substantially increased over the past years, and may be as high as 80% in certain patient populations [5,10,20,21,41,45]. Especially coagulase-negative staphylococci have increasingly been reported as causes of infection in severely neutropenic patients, probably in association with the increased use of in-dwelling right atrial catheters [38,45].…”

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High risk of streptococcal septicemia after high dose cytosine arabinoside treatment for acute myelogenous leukemia

1987

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Twenty-nine adult patients with acute myelogenous leukemia AML who received 40 treatment courses with high dose cytosine arabinoside (HD-A), alone or combined with other cytotoxic drugs, for remission induction (RI) or postremission intensive consolidation (IC) were retrospectively analysed for types and severity of infectious complications. In this paper, we report the unusually high rate of streptococcal septicemia in our patients. Of 13 bacteremic infections in a total of 45 infectious episodes, 10 were caused by streptococci (9 viridans streptococci, 1 group B hemolytic streptococcus). Three of them were lethal. After reviewing all documented cases of streptococcal septicemia in the same study period, four additional cases among adult patients with AML were identified. Three of them have had antileukemic chemotherapy without HD-A, while one have had HD-A as a conditioning regimen for bone marrow transplantation. Only three cases were documented to occur in adult patients with AML. Patients treated with HD-A for RI or IC had a significantly lower risk of streptococcal septicemia during previous chemotherapy-associated febrile neutropenic episodes (1/55 vs 10/45; P = 0.01). Neither prophylactic regimens including trimethoprim-sulfamethoxazole nor those without it were effective in preventing streptococcal septicemia. Further studies are needed to confirm these data before the value of additional or alternative prophylactic antibiotics is proven necessary.

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High risk of streptococcal septicemia after high dose cytosine arabinoside treatment for acute myelogenous leukemia

1987

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Gram-positive bacteraemia in granulocytopenic cancer patients

1990

European Journal of Cancer and Clinical Oncology

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Septicaemia Caused by Viridans Streptococci in Neutropenic Patients With Leukaemia

et al. 1983

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Staphylococcus Epidermidis Infections in Acute Myeloblastic Leukaemia Patients Fitted With Hickman Catheters

Cited by 9 publications

References 5 publications

High risk of streptococcal septicemia after high dose cytosine arabinoside treatment for acute myelogenous leukemia

High risk of streptococcal septicemia after high dose cytosine arabinoside treatment for acute myelogenous leukemia

Gram-positive bacteraemia in granulocytopenic cancer patients

Septicaemia Caused by Viridans Streptococci in Neutropenic Patients With Leukaemia

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