Chemoprophylaxis of bacterial infections in granulocytopenic cancer patients using norfloxacin

Chemioterapia. 1988 Oct;7(5):327-9.

Abstract

Sixty-five cancer patients pretreated with chemo or radiotherapy, with granulocytopenia less than 1000/mm3 and without fever, were entered into this study: 30 of them were submitted to prophylaxis with norfloxacin while the remaining 35 patients were used as a control group. 20% of the treated subjects versus 68.6% of the controls presented a subsequent infection (P less than 0.001), the lung representing the most frequent site of the infectious disease in both groups (3/6 and 14/24 respectively). These data strongly suggest the use of norfloxacin as an effective prophylactic drug in nonfebrile, granulocytopenic cancer patients, especially as far as gram-negative infections are concerned. Because of the high prevalence of lung cancer in the patients of our study, and a related prevalence of lung infections, at the present time, a wider use of this antibiotic in every kind of solid tumor cannot be generalized.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial

MeSH terms

  • Agranulocytosis / complications*
  • Bacterial Infections / etiology
  • Bacterial Infections / prevention & control*
  • Clinical Trials as Topic
  • Drug Evaluation
  • Humans
  • Neoplasms / complications*
  • Norfloxacin / therapeutic use*

Substances

  • Norfloxacin