Ceftazidime monotherapy is as effective as ceftazidime combined with gentamicin in the treatment of febrile neutropenic patients

J Hosp Infect. 1990 Apr:15 Suppl A:49-53. doi: 10.1016/0195-6701(90)90079-4.

Abstract

To evaluate the efficacy of ceftazidime monotherapy in the empirical treatment of febrile neutropenic patients, a randomized trial was performed of ceftazidime (C) vs. ceftazidime and gentamicin (C + G) with the addition of teicoplanin (T) for those patients with a long intravenous line-associated infection. Success without modification at the end of treatment was seen in 32.7% (C), 28.3% (C + G), 52.4% (C + T) and 65.2% (C + G + T). Monotherapy with ceftazidime is as effective as when used in combination with an aminoglycoside in neutropenia.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Agranulocytosis / complications*
  • Anti-Bacterial Agents / therapeutic use
  • Cause of Death
  • Ceftazidime / therapeutic use*
  • Drug Therapy, Combination
  • Female
  • Fever / drug therapy*
  • Fever / etiology
  • Fever / mortality
  • Gentamicins / therapeutic use*
  • Glycopeptides / therapeutic use
  • Humans
  • Male
  • Neutropenia / complications*
  • Randomized Controlled Trials as Topic
  • Teicoplanin

Substances

  • Anti-Bacterial Agents
  • Gentamicins
  • Glycopeptides
  • Teicoplanin
  • Ceftazidime