Infection prevention in severely myelosuppressed patients: a comparison between ciprofloxacin and a regimen of selective antibiotic modulation of the intestinal flora.

Author: AkardL, AllenS D, BlackJ R, CromerM, JansenJ, WheatL J

Paper Details 
Original Abstract of the Article :
PURPOSE: To study whether oral ciprofloxacin would be as effective in preventing bacterial infections in severely myelosuppressed patients as selective antibiotic modulation of the gut flora with neomycin/polymyxin B sulfate/nalidixic acid (NPN). PATIENTS AND METHODS: One hundred and five patients ...See full text at original site
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引用元:
https://doi.org/10.1016/0002-9343(94)90063-9

データ提供:米国国立医学図書館(NLM)

Ciprofloxacin vs. Selective Antibiotic Modulation for Infection Prevention in Myelosuppressed Patients

The field of [hematology] is continually seeking ways to improve the care of patients with [myelosuppression], a condition characterized by a weakened immune system. This study compared the effectiveness of [oral ciprofloxacin] and a regimen of [selective antibiotic modulation of the intestinal flora] in preventing [bacterial infections] in patients with [severe myelosuppression] undergoing [bone marrow transplantation or leukemia induction therapy]. The findings provide valuable insights into the optimal prophylactic strategies for this vulnerable patient population.

Ciprofloxacin Demonstrates Similar Efficacy and Better Tolerability

The study concluded that [oral ciprofloxacin] was at least as effective as the [neomycin/polymyxin/nalidixic acid (NPN) combination] in preventing [bacterial infections] in [myelosuppressed patients]. Furthermore, [ciprofloxacin] was found to be better tolerated. While [streptococcal infections] remained a concern in both groups, the study highlights the potential benefits of [ciprofloxacin] as a [prophylactic agent] in this setting.

Implications for Myelosuppression Management and Infection Control

This research has implications for the [management of myelosuppression] and [infection control] strategies in [hematology] practice. The study's findings suggest that [ciprofloxacin] can be a valuable tool for [prophylaxis] in [myelosuppressed patients], particularly considering its [efficacy and tolerability]. However, the continued occurrence of [streptococcal infections] underscores the need for [additional agents] to address this specific type of infection. The research serves as a reminder that the pursuit of effective prophylactic strategies for [myelosuppressed patients] is a continuous process requiring ongoing evaluation and refinement.

Dr. Camel's Conclusion

This research is like a camel caravan navigating a treacherous desert landscape, with each step forward demanding careful planning and adaptability. The findings highlight the importance of selecting the right prophylactic agents for patients with myelosuppression, ensuring their well-being and minimizing the risks of infection. As a researcher, this study reminds me that progress in medicine is often a journey of trial and error, with each discovery leading to new insights and advancements.
Date :
  1. Date Completed 1994-05-23
  2. Date Revised 2019-06-27
Further Info :

Pubmed ID

8166152

DOI: Digital Object Identifier

10.1016/0002-9343(94)90063-9

Related Literature

SNS
PICO Info
in preparation
Languages

English

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