Lack of ability of ciprofloxacin-rifampin prophylaxis to decrease infection-related morbidity in neutropenic patients given cytotoxic therapy and peripheral blood stem cell transplants
Author(s) -
Manuel Hidalgo,
Javier Hornedo,
Carlos Lumbreras,
José Trigo,
C. Gómez,
Sofía Perea,
Ana RuizCasado,
Ricardo Hitt,
H. Cortés-Funes
Publication year - 1997
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.41.5.1175
Subject(s) - ciprofloxacin , medicine , incidence (geometry) , bacteremia , chemotherapy , regimen , surgery , transplantation , antibacterial agent , antibiotics , gastroenterology , microbiology and biotechnology , biology , physics , optics
We compared ciprofloxacin alone with ciprofloxacin plus rifampin (C + R) as a prophylactic antibacterial regimen for 40 patients with solid tumors treated with high-dose chemotherapy and autologous stem cell transplantation support. No differences were found between groups in the time elapsed to the onset of fever, incidence of febrile episodes, amphotericin B use, and length of hospital stay. However, C + R combination prophylaxis significantly reduced the incidence of gram-positive bacteremia (five versus zero episodes) but was associated with a higher incidence of drug-related side effects.
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