今日の臨床サポート

腫瘍熱

関連論文:
img  1:  Causes of fever in cancer patients (prospective study over 477 episodes).
 
著者: E Toussaint, E Bahel-Ball, M Vekemans, A Georgala, L Al-Hakak, M Paesmans, M Aoun
雑誌名: Support Care Cancer. 2006 Jul;14(7):763-9. doi: 10.1007/s00520-005-0898-0. Epub 2006 Mar 10.
Abstract/Text GOALS OF WORK: The aim of this study was to determine the causes of fever among cancer patients.
METHODS: All febrile cancer patients were followed up prospectively. Clinical, microbiological and radiological documentations were performed. Aetiologies of fever, type of tumour, site of infection, type of microorganism and outcome were assessed and compared between neutropenics and non-neutropenics.
RESULTS: Four hundred and seventy-seven episodes were evaluated. Infection, non-infectious causes and fever of unknown origin represented 67, 23 and 10%, respectively. The respiratory tract is the most frequently involved site in infection (29%), and in microbiologically documented infections, Gram-negative bacilli were predominant. The tumour itself (27%) or an invasive procedure (17%) were the main causes of non-infectious febrile episodes. Mortality from infection was higher among non-neutropenic (11.1%) than neutropenic patients (4.3%).
CONCLUSION: Fever in cancer patients remains a challenge, and the differentiation between infectious and non-infectious causes at onset of fever is very difficult. Despite all the prophylactic measures, infection is still the principal cause. However, the infection-related mortality is low either in neutropenic or non-neutropenic patients.

PMID 16528534  Support Care Cancer. 2006 Jul;14(7):763-9. doi: 10.1007/s00520-005-0898-0. Epub 2006 Mar 10.
戻る

さらなるご利用にはご登録が必要です。

こちらよりご契約または優待日間無料トライアルお申込みをお願いします。

(※トライアルご登録は1名様につき、一度となります)


ご契約の場合はご招待された方だけのご優待特典があります。

以下の優待コードを入力いただくと、

契約期間が通常12ヵ月のところ、14ヵ月ご利用いただけます。

優待コード: (利用期限:まで)

ご契約はこちらから