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  • Title: [An empirical combination of antibiotics used in aplasias during chemotherapy for acute malignant hemopathies (author's transl)].
    Author: Fiere D, Vuvan H, Guyotat D, Ffrench M, Gonnaud P, Extra JM, Imbert C, Coiffier B, Bryon PA, Rebattu P, Viala JJ.
    Journal: Sem Hop; 1982 Jan 21; 58(3):139-42. PubMed ID: 6278619.
    Abstract:
    Continuous infusion of amikacin, cotrimoxazole and carbenicillin was the second empirically established combination of antibiotics used when fever occurred during the induction phase of chemotherapy in sixty-five patients (58 acute myeloid leukemias, 5 acute lymphoid leukemias, 2 non Hodgkin lymphomas). Clinical evidence of infection was available in 25 cases and the infection was bacteriologically documented in 19 cases. Therapy was successful in 57 patients (89%). When infection was clinically or bacteriologically documented tha success rates were 92 and 82% respectively. The average length of treatment was ten days. In 25 patients receiving 2 g of amikacin in continuous infusion, the mean serum concentration was 15,9 micrograms/ml; in 17 patients receiving 3 g, the mean serum concentration was 19,4 micrograms/ml.
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