Cochrane2019Ia

Cochrane Review: Early discontinuation of antibiotics for febrile neutropenia versus continuation until neutropenia resolution in people with cancer

Zusammenfassung

# Early discontinuation of antibiotics for febrile neutropenia versus continuation until neutropenia resolution in people with cancer. ## BACKGROUND People with cancer with febrile neutropenia are at risk of severe infections and mortality and are thus treated empirically with broad-spectrum antibiotic therapy. However, the recommended duration of antibiotic therapy differs across guidelines. ## OBJECTIVES To assess the safety of protocol-guided discontinuation of antibiotics regardless of n

Kerninformationen

ith people with cancer treated until resolution of neutropenia. ## SEARCH METHODS We searched the Cochrane Central Register of Controlled Trials (CENTRAL; 2018, Issue 10) in the Cochrane Library, MEDLINE, Embase, and LILACS up to 1 October 2018. We searched the metaRegister of Controlled Trials an...
rdless of the neutrophil count to a long course in which antibiotics were continued until neutropenia resolution in people with cancer with febrile neutropenia. The primary outcome was 30-day or end of follow-up all-cause mortality. ## DATA COLLECTION AND ANALYSIS Two review authors independently ...
y was found, trials were pooled using the Mantel-Haenszel fixed-effect model. ## MAIN RESULTS We included eight RCTs comprising a total of 662 distinct febrile neutropenia episodes. The studies included adults and children, and had variable design and criteria for discontinuation of antibiotics in...
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