血液疾患に併発した重症感染症に対するsulbactam/ampicillinとaztreonamの併用療法

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  • Combined therapy with sulbactam/ampicillin and aztreonam for bacterial infections associated with hematological disease.

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Combined antibacterial therapy with sulbactam/ampicillin (SBT/ABPC) and aztreonam (AZT) was given to 51 patients with infections associated with hematological disease. Among the 41 evaluable patients, 15 (36.6%) had acute leukemia, 18 (43.9%) malignant lymphoma, 6 (14.6%) multiple myeloma, 1 (2.4 %) myelodysplatic syndrome, and 1 (2.4%) chronic lymphocytic leukemia. The overall response to this treatment was 61.0%, and those for individual infections were 65.5% for suspected sepsis and 60.0% for pneumonia. The response was 66.7% for patients with acute leukemia, and 58.8% those with malignant lymphoma. In elderly patients, response is relatively low. Patients with neutropenia are resistant to current antibacterial therapy. No side effects of a high grade were seen in evaluable patients. This combination therapy is effective for various infections in patients with hematological malignancy.

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