Neutropenia és szepszis a hematológiai osztályon: A Kaposi Mór Oktató Kórház tapasztalatai

Translated title of the contribution: Neutropenia and sepsis in hematologic patients

Miklós Egyed, Balázs Kollár, Éva Karádi, Péter Rajnics, Lívia Kocsondi, G. Rumi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Introduction: The neutropenic patient's infections are challenging problems for modern medicine. The increasing number of iatrogenic neutropenia, the invasive procedures and the growing resistance to antibiotics and antimycotics make the treatment of sepsis difficult. The aim of this study was to analyse the frequency and mortality of neutropenic infections in hematologic patients. Methods and Results: In the department of the authors 146 patients with sepsis were diagnosed out of 2173 treated patients in 24 months (67/1000 patients). 78 of them were neutropenic (absolute neutrophil count below 0,5 G/I) and 63 were severe neutropenic (absolute neutrophil count below 0,1 G/I). Sepsis occurred on the 10-11th day of neutropenia. 45% of positive hemoculture were caused by Gram positive bacteria, 30 % by Gram negative bacteria, 10% by fungi and 15% were polymicrobic infections. The overall mortality was 36%, but in the severe neutropenic group it was about 60%. Conclusions: These results show that despite of the use of new, broad spectrum of antibiotics and antimycotics in neutropenic patients with sepsis, it is difficult to treat these patients.

Original languageHungarian
Pages (from-to)2031-2033
Number of pages3
JournalOrvosi Hetilap
Volume147
Issue number42
Publication statusPublished - Oct 22 2006

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Neutropenia
Sepsis
Neutrophils
Infection
Modern 1601-history
Mortality
Gram-Positive Bacteria
Microbial Drug Resistance
Gram-Negative Bacteria
Fungi
Anti-Bacterial Agents

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Egyed, M., Kollár, B., Karádi, É., Rajnics, P., Kocsondi, L., & Rumi, G. (2006). Neutropenia és szepszis a hematológiai osztályon: A Kaposi Mór Oktató Kórház tapasztalatai. Orvosi Hetilap, 147(42), 2031-2033.

Neutropenia és szepszis a hematológiai osztályon : A Kaposi Mór Oktató Kórház tapasztalatai. / Egyed, Miklós; Kollár, Balázs; Karádi, Éva; Rajnics, Péter; Kocsondi, Lívia; Rumi, G.

In: Orvosi Hetilap, Vol. 147, No. 42, 22.10.2006, p. 2031-2033.

Research output: Contribution to journalArticle

Egyed, M, Kollár, B, Karádi, É, Rajnics, P, Kocsondi, L & Rumi, G 2006, 'Neutropenia és szepszis a hematológiai osztályon: A Kaposi Mór Oktató Kórház tapasztalatai', Orvosi Hetilap, vol. 147, no. 42, pp. 2031-2033.
Egyed M, Kollár B, Karádi É, Rajnics P, Kocsondi L, Rumi G. Neutropenia és szepszis a hematológiai osztályon: A Kaposi Mór Oktató Kórház tapasztalatai. Orvosi Hetilap. 2006 Oct 22;147(42):2031-2033.
Egyed, Miklós ; Kollár, Balázs ; Karádi, Éva ; Rajnics, Péter ; Kocsondi, Lívia ; Rumi, G. / Neutropenia és szepszis a hematológiai osztályon : A Kaposi Mór Oktató Kórház tapasztalatai. In: Orvosi Hetilap. 2006 ; Vol. 147, No. 42. pp. 2031-2033.
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