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FEBRİL NÖTROPENİLİ HASTALARDA AMPİRİK ANTİBİYOTİK REJİMLERİNİN ETKİNLİKLERİNİN KARŞILAŞTIRILMASI

The comparison of the efficacy of empirical antibiotic regimens in febrile neutropenic patients

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Abstract (2. Language): 
Objectives: To compare of the efficacy of empirical antibiotic regimens in febrile neutropenic patients in in Adult Hematology Clinic of Turgut Ozal Medical Center. Material and methods: Four different antibiotic regimens Ceftazidime+Amikacin (n=19), Imipenem+Amikacin (n=14), Cefepime+Amikacin (n=20) and Sulbactam/Cefoperozone+Ami-kacin (n=20) were assessed as initial empirical therapy in febrile neutropenic patients. Results: Seventy-three febrile neutropenic episodes in 43 patients were evaluated. There was no significant difference in the efficacy and toxicity of antibiotics between the four different regimens (p>0.05). Conclusion: All of the four empirical antibiotic regimens were equally effective and well tolerated as initial therapy for neutropenic patients with fever.
Abstract (Original Language): 
Amaç: Turgut Özal Tıp Merkezi erişkin Hematoloji kliniğindeki febril nötropenik hastalarda ampirik tedavi rejimlerinin etkinliklerinin karşılaştırılması. Materyal ve metot: Dört farklı antibiyotik rejimi, Seftazidim+Amikasin (n=19), İmipenem+ Arnikasın (n=14), Sefepim+Amikasin (n=20), Sulbaktam/Sefoperazon+Amikasin (n=20) karşılaştırıldı. Kırk üç hastada gelişen toplam 73 febril nötropenik atak değerlendirildi. Bulgular: Dört farklı antibiyotik rejimi alan gruplar arasında etkinlik ve toksite açısından fark yoktu (p>0.05). Sonuç: Her dört rejim de toksisite ve etkinlik açısından febril nötropenik hastalarda başlangıç tedavisinde kullanılabileceği görüşüne varıldı.
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