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15 March 2002

Volume 34, Number 6
Clinical Infectious Diseases 2002;34:730–751
© 2002 by the Infectious Diseases Society of America. All rights reserved.
1058-4838/2002/3406-0002$03.00
DOI: 10.1086/339215
IDSA GUIDELINES

2002 Guidelines for the Use of Antimicrobial Agents in Neutropenic Patients with Cancer

Walter T. Hughes,1

Donald Armstrong,2

Gerald P. Bodey,3

Eric J. Bow,7

Arthur E. Brown,2

Thierry Calandra,9

Ronald Feld,8

Philip A. Pizzo,4,5

Kenneth V. I. Rolston,3

Jerry L. Shenep,1 and

Lowell S. Young6

1St. Jude Children’s Research Hospital, Memphis, Tennessee; 2Memorial Sloan‐Kettering Cancer Center, New York, New York; 3University of Texas M. D. Anderson Cancer Center, Houston; 4Harvard Medical School, Boston, Massachusetts; 5Stanford University School of Medicine, Palo Alto, and 6Kuzell Institute for Arthritis, San Francisco, California; 7University of Manitoba, Winnipeg, and 8Princess Margaret Hospital, Toronto, Canada; and 9Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland

Received 7 December 2001; electronically published 13 February 2002.

Reprints or correspondence: Dr. Walter T. Hughes, St. Jude Children’s Research Hospital, 332 North Lauderdale St., Memphis, TN 38105 ().

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Kenneth V. I. Rolston, MD. (2005) Challenges in the Treatment of Infections Caused by Gram‐Positive and Gram‐Negative Bacteria in Patients with Cancer and Neutropenia. Clinical Infectious Diseases 40:s4, S246-S252
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Kent A. Sepkowitz, MD. (2005) Treatment of Patients with Hematologic Neoplasm, Fever, and Neutropenia. Clinical Infectious Diseases 40:s4, S253-S256
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N.G. Almyroudis, A. Fuller, A. Jakubowski, K. Sepkowitz, D. Jaffe, T.N. Small, T.E. Kiehn, E. Pamer, G.A. Papanicolaou. (2005) Pre- and post-engraftment bloodstream infection rates and associated mortality in allogeneic hematopoietic stem cell transplant recipients. Transplant Infectious Disease 7:1, 11-17
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A M Slats, R M Egeler, A van der Does-van den Berg, C Korbijn, K Hählen, W A Kamps, A J P Veerman, C M Zwaan. (2005) Causes of death – other than progressive leukemia – in childhood acute lymphoblastic (ALL) and myeloid leukemia (AML): the Dutch Childhood Oncology Group experience. Leukemia
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W. V. Kern, K. Klose, A. S. Jellen-Ritter, M. Oethinger, J. Bohnert, P. Kern, S. Reuter, H. Baum, R. Marre. (2005) Fluoroquinolone resistance of Escherichia coli at a cancer center: epidemiologic evolution and effects of discontinuing prophylactic fluoroquinolone use in neutropenic patients with leukemia. European Journal of Clinical Microbiology & Infectious Diseases 24:2, 111-118
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Michael Ellis, Basel al-Ramadi, Ulla Hedstrom, Chris Frampton, Hussain Alizadeh, Jorgen Kristensen. (2005) Significance of the CC chemokine RANTES in patients with haematological malignancy: results from a prospective observational study. British Journal of Haematology 128:4, 482-489
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A. Belkum, M. C. Vos. (2005) Prophylactic application of fluoroquinolones for selective decontamination of the gut: friend or foe. European Journal of Clinical Microbiology & Infectious Diseases 24:2, 109-110
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John F Barrett. (2005) Adjunct antimicrobial therapy – prospects for the future. Therapy 2:1, 67-76
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Paul L McCormack, Caroline M Perry. (2005) Caspofungin. Drugs 65:14, 2049-2068
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Shingo YANO, Noriko USUI, Osamu ASAI, Nobuaki DOBASHI, Hiroshi OSAWA, Yutaka TAKEI, Shinobu TAKAHARA, Yoji OGASAWARA, Yuko YAMAGUCHI, Takeshi SAITO, Jiro MINAMI, Masayuki KOBAYASHI. (2005) Septic Intramuscular Embolism in a Neutropenic Patient with Myelodysplastic Syndrome Accompanied by Asymptomatic Septic Pulmonary Emboli. Internal Medicine 44:10, 1100-1102
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Funda Çorapçioglu, Nazan Sarper. (2005) CEFEPIME VERSUS CETAZIDIME+AMIKACIN AS EMPIRICAL THERAPY FOR FEBRILE NEUTROPENIA IN CHILDREN WITH CANCER: A Prospective Randomized Trial of the Treatment Efficacy and Cost. Pediatric Hematology and Oncology 22:1, 59-70
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Murat Akova, Marianne Paesmans, Thierry Calandra, and Claudio Viscoli, for the International Antimicrobial Therapy Group of the European Organization for Research and Treatment of Cancer. (2005) A European Organization for Research and Treatment of Cancer–International Antimicrobial Therapy Group Study of Secondary Infections in Febrile, Neutropenic Patients with Cancer. Clinical Infectious Diseases 40:2, 239-245
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Annie Wong-Beringer. (2005) Treating Serious Infections: Focus on Cefepime. Pharmacotherapy 24:12, 216S-223S
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David N. Korones. (2005) Is routine chest radiography necessary for the initial evaluation of fever in neutropenic children with cancer?. Pediatric Blood & Cancer 43:7, 715-717
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M. Bishton, R. Chopra. (2005) The role of granulocyte transfusions in neutropenic patients. British Journal of Haematology 127:5, 501-508
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Abdelmottaleb A. Yousef, Christopher J.H. Fryer, Fares D. Chedid, Adil A.H. Abbas, Sami K. Felimban, Taha M. Khattab. (2004) A pilot study of prophylactic ciprofloxacin during delayed intensification in children with acute lymphoblastic leukemia. Pediatric Blood & Cancer 43:6, 637-643
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John H. Powers. (2004) Issues in Clinical Trials of Prophylaxis of Fungal Infections. Clinical Infectious Diseases 39:s4, S211-S217
Online publication date: 15-Oct-2004.
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Edith Renoult, Chantal Buteau, Nathalie Turgeon, Albert Moghrabi, Michel Duval, Bruce Tapiero. (2004) Is routine chest radiography necessary for the initial evaluation of fever in neutropenic children with cancer?. Pediatric Blood & Cancer 43:3, 224-228
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Aditya H. Gaur, Patricia M. Flynn, Jerry L. Shenepu. (2004) Optimum management of pediatric patients with fever and neutropenia. The Indian Journal of Pediatrics 71:9, 825-835
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Marisa H. Miceli, Laurie B. Jones Jackson, Ronald C. Walker, Giampaolo Talamo, Bart Barlogie, Elias J. Anaissie. (2004) Diagnosis of infection of implantable central venous catheters by [18F]fluorodeoxyglucose positron emission tomography. Nuclear Medicine Communications 25:8, 813-818
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D. A. R. Watson. (2004) The long and short of the risk of antibiotic treatment failure. Internal Medicine Journal 34:7, 379-382
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K. Tamura, K. Imajo, N. Akiyama, K. Suzuki, A. Urabe, K. Ohyashiki, M. Tanimoto, T. Masaoka, and the Japan Febrile Neutropenia Study Group . (2004) Randomized Trial of Cefepime Monotherapy or Cefepime in Combination with Amikacin as Empirical Therapy for Febrile Neutropenia. Clinical Infectious Diseases 39:s1, S15-S24
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Reuben Ramphal . (2004) Changes in the Etiology of Bacteremia in Febrile Neutropenic Patients and the Susceptibilities of the Currently Isolated Pathogens. Clinical Infectious Diseases 39:s1, S25-S31
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Kenneth V. I. Rolston . (2004) The Infectious Diseases Society of America 2002 Guidelines for the Use of Antimicrobial Agents in Patients with Cancer and Neutropenia: Salient Features and Comments. Clinical Infectious Diseases 39:s1, S44-S48
Online publication date: 15-Jul-2004.
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Minoru Yoshida and Ryuzo Ohno . (2004) Current Antimicrobial Usage for the Management of Infections in Leukemic Patients in Japan: Results of a Survey. Clinical Infectious Diseases 39:s1, S11-S14
Online publication date: 15-Jul-2004.
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K. Ohyashiki . (2004) Monotherapy versus Dual Therapy Based on Risk Categorization of Febrile Neutropenic Patients. Clinical Infectious Diseases 39:s1, S56-S58
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K. Tamura . (2004) Initial Empirical Antimicrobial Therapy: Duration and Subsequent Modifications. Clinical Infectious Diseases 39:s1, S59-S64
Online publication date: 15-Jul-2004.
Abstract-Full Text-PDF Version (120 kB)
Tohru Masaoka . (2004) Economic Issues: Toward a Cost‐Effective Approach to the Management of Febrile Neutropenia in Japan. Clinical Infectious Diseases 39:s1, S68-S69
Online publication date: 15-Jul-2004.
Abstract-Full Text-PDF Version (45 kB)
Minoru Yoshida and Ryuzo Ohno . (2004) Antimicrobial Prophylaxis in Febrile Neutropenia. Clinical Infectious Diseases 39:s1, S65-S67
Online publication date: 15-Jul-2004.
Abstract-Full Text-PDF Version (59 kB)
Juan J. Picazo . (2004) Management of the Febrile Neutropenic Patient: A Consensus Conference. Clinical Infectious Diseases 39:s1, S1-S6
Online publication date: 15-Jul-2004.
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E. Velasco, R. Byington, C. S. A. Martins, M. Schirmer, L. C. M. Dias, V. M. S. C. Goncalves. (2004) Bloodstream infection surveillance in a cancer centre: a prospective look at clinical microbiology aspects. Clinical Microbiology and Infection 10:6, 542-549
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Michael Ellis. (2004) Preventing microbial translocation in haematological malignancy. British Journal of Haematology 125:3, 282-293
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Christopher J. Crnich and Dennis G. Maki. (2004) Are Antimicrobial‐Impregnated Catheters Effective? Don’t Throw Out the Baby with the Bathwater. Clinical Infectious Diseases 38:9, 1287-1292
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Tezer Kutluk, Ogn Kurne, Canan Akyz, Mehmet Ceyhan, Gler Kanra, Mnevver Bykpamuku, Glten Semeer. (2004) Cefepime vs. Meropenem as empirical therapy for neutropenic fever in children with lymphoma and solid tumours. Pediatric Blood & Cancer 42:3, 284-286
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Kenneth V.I. Rolston. (2004) Management of Infections in the Neutropenic Patient. Annual Review of Medicine 55:1, 519-526
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Oliver A. Cornely, Thomas Wicke, Harald Seifert, Ullrich Bethe, Martin Schwonzen, Dietmar Reichert, Andrew J. Ullmann, Meinolf Karthaus, Kai Breuer, Bernd Salzberger, Volker Diehl, Gerd Fätkenheuer. (2004) Once-Daily Oral Levofloxacin Monotherapy versus Piperacillin/Tazobactam Three Times a Day: A Randomized Controlled Multicenter Trial in Patients with Febrile Neutropenia. International Journal of Hematology 79:1, 74-78
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Nashaat S. Hamza, Michelle Lisgaris, Gopala Yadavalli, Laura Nadeau, Robert Fox, Pingfu Fu, Hillard M. Lazarus, Omer N. Koc, Robert A. Salata, Mary J. Laughlin. (2004) Kinetics of myeloid and lymphocyte recovery and infectious complications after unrelated umbilical cord blood versus HLA-matched unrelated donor allogeneic transplantation in adults. British Journal of Haematology 124:4, 488-498
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Jeffrey Crawford, David C. Dale, Gary H. Lyman. (2004) Chemotherapy-induced neutropenia. Cancer 100:2, 228-237
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Federico Pea, Pierluigi Viale, Anna Candoni, Federica Pavan, Leonardo Pagani, Daniela Damiani, Marco Casini, Mario Furlanut. (2004) Teicoplanin in Patients with Acute Leukaemia and Febrile Neutropenia. Clinical Pharmacokinetics 43:6, 405-415
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Kenneth V.I. Rolston, Irfan Vaziri, Susan Frisbee-Hume, Harriet Streeter, Barbara LeBlanc. (2004) In vitro Antimicrobial Activity of Gatifloxacin Compared with Other Quinolones against Clinical Isolates from Cancer Patients. Chemotherapy 50:5, 214-220
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Peter G. Pappas, John H. Rex, Jack D. Sobel, Scott G. Filler, William E. Dismukes, Thomas J. Walsh, and John E. Edwards. (2004) Guidelines for Treatment of Candidiasis. Clinical Infectious Diseases 38:2, 161-189
Online publication date: 15-Jan-2004.
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Sung‐Han Kim, MD; Cheol‐In Kang, MD; Hong‐Bin Kim, MD; Sung‐Soo Youn, MD; Myoung‐don Oh, MD; Eui‐Chong Kim, MD; Seon‐Yang Park, MD; Byoung‐Kook Kim, MD; Kang‐Won Choe, MD. (2003) Outcomes of Hickman Catheter Salvage in Febrile Neutropenic Cancer Patients With Staphylococcus aureus Bacteremia •. Infection Control and Hospital Epidemiology 24:12, 897-904
Online publication date: 1-Dec-2003.
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Annie Wong-Beringer, Jane Kriengkauykiat. (2003) Systemic Antifungal Therapy: New Options, New Challenges. Pharmacotherapy 23:11, 1441-1462
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Dieter Buchheidt, Angelika Böhme, Oliver A. Cornely, Gerd Fätkenheuer, Heinz-Georg Fuhr, Gudula Heussel, Christian Junghanss, Meinolf Karthaus, Olaf Kellner, Winfried V. Kern, Xaver Schiel, Orhan Sezer, Thomas Südhoff, Hubert Szelényi(†). (2003) Diagnosis and treatment of documented infections in neutropenic patients. Annals of Hematology 82:S2, S127-S132
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Issam I. Raad, Carmen Escalante, Ray Y. Hachem, Hend A. Hanna, Rola Husni, Claude Afif, Maha R. Boktour, Estella E. Whimbey, Dimitrios Kontoyiannis, Kalen Jacobson, Hagop Kantarjian, L. Martin Levett, Kenneth V. I. Rolston. (2003) Treatment of febrile neutropenic patients with cancer who require hospitalization. Cancer 98:5, 1039-1047
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Chul Won Choi, Hwa Jung Sung, Kyong Hwa Park, So Young Yoon, Seok Jin Kim, Sang Cheul Oh, Jae Hong Seo, Byung Soo Kim, Sang Won Shin, Yeul Hong Kim, Jun Suk Kim. (2003) Early lymphopenia as a risk factor for chemotherapy-induced febrile neutropenia. American Journal of Hematology 73:4, 263-266
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A. Cometta, W. V. Kern, R. De Bock, M. Paesmans, M. Vandenbergh, F. Crokaert, D. Engelhard, O. Marchetti, H. Akan, A. Skoutelis, V. Korten, M. Vandercam, H. Gaya, A. Padmos, J. Klastersky, S. Zinner, M. P. Glauser, T. Calandra, and C. Viscoli, for the International Antimicrobial Therapy Group of the European Organization for Research Treatment of Cancer. (2003) Vancomycin versus Placebo for Treating Persistent Fever in Patients with Neutropenic Cancer Receiving Piperacillin‐Tazobactam Monotherapy. Clinical Infectious Diseases 37:3, 382-389
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Corrado Girmenia, Pietro Martino. (2003) Current Opinion in Oncology 15:4, 283-288
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Harrys A. Torres, Gerald P. Bodey, Kenneth V. I. Rolston, Hagop M. Kantarjian, Issam I. Raad, Dimitrios P. Kontoyiannis. (2003) Infections in patients with aplastic anemia. Cancer 98:1, 86-93
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Michael Vogeser, Ute Spöhrer, Xaver Schiel. (2003) Determination of Itraconazole and Hydroxyitraconazole in Plasma by Use of Liquid Chromatography-Tandem Mass Spectrometry with On-line Solid-Phase Extraction. Clinical Chemistry and Laboratory Medicine 41:7, 915-920
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W Garrett Nichols. (2003) Combating infections in hematopoietic stem cell transplant recipients. Expert Review of Anti-infective Therapy 1:1, 57-73
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Hugo Paganini, Sandra Gmez, Silvina Ruvinsky, Pedro Zubizarreta, Antonio Latella, Lidia Fraquelli, Alejandro Santilln Iturres, Lidia Casimir, Roberto Debbag. (2003) Outpatient, sequential, parenteral-oral antibiotic therapy for lower risk febrile neutropenia in children with malignant disease. Cancer 97:7, 1775-1780
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John E. Bennett, John Powers, Thomas Walsh, Claudio Viscoli, Ben de Pauw, William Dismukes, John Galgiani, Michel Glauser, Raoul Herbrecht, Carol Kauffman, Jeannette Lee, Peter Pappas, John Rex, and Paul Verweij. (2003) Forum Report: Issues in Clinical Trials of Empirical Antifungal Therapy in Treating Febrile Neutropenic Patients. Clinical Infectious Diseases 36:s3, S117-S122
Online publication date: 15-Apr-2003.
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S. M. Miller, M. M. Beattie, and A. A. Butt. (2003) Personal Digital Assistant Infectious Diseases Applications for Health Care Professionals. Clinical Infectious Diseases 36:8, 1018-1029
Online publication date: 15-Apr-2003.
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Jason C Gallagher, Elizabeth S Dodds Ashley, Richard H Drew, John R Perfect. (2003) Antifungal pharmacotherapy for invasive mould infections. Expert Opinion on Pharmacotherapy 4:2, 147-164
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Nelson Lee, Kwok-Yung Yuen, Cyrus R Kumana. (2003) Clinical Role of ??-Lactam/??-Lactamase Inhibitor Combinations. Drugs 63:14, 1511-1524
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Mark T Holdsworth, Jeff Hanrahan, Bernadette Albanese, Jami Frost. (2003) Outpatient Management of Febrile Neutropenia in Children with Cancer. Pediatric Drugs 5:7, 443-455
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Karen Moody, Mary Charlson, Jonathan Finlay. (2003) Journal of Pediatric Hematology/Oncology 24:9, 717-721
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John R. Wingard. (2002) Lipid Formulations of Amphotericins: Are You a Lumper or a Splitter?. Clinical Infectious Diseases 35:7, 891-895
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Richard Frothingham. (2002) Lipid Formulations of Amphotericin B for Empirical Treatment of Fever and Neutropenia. Clinical Infectious Diseases 35:7, 896-897
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Citation-Full Text-PDF Version (125 kB)
Walter Hughes, Donald Armstrong, Gerald Bodey, Eric Bow, Arthur Brown, Thierry Calandra, Ronald Feld, Philip Pizzo, Kenneth Rolston, Jerry Shenep, and Lowell Young. (2002) Reply. Clinical Infectious Diseases 35:7, 897-898
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Citation-Full Text-PDF Version (125 kB)

  • These guidelines were developed and issued on behalf of the Infectious Diseases Society of America.

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