癌症患者发热的评价。

P A Pizzo
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引用次数: 0

摘要

在过去十年中,发热和中性粒细胞减少症患者的生存率持续提高。这在很大程度上反映了可用于治疗这一不断增加的患者群体中出现的发烧和感染的抗微生物药物种类不断增加。如果总是能根据微生物分离物及其敏感性模式做出治疗决定,那将是最理想的,但这在癌症患者中通常是不可能的。发烧仍然是感染的主要表现,但潜在的微生物病因很少被描述。尽管诊断测试得到了改进,但临床敏锐度以及警惕和反复的患者评估仍然是评估发热癌症患者的基石。事实上,严格遵守简单的原则可以对提高发烧或感染的癌症患者的生存机会产生重大影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of fever in the patient with cancer.

During the last decade, the survival of patients with fever and neutropenia has continued to improve. This is largely a reflection of the increasing repertoire of antimicrobial agents available to treat the fevers and infections that arise in this ever-increasing population of patients. Although it would be optimal if therapeutic decisions could always be made based on the microbial isolates and their sensitivity patterns, this is generally not possible in the cancer patient. Fever remains the predominant manifestation of infection, but the underlying microbial etiology is infrequently delineated. In spite of improved diagnostic tests, clinical acumen along with vigilant and repetitive patient assessment remain the cornerstone for evaluation of the cancer patient who becomes febrile. Indeed, strict adherence to simple principles can have a significant impact on improving the chances for survival of cancer patients who develop fever or infection.

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