Document Detail


Significance of serum bactericidal activity in gram-negative bacillary bacteremia in patients with and without granulocytopenia.
MedLine Citation:
PMID:  6702874     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Serum bactericidal activity was determined routinely in 89 patients with gram-negative bacillary bacteremia, 79 of whom were analyzed because they had granulocyte counts either below 100/mm3 or above 1,000/mm3. A peak (one hour after the administration of the antibiotics) serum bactericidal titer of 1:8 or more in non-granulocytopenic patients or 1:16 or more in severely granulocytopenic patients could be correlated with a favorable clinical response, in 98 percent (44 of 45) (p less than 0.0001) and 87 percent (20 of 23), (p less than 0.001) respectively. Granulocytopenic patients required a statistically significantly higher serum bactericidal activity for a favorable response. Serum bactericidal activity appears to be a useful and simple method to monitor antibiotic treatment in gram-negative bacillary bacteremia, especially when combination therapy is used.
Authors:
J P Sculier; J Klastersky
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of medicine     Volume:  76     ISSN:  0002-9343     ISO Abbreviation:  Am. J. Med.     Publication Date:  1984 Mar 
Date Detail:
Created Date:  1984-04-11     Completed Date:  1984-04-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  429-35     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Agranulocytosis / complications*
Bacterial Infections / complications,  immunology*
Blood Bactericidal Activity*
Gram-Negative Bacteria / isolation & purification*
Humans
Leukemia / complications
Leukocyte Count
Neutropenia / complications*
Outcome and Process Assessment (Health Care)

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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