To determine the efficacy and safety of pipercillin/tazobactam compared with ceftazidime plus amikacin in pediatric oncology patients with febrile neutropenia. pipercillin/tazobactam pediatric febrile neutropenia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -age < 18 years with diagnosis of malignancies -fever : axillary tenperature 38.3 C or 38.0 C sustained over 1 hour -neutropenia: ANC < 500 cell/mm3 or ANC <1000 cell/mm3 and expected to decrease to < 500 cell/mm3 during next 48 hours
Exclusion criteria
Exclusion criteria: -patients and/or parents decline to participate in this study -systemic intravenous antibiotics pretreatment within 5 days before randomization -history of hypersensitivity to any study drugs -HIV infection -Renal function impairment -Fever due to blood component transfusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Early response to initial antibiotics at the end of treatment complete response to initial antibiotics and resolution of fever within 48 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| modification therapy at the end of treatment changes of antibiotics,side effects of drugs at the end of treatment records sides effect of drugs,morbidity and mortality at the end of treatment records morbidity and mortality ,costs of treatment at the end of treatment records cost of treatment ,blood stream infection and drug sensitivity at the end of treatment records blood stream infection and drug sensitivity | — |
Countries
Thailand
Contacts
Faculty of medicine, Chiang Mai University