Low-dose continuous-infusion ceftazidime monotherapy in low-risk febrile neutropenic patients

Support Care Cancer. 2000 May;8(3):198-202. doi: 10.1007/s005200050285.

Abstract

One hundred and thirty-five cancer patients admitted with low-risk neutropenic fever received a low-dose schedule of ceftazidime as infusional monotherapy over a total of 180 episodes. Ceftazidime was administered as a 1-g bolus followed by a continuous infusion of 2 g per day. In this patient population the ceftazidime was both practical and well tolerated. Sixty-eight percent of patients responded with clinical improvement and complete resolution of fever within 48 h. Overall, 95% of patients responded, although 18% subsequently required antibiotic modification for persistent fever. Only 5% of episodes were considered failures due to clinical deterioration, and over the study period there was only 1 fatality due to respiratory failure. The median duration of hospitalisation was only 4 days (2-20). In conclusion, monotherapy with low-dose infusional ceftazidime appears safe and highly effective in this low-risk population of neutropenic patients and may reduce antibiotic costs appreciably.

MeSH terms

  • Adult
  • Aged
  • Ceftazidime / administration & dosage
  • Ceftazidime / therapeutic use*
  • Cephalosporins / administration & dosage
  • Cephalosporins / therapeutic use*
  • Female
  • Fever / drug therapy
  • Fever / etiology
  • Humans
  • Infusions, Intravenous
  • Male
  • Middle Aged
  • Neoplasms / complications*
  • Neutropenia / drug therapy*
  • Neutropenia / etiology
  • Retrospective Studies
  • Treatment Outcome

Substances

  • Cephalosporins
  • Ceftazidime