CSSN: ISSN 1000-467X CODEN: AIZHENG4 CN: 44-1195/R

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Clinical Research Paper

Correlation of Fever to Infection in Patients with Chemotherapy-Induced Neutropenia

Yan-Ping Ruan and Wen-Ying Zhang

volume 27 | issue 8

August 2008
Pages: 177 - 179

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BACKGROUND & OBJECTIVE: The cancer patients with chemotherapy-induced neutropeina often suffer from fever and infection, but current opinions on the correlation of the fever to infection are controversial. This study aimed to investigate the incidence and correlation of fever and infection in cancer patients with chemotherapy-induced neutropenia. METHODS: Clinical data of 256 in-patients with chemotherapy-induced neutropenia from January to July 2007 were analyzed. The occurrence of fever and infection in these patients were analyzed by using descriptive analysis and agreement test. RESULTS: Of the 256 patients, 100 (39.1%) suffered from fever, and 42 (16.4%) experienced infection. The temperature of febrile patients was (39.0 ± 0.64)°C. The main sites of infection were the pharynx (42.9%), oral cavity (21.4%) and low respiratory tract (14.3%). The consistency rate was 0.75 between fever and infection (Kappa = 0.414, p < 0.001). CONCLUSION: The incidence of fever and infection in cancer patients with chemotherapy-induced neutropenia are high with a moderate agreement between fever and infection.

Authors

Yan-Ping Ruan

Zhejiang Provincial Cancer Hospital

Wen-Ying Zhang

Zhejiang Provincial Cancer Hospital


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