Oncologic Emergencies by Ellen F. Manzullo Carmen Esther Gonzalez Carmen P. Escalante & Sai-Ching J. Yeung

Author:Ellen F. Manzullo, Carmen Esther Gonzalez, Carmen P. Escalante & Sai-Ching J. Yeung
Language: eng
Format: epub
Publisher: Springer New York, New York, NY

The number of pathogens resistant to commonly used antibiotics has been increasing in both the general and nosocomial patient populations in recent years. Several factors have contributed to this increase, including the widespread use of antibiotics, increased number of immunocompromised hosts, and introduction of new antibiotics (Jones 2001). Before deciding on antimicrobial treatment, knowledge of the patient’s immune defect or defects, history of previous and recent infections, and history of recent antibiotic use is very important. Selection of the initial antimicrobial therapy should be driven by the pathogen or pathogens and their antimicrobial susceptibility.

At our institution, the treatment approach for a cancer patient with an infectious process is often a multidisciplinary one. Collaborative interaction among members of different departments and specialties, including primary oncologists, emergency room physicians, infectious disease specialists, clinical pharmacists, intensive care unit (ICU) personnel, pulmonary physicians, surgeons, interventional radiologists, and other specialists is imperative in the fight against infectious processes that can jeopardize patients’ well-being and affect the course of their cancer treatment.

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