Table 5.
Population | Intention | Intervention | SoR | QoE | References |
---|---|---|---|---|---|
Patients at onset of fever | To treat presumed underlying infection | Broad-spectrum antibiotics (piperacillin/tazobactam, ceftazidime, cefepime, meropenem, imipenem/cilastatin) | A | I |
Bucaneve JCO (2014) [84] Reich BJH (2005) [127] Horita CMI (2017) [128] Harter BMT (2006) [129] |
Patients at onset of fever, clinically stable | To treat presumed underlying infection | Add aminoglycoside | D | I | Del Favero CID (2001) [92] |
Patients at fever onset, hospital with high rates of multidrug resistant bacteria | To treat presumed underlying infection | Add antibiotics as appropriate (e.g. novel combinations of cephalosporins and betalactamase inhibitors, siderophore cephalosporins, tigecycline) | A | I | Bucaneve JCO (2014) [84] |
Patients at fever onset or with persisting fever | To treat presumed underlying infection | Add glycopeptide or oxazolidinone (e.g. linezolid) | D | I |
Cometta CID (2003) [96] Lisboa IJID (2015) [90] |
Patients with fever persisting > 96 h, clinically stable | To treat presumed underlying infection | Continue first line antibiotic treatment | A | I |
Bow CID (2006) [130] Cometta CID (2003) [96] |
Patients with a first fever | To treat presumed underlying infection | Add antifungal | D | IIt | Maschmeyer EJCMID (2013) [131] |
Patients with fever persisting > 96 h, clinically stable | To treat presumed underlying infection | Add liposomal amphotericin B or caspofungin | C | IIt |
Walsh NEJM (2004) [132] Walsh NEJM 1999 [133] |