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. 2020 Oct 20;100(2):321–336. doi: 10.1007/s00277-020-04297-8

Table 5.

Empirical antimicrobial therapy in HDC/ASCT recipients

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]