Infection is the most critical complication of cancer. A case study is presented that describes an adolescent with acute lymphocytic leukemia. He experienced multiple complications due to infection. Both new and standard therapies were required for the treatment and prevention of infections. A discussion of the rationale for various aspects of his care is presented.
Get full access to this article
View all access options for this article.
References
1.
Rostad ME: Management of myelosuppression in the patient with cancer. Oncol Nurs Forum17(1):4-8, 1990 (suppl)
2.
Tutschka PJ: The use of immunoglobulin in bone marrow transplantation. J Clin Immuno10(6):88S-92S, 1990 3. Fuller AK: Platelet transfusion therapy for thrombocytopenia. Semin Oncol Nurs6:123-128, 1990
3.
Hughes WT, Armstrong D., Bodey G., et al: Guidelines for the use of antimicrobial agents in neutropenic patients with unexplained fever. J Infect Dis161:381-396, 1990
4.
Pizzo PA, Robichaud KJ, Gill FA, et al: Duration of empiric antibiotic therapy in granulocytopenic patients with cancer. Am J Med67:194-200, 1979
5.
Bodey GP, Buckley M., Sathe Y., et al: Quantitative relationships between circulating leukocytes and infections in patients with acute leukemia. Ann Intern Med64:328-340, 1966
6.
Karp JE, Merz WJ, Dick JD, et al: Management of infectious complications of acute leukemia and antileukemia therapy. Oncology4:45-53, 1990
7.
Abrahm J.: Management of the immunocompromized hostMed Clin North Am68:617-637, 1984
8.
Brandt B.: Nursing protocol for the patient with neutropenia. Oncol Nurs Forum17(1):9-14, 1990 (Suppl)
Mitchell CD : Management of infections in the neutropenic child with cancer. Pediatr Ann17:677-686; 1988
11.
Delmonte L. : Demystifying blood growth factors. OncolTimes: 11-13, 1990
12.
Haeuber D., DiJulio JE: Hemopoietic colony stimulating factors: An overview. Oncol Nurs Forum16:247-255, 1989
13.
Glaspy JA, Ambersley JM: The promise of colony-stimulating factors in clinical practice. Oncol Nurs Forum17(1):20-24, 1990 (Suppl)
14.
Rubin M.: The physiology of bed rest. Am J Nurs88: 50-56, 1988
15.
Willey T.: High-tech beds and mattress overlays: A decision guide. Am J Nurs89:1142-1145, 1989
16.
International Association for Enterostomal Therapy: Standards of care: Dermal wounds: Leg ulcersIrvine, CA, International Association for Enterostomal Therapy, 1987, pp 1-30
17.
Conforti C. : Pressure sores: Dressed for successful healing . Nurs8919(3):58-61, 1989
18.
Alvarez O.: Moist environment for healing: Matching the dressing to the wound. Ostomy/Wound Manag21:64-82, 1988
19.
Mash N.: Wound protocols for management: Standards of care as a systematic approach . Ostomy/Wound Manag23:42-50, 1989
20.
Pizzo P., Robichaud K., Gill F., et al: Empiric antibiotic fungal theraph for cancer patients with prolonged fever and granulocytopenia. Am J Med72:103, 1982
