Abstract

FUENTES, Lissette et al. Characteristics of acute lymphoblastic leukemia and febrile neutropenia in children and adolescents cared for in a hospital in Guayaquil, Ecuador. Rev. perú. med. exp. salud publica [online]. 2018, vol.35, n.2, pp.272-278. ISSN 1726-4634.  http://dx.doi.org/10.17843/rpmesp.2018.352.2862.

With the objective of performing a clinical characterization of children and adolescents with acute lymphoblastic leukemia and febrile neutropenia in a hospital in Ecuador, a case series study was carried out, which involved reviewing the clinical records of patients receiving care at "Hospital de la Sociedad de Lucha Contra el Cancer" in Guayaquil between January 2014 and April 2016. Out of the 101 patients, 51.5% were female; mean age was 5.5±2.1 years old; 72.3% were at high risk for invasive bacterial infection; the most common infections were respiratory with 47.5%; 18.8% of bacteria isolated in blood cultures were Gram-positive. Finally, 25.7% of patients died, with chemotherapy resistance as one of the associated factors.

Keywords : Febrile neutropenia; Lymphoblastic leukemia; Mortality; Sepsis; Cancer; Child.

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