id sid tid token lemma pos cord-017420-tjwxec77 1 1 key key JJ cord-017420-tjwxec77 2 1 : : : cord-017420-tjwxec77 2 2 cord-017420-tjwxec77 cord-017420-tjwxec77 NN cord-017420-tjwxec77 2 3 authors author NNS cord-017420-tjwxec77 2 4 : : : cord-017420-tjwxec77 2 5 Stephens Stephens NNP cord-017420-tjwxec77 2 6 , , , cord-017420-tjwxec77 2 7 R. R. NNP cord-017420-tjwxec77 2 8 Scott Scott NNP cord-017420-tjwxec77 2 9 title title NN cord-017420-tjwxec77 2 10 : : : cord-017420-tjwxec77 2 11 Neutropenic Neutropenic NNP cord-017420-tjwxec77 2 12 Fever Fever NNP cord-017420-tjwxec77 2 13 in in IN cord-017420-tjwxec77 2 14 the the DT cord-017420-tjwxec77 2 15 Intensive Intensive NNP cord-017420-tjwxec77 2 16 Care Care NNP cord-017420-tjwxec77 2 17 Unit Unit NNP cord-017420-tjwxec77 2 18 date date NN cord-017420-tjwxec77 2 19 : : : cord-017420-tjwxec77 2 20 2019 2019 CD cord-017420-tjwxec77 2 21 - - HYPH cord-017420-tjwxec77 2 22 07 07 CD cord-017420-tjwxec77 2 23 - - HYPH cord-017420-tjwxec77 2 24 09 09 CD cord-017420-tjwxec77 2 25 journal journal NN cord-017420-tjwxec77 2 26 : : : cord-017420-tjwxec77 3 1 Oncologic Oncologic NNP cord-017420-tjwxec77 3 2 Critical Critical NNP cord-017420-tjwxec77 3 3 Care Care NNP cord-017420-tjwxec77 3 4 DOI doi NN cord-017420-tjwxec77 3 5 : : : cord-017420-tjwxec77 3 6 10.1007/978 10.1007/978 CD cord-017420-tjwxec77 3 7 - - HYPH cord-017420-tjwxec77 3 8 3 3 CD cord-017420-tjwxec77 3 9 - - HYPH cord-017420-tjwxec77 3 10 319 319 CD cord-017420-tjwxec77 3 11 - - HYPH cord-017420-tjwxec77 3 12 74588 74588 CD cord-017420-tjwxec77 3 13 - - HYPH cord-017420-tjwxec77 3 14 6_118 6_118 NNP cord-017420-tjwxec77 3 15 sha sha NN cord-017420-tjwxec77 3 16 : : : cord-017420-tjwxec77 3 17 a156b0bc7fabb877f09b0f0ad24e37947479f288 a156b0bc7fabb877f09b0f0ad24e37947479f288 NNP cord-017420-tjwxec77 3 18 doc_id doc_id CD cord-017420-tjwxec77 3 19 : : : cord-017420-tjwxec77 3 20 17420 17420 CD cord-017420-tjwxec77 3 21 cord_uid cord_uid NNS cord-017420-tjwxec77 3 22 : : : cord-017420-tjwxec77 3 23 tjwxec77 tjwxec77 . cord-017420-tjwxec77 4 1 Neutropenic neutropenic JJ cord-017420-tjwxec77 4 2 fever fever NN cord-017420-tjwxec77 4 3 is be VBZ cord-017420-tjwxec77 4 4 a a DT cord-017420-tjwxec77 4 5 common common JJ cord-017420-tjwxec77 4 6 and and CC cord-017420-tjwxec77 4 7 potentially potentially RB cord-017420-tjwxec77 4 8 life life NN cord-017420-tjwxec77 4 9 - - HYPH cord-017420-tjwxec77 4 10 threatening threaten VBG cord-017420-tjwxec77 4 11 condition condition NN cord-017420-tjwxec77 4 12 in in IN cord-017420-tjwxec77 4 13 patients patient NNS cord-017420-tjwxec77 4 14 treated treat VBN cord-017420-tjwxec77 4 15 for for IN cord-017420-tjwxec77 4 16 cancer cancer NN cord-017420-tjwxec77 4 17 . . . cord-017420-tjwxec77 5 1 Rapid rapid JJ cord-017420-tjwxec77 5 2 initiation initiation NN cord-017420-tjwxec77 5 3 of of IN cord-017420-tjwxec77 5 4 appropriate appropriate JJ cord-017420-tjwxec77 5 5 antimicrobial antimicrobial JJ cord-017420-tjwxec77 5 6 therapy therapy NN cord-017420-tjwxec77 5 7 is be VBZ cord-017420-tjwxec77 5 8 necessary necessary JJ cord-017420-tjwxec77 5 9 to to TO cord-017420-tjwxec77 5 10 decrease decrease VB cord-017420-tjwxec77 5 11 the the DT cord-017420-tjwxec77 5 12 risk risk NN cord-017420-tjwxec77 5 13 of of IN cord-017420-tjwxec77 5 14 mortality mortality NN cord-017420-tjwxec77 5 15 . . . cord-017420-tjwxec77 6 1 Most Most JJS cord-017420-tjwxec77 6 2 infections infection NNS cord-017420-tjwxec77 6 3 are be VBP cord-017420-tjwxec77 6 4 due due JJ cord-017420-tjwxec77 6 5 to to IN cord-017420-tjwxec77 6 6 gram gram NN cord-017420-tjwxec77 6 7 - - HYPH cord-017420-tjwxec77 6 8 positive positive JJ cord-017420-tjwxec77 6 9 organisms organism NNS cord-017420-tjwxec77 6 10 , , , cord-017420-tjwxec77 6 11 but but CC cord-017420-tjwxec77 6 12 the the DT cord-017420-tjwxec77 6 13 mortality mortality NN cord-017420-tjwxec77 6 14 rate rate NN cord-017420-tjwxec77 6 15 is be VBZ cord-017420-tjwxec77 6 16 higher high JJR cord-017420-tjwxec77 6 17 for for IN cord-017420-tjwxec77 6 18 gram gram NN cord-017420-tjwxec77 6 19 - - HYPH cord-017420-tjwxec77 6 20 negative negative JJ cord-017420-tjwxec77 6 21 infections infection NNS cord-017420-tjwxec77 6 22 . . . cord-017420-tjwxec77 7 1 Multidrug multidrug JJ cord-017420-tjwxec77 7 2 - - HYPH cord-017420-tjwxec77 7 3 resistant resistant JJ cord-017420-tjwxec77 7 4 organisms organism NNS cord-017420-tjwxec77 7 5 are be VBP cord-017420-tjwxec77 7 6 an an DT cord-017420-tjwxec77 7 7 emerging emerge VBG cord-017420-tjwxec77 7 8 threat threat NN cord-017420-tjwxec77 7 9 to to IN cord-017420-tjwxec77 7 10 neutropenic neutropenic JJ cord-017420-tjwxec77 7 11 patients patient NNS cord-017420-tjwxec77 7 12 . . . cord-017420-tjwxec77 8 1 Increasing increase VBG cord-017420-tjwxec77 8 2 data datum NNS cord-017420-tjwxec77 8 3 suggest suggest VBP cord-017420-tjwxec77 8 4 that that IN cord-017420-tjwxec77 8 5 the the DT cord-017420-tjwxec77 8 6 pathophysiology pathophysiology NN cord-017420-tjwxec77 8 7 of of IN cord-017420-tjwxec77 8 8 neutropenic neutropenic JJ cord-017420-tjwxec77 8 9 fever fever NN cord-017420-tjwxec77 8 10 and and CC cord-017420-tjwxec77 8 11 neutropenic neutropenic JJ cord-017420-tjwxec77 8 12 sepsis sepsis NN cord-017420-tjwxec77 8 13 is be VBZ cord-017420-tjwxec77 8 14 substantially substantially RB cord-017420-tjwxec77 8 15 different different JJ cord-017420-tjwxec77 8 16 from from IN cord-017420-tjwxec77 8 17 non non JJ cord-017420-tjwxec77 8 18 - - JJ cord-017420-tjwxec77 8 19 neutropenic neutropenic JJ cord-017420-tjwxec77 8 20 fever fever NN cord-017420-tjwxec77 8 21 and and CC cord-017420-tjwxec77 8 22 sepsis sepsis NN cord-017420-tjwxec77 8 23 . . . cord-017420-tjwxec77 9 1 Additional additional JJ cord-017420-tjwxec77 9 2 research research NN cord-017420-tjwxec77 9 3 is be VBZ cord-017420-tjwxec77 9 4 needed need VBN cord-017420-tjwxec77 9 5 to to IN cord-017420-tjwxec77 9 6 both both DT cord-017420-tjwxec77 9 7 further further RB cord-017420-tjwxec77 9 8 elucidate elucidate VB cord-017420-tjwxec77 9 9 the the DT cord-017420-tjwxec77 9 10 pathogenesis pathogenesis NN cord-017420-tjwxec77 9 11 of of IN cord-017420-tjwxec77 9 12 neutropenic neutropenic JJ cord-017420-tjwxec77 9 13 fever fever NN cord-017420-tjwxec77 9 14 and and CC cord-017420-tjwxec77 9 15 to to TO cord-017420-tjwxec77 9 16 develop develop VB cord-017420-tjwxec77 9 17 additional additional JJ cord-017420-tjwxec77 9 18 effective effective JJ cord-017420-tjwxec77 9 19 antimicrobials antimicrobial NNS cord-017420-tjwxec77 9 20 . . . cord-017420-tjwxec77 10 1 Neutropenic neutropenic JJ cord-017420-tjwxec77 10 2 fever fever NN cord-017420-tjwxec77 10 3 is be VBZ cord-017420-tjwxec77 10 4 one one CD cord-017420-tjwxec77 10 5 of of IN cord-017420-tjwxec77 10 6 the the DT cord-017420-tjwxec77 10 7 defining define VBG cord-017420-tjwxec77 10 8 conditions condition NNS cord-017420-tjwxec77 10 9 of of IN cord-017420-tjwxec77 10 10 oncologic oncologic JJ cord-017420-tjwxec77 10 11 critical critical JJ cord-017420-tjwxec77 10 12 care care NN cord-017420-tjwxec77 10 13 . . . cord-017420-tjwxec77 11 1 Neutropenic neutropenic JJ cord-017420-tjwxec77 11 2 fever fever NN cord-017420-tjwxec77 11 3 is be VBZ cord-017420-tjwxec77 11 4 defined define VBN cord-017420-tjwxec77 11 5 as as IN cord-017420-tjwxec77 11 6 a a DT cord-017420-tjwxec77 11 7 single single JJ cord-017420-tjwxec77 11 8 temperature temperature NN cord-017420-tjwxec77 11 9 higher high JJR cord-017420-tjwxec77 11 10 than than IN cord-017420-tjwxec77 11 11 38.3 38.3 CD cord-017420-tjwxec77 11 12 C c NN cord-017420-tjwxec77 11 13 or or CC cord-017420-tjwxec77 11 14 a a DT cord-017420-tjwxec77 11 15 sustained sustained JJ cord-017420-tjwxec77 11 16 temperature temperature NN cord-017420-tjwxec77 11 17 greater great JJR cord-017420-tjwxec77 11 18 than than IN cord-017420-tjwxec77 11 19 38.0 38.0 CD cord-017420-tjwxec77 11 20 C c NN cord-017420-tjwxec77 11 21 for for IN cord-017420-tjwxec77 11 22 more more JJR cord-017420-tjwxec77 11 23 than than IN cord-017420-tjwxec77 11 24 1 1 CD cord-017420-tjwxec77 11 25 h h NN cord-017420-tjwxec77 11 26 , , , cord-017420-tjwxec77 11 27 in in IN cord-017420-tjwxec77 11 28 the the DT cord-017420-tjwxec77 11 29 presence presence NN cord-017420-tjwxec77 11 30 of of IN cord-017420-tjwxec77 11 31 an an DT cord-017420-tjwxec77 11 32 absolute absolute JJ cord-017420-tjwxec77 11 33 neutrophil neutrophil NN cord-017420-tjwxec77 11 34 count count NN cord-017420-tjwxec77 11 35 [ [ -LRB- cord-017420-tjwxec77 11 36 ANC ANC NNP cord-017420-tjwxec77 11 37 ] ] -RRB- cord-017420-tjwxec77 11 38 ) ) -RRB- cord-017420-tjwxec77 11 39 less less JJR cord-017420-tjwxec77 11 40 than than IN cord-017420-tjwxec77 11 41 1500 1500 CD cord-017420-tjwxec77 11 42 cells cell NNS cord-017420-tjwxec77 11 43 / / SYM cord-017420-tjwxec77 11 44 mm mm NNP cord-017420-tjwxec77 11 45 3 3 CD cord-017420-tjwxec77 11 46 , , , cord-017420-tjwxec77 11 47 though though IN cord-017420-tjwxec77 11 48 many many JJ cord-017420-tjwxec77 11 49 centers center NNS cord-017420-tjwxec77 11 50 and and CC cord-017420-tjwxec77 11 51 guidelines guideline NNS cord-017420-tjwxec77 11 52 use use VBP cord-017420-tjwxec77 11 53 an an DT cord-017420-tjwxec77 11 54 ANC ANC NNP cord-017420-tjwxec77 11 55 cutoff cutoff NN cord-017420-tjwxec77 11 56 of of IN cord-017420-tjwxec77 11 57 less less JJR cord-017420-tjwxec77 11 58 than than IN cord-017420-tjwxec77 11 59 500 500 CD cord-017420-tjwxec77 11 60 cells cell NNS cord-017420-tjwxec77 11 61 / / SYM cord-017420-tjwxec77 11 62 mm mm NN cord-017420-tjwxec77 11 63 3 3 CD cord-017420-tjwxec77 11 64 [ [ -LRB- cord-017420-tjwxec77 11 65 28 28 CD cord-017420-tjwxec77 11 66 , , , cord-017420-tjwxec77 11 67 33 33 CD cord-017420-tjwxec77 11 68 ] ] -RRB- cord-017420-tjwxec77 11 69 . . . cord-017420-tjwxec77 12 1 Exceedingly exceedingly RB cord-017420-tjwxec77 12 2 common common JJ cord-017420-tjwxec77 12 3 in in IN cord-017420-tjwxec77 12 4 patients patient NNS cord-017420-tjwxec77 12 5 receiving receive VBG cord-017420-tjwxec77 12 6 cytotoxic cytotoxic JJ cord-017420-tjwxec77 12 7 chemotherapy chemotherapy NN cord-017420-tjwxec77 12 8 , , , cord-017420-tjwxec77 12 9 neutropenic neutropenic JJ cord-017420-tjwxec77 12 10 fever fever NN cord-017420-tjwxec77 12 11 is be VBZ cord-017420-tjwxec77 12 12 a a DT cord-017420-tjwxec77 12 13 medical medical JJ cord-017420-tjwxec77 12 14 emergency emergency NN cord-017420-tjwxec77 12 15 which which WDT cord-017420-tjwxec77 12 16 requires require VBZ cord-017420-tjwxec77 12 17 urgent urgent JJ cord-017420-tjwxec77 12 18 initiation initiation NN cord-017420-tjwxec77 12 19 of of IN cord-017420-tjwxec77 12 20 broad broad JJ cord-017420-tjwxec77 12 21 - - HYPH cord-017420-tjwxec77 12 22 spectrum spectrum NN cord-017420-tjwxec77 12 23 antibiotics antibiotic NNS cord-017420-tjwxec77 12 24 . . . cord-017420-tjwxec77 13 1 Any any DT cord-017420-tjwxec77 13 2 oncologic oncologic JJ cord-017420-tjwxec77 13 3 patient patient NN cord-017420-tjwxec77 13 4 receiving receive VBG cord-017420-tjwxec77 13 5 myelosuppressive myelosuppressive NNP cord-017420-tjwxec77 13 6 chemotherapy chemotherapy NN cord-017420-tjwxec77 13 7 is be VBZ cord-017420-tjwxec77 13 8 at at IN cord-017420-tjwxec77 13 9 risk risk NN cord-017420-tjwxec77 13 10 of of IN cord-017420-tjwxec77 13 11 developing develop VBG cord-017420-tjwxec77 13 12 neutropenia neutropenia NN cord-017420-tjwxec77 13 13 and and CC cord-017420-tjwxec77 13 14 opportunistic opportunistic JJ cord-017420-tjwxec77 13 15 infections infection NNS cord-017420-tjwxec77 13 16 , , , cord-017420-tjwxec77 13 17 but but CC cord-017420-tjwxec77 13 18 profound profound JJ cord-017420-tjwxec77 13 19 neutropenia neutropenia NN cord-017420-tjwxec77 13 20 with with IN cord-017420-tjwxec77 13 21 life life NN cord-017420-tjwxec77 13 22 - - HYPH cord-017420-tjwxec77 13 23 threatening threaten VBG cord-017420-tjwxec77 13 24 infectious infectious JJ cord-017420-tjwxec77 13 25 complications complication NNS cord-017420-tjwxec77 13 26 is be VBZ cord-017420-tjwxec77 13 27 most most RBS cord-017420-tjwxec77 13 28 commonly commonly RB cord-017420-tjwxec77 13 29 seen see VBN cord-017420-tjwxec77 13 30 in in IN cord-017420-tjwxec77 13 31 patients patient NNS cord-017420-tjwxec77 13 32 with with IN cord-017420-tjwxec77 13 33 hematologic hematologic JJ cord-017420-tjwxec77 13 34 malignancies malignancy NNS cord-017420-tjwxec77 13 35 . . . cord-017420-tjwxec77 14 1 This this DT cord-017420-tjwxec77 14 2 can can MD cord-017420-tjwxec77 14 3 occur occur VB cord-017420-tjwxec77 14 4 during during IN cord-017420-tjwxec77 14 5 aplasia aplasia NNP cord-017420-tjwxec77 14 6 and and CC cord-017420-tjwxec77 14 7 before before IN cord-017420-tjwxec77 14 8 engraftment engraftment NN cord-017420-tjwxec77 14 9 in in IN cord-017420-tjwxec77 14 10 patients patient NNS cord-017420-tjwxec77 14 11 receiving receive VBG cord-017420-tjwxec77 14 12 hematopoietic hematopoietic JJ cord-017420-tjwxec77 14 13 stem stem NN cord-017420-tjwxec77 14 14 cell cell NN cord-017420-tjwxec77 14 15 transplant transplant NN cord-017420-tjwxec77 14 16 ( ( -LRB- cord-017420-tjwxec77 14 17 HSCT HSCT NNP cord-017420-tjwxec77 14 18 ) ) -RRB- cord-017420-tjwxec77 14 19 or or CC cord-017420-tjwxec77 14 20 from from IN cord-017420-tjwxec77 14 21 disease disease NN cord-017420-tjwxec77 14 22 - - HYPH cord-017420-tjwxec77 14 23 related relate VBN cord-017420-tjwxec77 14 24 or or CC cord-017420-tjwxec77 14 25 treatment treatment NN cord-017420-tjwxec77 14 26 - - HYPH cord-017420-tjwxec77 14 27 induced induce VBN cord-017420-tjwxec77 14 28 cytopenias cytopenia NNS cord-017420-tjwxec77 14 29 in in IN cord-017420-tjwxec77 14 30 other other JJ cord-017420-tjwxec77 14 31 hematologic hematologic JJ cord-017420-tjwxec77 14 32 malignancy malignancy NN cord-017420-tjwxec77 14 33 patients patient NNS cord-017420-tjwxec77 14 34 . . . cord-017420-tjwxec77 15 1 While while IN cord-017420-tjwxec77 15 2 there there EX cord-017420-tjwxec77 15 3 are be VBP cord-017420-tjwxec77 15 4 many many JJ cord-017420-tjwxec77 15 5 potential potential JJ cord-017420-tjwxec77 15 6 causes cause NNS cord-017420-tjwxec77 15 7 of of IN cord-017420-tjwxec77 15 8 fevers fever NNS cord-017420-tjwxec77 15 9 in in IN cord-017420-tjwxec77 15 10 neutropenic neutropenic JJ cord-017420-tjwxec77 15 11 hosts host NNS cord-017420-tjwxec77 15 12 , , , cord-017420-tjwxec77 15 13 both both CC cord-017420-tjwxec77 15 14 infectious infectious JJ cord-017420-tjwxec77 15 15 and and CC cord-017420-tjwxec77 15 16 noninfectious noninfectious JJ cord-017420-tjwxec77 15 17 , , , cord-017420-tjwxec77 15 18 fevers fever NNS cord-017420-tjwxec77 15 19 must must MD cord-017420-tjwxec77 15 20 be be VB cord-017420-tjwxec77 15 21 presumed presume VBN cord-017420-tjwxec77 15 22 to to TO cord-017420-tjwxec77 15 23 be be VB cord-017420-tjwxec77 15 24 infectious infectious JJ cord-017420-tjwxec77 15 25 in in IN cord-017420-tjwxec77 15 26 origin origin NN cord-017420-tjwxec77 15 27 . . . cord-017420-tjwxec77 16 1 Potential potential JJ cord-017420-tjwxec77 16 2 infectious infectious JJ cord-017420-tjwxec77 16 3 agents agent NNS cord-017420-tjwxec77 16 4 and and CC cord-017420-tjwxec77 16 5 sources source NNS cord-017420-tjwxec77 16 6 of of IN cord-017420-tjwxec77 16 7 infection infection NN cord-017420-tjwxec77 16 8 are be VBP cord-017420-tjwxec77 16 9 legion legion NN cord-017420-tjwxec77 16 10 and and CC cord-017420-tjwxec77 16 11 include include VBP cord-017420-tjwxec77 16 12 viruses virus NNS cord-017420-tjwxec77 16 13 , , , cord-017420-tjwxec77 16 14 bacteria bacteria NNS cord-017420-tjwxec77 16 15 , , , cord-017420-tjwxec77 16 16 and and CC cord-017420-tjwxec77 16 17 fungus fungus NN cord-017420-tjwxec77 16 18 . . . cord-017420-tjwxec77 17 1 Viral viral JJ cord-017420-tjwxec77 17 2 pathogens pathogen NNS cord-017420-tjwxec77 17 3 include include VBP cord-017420-tjwxec77 17 4 respiratory respiratory JJ cord-017420-tjwxec77 17 5 viruses virus NNS cord-017420-tjwxec77 17 6 ( ( -LRB- cord-017420-tjwxec77 17 7 e.g. e.g. RB cord-017420-tjwxec77 17 8 , , , cord-017420-tjwxec77 17 9 respiratory respiratory JJ cord-017420-tjwxec77 17 10 syncytial syncytial JJ cord-017420-tjwxec77 17 11 virus virus NN cord-017420-tjwxec77 17 12 , , , cord-017420-tjwxec77 17 13 rhinovirus rhinovirus NN cord-017420-tjwxec77 17 14 , , , cord-017420-tjwxec77 17 15 adenovirus adenovirus NN cord-017420-tjwxec77 17 16 , , , cord-017420-tjwxec77 17 17 coronavirus coronavirus NN cord-017420-tjwxec77 17 18 , , , cord-017420-tjwxec77 17 19 influenza influenza NN cord-017420-tjwxec77 17 20 , , , cord-017420-tjwxec77 17 21 parainfluenza parainfluenza NNP cord-017420-tjwxec77 17 22 ) ) -RRB- cord-017420-tjwxec77 17 23 , , , cord-017420-tjwxec77 17 24 reactivated reactivate VBN cord-017420-tjwxec77 17 25 or or CC cord-017420-tjwxec77 17 26 de de FW cord-017420-tjwxec77 17 27 novo novo NNP cord-017420-tjwxec77 17 28 herpes herpes NN cord-017420-tjwxec77 17 29 viruses virus NNS cord-017420-tjwxec77 17 30 ( ( -LRB- cord-017420-tjwxec77 17 31 e.g. e.g. RB cord-017420-tjwxec77 17 32 , , , cord-017420-tjwxec77 17 33 herpes herpes NN cord-017420-tjwxec77 17 34 simplex simplex NN cord-017420-tjwxec77 17 35 , , , cord-017420-tjwxec77 17 36 cytomegalovirus cytomegalovirus NNP cord-017420-tjwxec77 17 37 , , , cord-017420-tjwxec77 17 38 Epstein Epstein NNP cord-017420-tjwxec77 17 39 - - HYPH cord-017420-tjwxec77 17 40 Barr Barr NNP cord-017420-tjwxec77 17 41 virus virus NN cord-017420-tjwxec77 17 42 ) ) -RRB- cord-017420-tjwxec77 17 43 , , , cord-017420-tjwxec77 17 44 and and CC cord-017420-tjwxec77 17 45 many many JJ cord-017420-tjwxec77 17 46 other other JJ cord-017420-tjwxec77 17 47 potential potential JJ cord-017420-tjwxec77 17 48 candidates candidate NNS cord-017420-tjwxec77 17 49 . . . cord-017420-tjwxec77 18 1 Bacterial bacterial JJ cord-017420-tjwxec77 18 2 infections infection NNS cord-017420-tjwxec77 18 3 may may MD cord-017420-tjwxec77 18 4 arise arise VB cord-017420-tjwxec77 18 5 from from IN cord-017420-tjwxec77 18 6 gut gut NN cord-017420-tjwxec77 18 7 translocation translocation NN cord-017420-tjwxec77 18 8 , , , cord-017420-tjwxec77 18 9 oral oral JJ cord-017420-tjwxec77 18 10 mucosal mucosal JJ cord-017420-tjwxec77 18 11 translocation translocation NN cord-017420-tjwxec77 18 12 , , , cord-017420-tjwxec77 18 13 infection infection NN cord-017420-tjwxec77 18 14 of of IN cord-017420-tjwxec77 18 15 indwelling indwell VBG cord-017420-tjwxec77 18 16 vascular vascular JJ cord-017420-tjwxec77 18 17 catheters catheter NNS cord-017420-tjwxec77 18 18 , , , cord-017420-tjwxec77 18 19 skin skin NN cord-017420-tjwxec77 18 20 and and CC cord-017420-tjwxec77 18 21 soft soft JJ cord-017420-tjwxec77 18 22 tissue tissue NN cord-017420-tjwxec77 18 23 infections infection NNS cord-017420-tjwxec77 18 24 , , , cord-017420-tjwxec77 18 25 pneumonias pneumonia NNS cord-017420-tjwxec77 18 26 , , , cord-017420-tjwxec77 18 27 and and CC cord-017420-tjwxec77 18 28 urinary urinary JJ cord-017420-tjwxec77 18 29 sources source NNS cord-017420-tjwxec77 18 30 . . . cord-017420-tjwxec77 19 1 Fungal fungal JJ cord-017420-tjwxec77 19 2 infections infection NNS cord-017420-tjwxec77 19 3 typically typically RB cord-017420-tjwxec77 19 4 arise arise VBP cord-017420-tjwxec77 19 5 from from IN cord-017420-tjwxec77 19 6 gut gut NN cord-017420-tjwxec77 19 7 translocation translocation NN cord-017420-tjwxec77 19 8 , , , cord-017420-tjwxec77 19 9 fungal fungal JJ cord-017420-tjwxec77 19 10 pneumonias pneumonia NNS cord-017420-tjwxec77 19 11 ( ( -LRB- cord-017420-tjwxec77 19 12 e.g. e.g. RB cord-017420-tjwxec77 19 13 , , , cord-017420-tjwxec77 19 14 aspergillosis aspergillosis NNP cord-017420-tjwxec77 19 15 ) ) -RRB- cord-017420-tjwxec77 19 16 , , , cord-017420-tjwxec77 19 17 and and CC cord-017420-tjwxec77 19 18 vascular vascular JJ cord-017420-tjwxec77 19 19 catheters catheter NNS cord-017420-tjwxec77 19 20 . . . cord-017420-tjwxec77 20 1 Drug drug NN cord-017420-tjwxec77 20 2 fevers fever NNS cord-017420-tjwxec77 20 3 or or CC cord-017420-tjwxec77 20 4 " " `` cord-017420-tjwxec77 20 5 tumor tumor NN cord-017420-tjwxec77 20 6 fevers fever NNS cord-017420-tjwxec77 20 7 " " '' cord-017420-tjwxec77 20 8 are be VBP cord-017420-tjwxec77 20 9 the the DT cord-017420-tjwxec77 20 10 most most RBS cord-017420-tjwxec77 20 11 common common JJ cord-017420-tjwxec77 20 12 example example NN cord-017420-tjwxec77 20 13 of of IN cord-017420-tjwxec77 20 14 noninfectious noninfectious JJ cord-017420-tjwxec77 20 15 fevers fever NNS cord-017420-tjwxec77 20 16 , , , cord-017420-tjwxec77 20 17 but but CC cord-017420-tjwxec77 20 18 these these DT cord-017420-tjwxec77 20 19 are be VBP cord-017420-tjwxec77 20 20 diagnoses diagnosis NNS cord-017420-tjwxec77 20 21 of of IN cord-017420-tjwxec77 20 22 exclusion exclusion NN cord-017420-tjwxec77 20 23 . . . cord-017420-tjwxec77 21 1 Neutropenic neutropenic JJ cord-017420-tjwxec77 21 2 fever fever NN cord-017420-tjwxec77 21 3 occurs occur VBZ cord-017420-tjwxec77 21 4 in in IN cord-017420-tjwxec77 21 5 up up IN cord-017420-tjwxec77 21 6 to to TO cord-017420-tjwxec77 21 7 50 50 CD cord-017420-tjwxec77 21 8 % % NN cord-017420-tjwxec77 21 9 of of IN cord-017420-tjwxec77 21 10 patients patient NNS cord-017420-tjwxec77 21 11 with with IN cord-017420-tjwxec77 21 12 solid solid JJ cord-017420-tjwxec77 21 13 tumors tumor NNS cord-017420-tjwxec77 21 14 receiving receive VBG cord-017420-tjwxec77 21 15 cytotoxic cytotoxic JJ cord-017420-tjwxec77 21 16 chemotherapy chemotherapy NN cord-017420-tjwxec77 21 17 and and CC cord-017420-tjwxec77 21 18 in in IN cord-017420-tjwxec77 21 19 more more JJR cord-017420-tjwxec77 21 20 than than IN cord-017420-tjwxec77 21 21 80 80 CD cord-017420-tjwxec77 21 22 % % NN cord-017420-tjwxec77 21 23 of of IN cord-017420-tjwxec77 21 24 patients patient NNS cord-017420-tjwxec77 21 25 receiving receive VBG cord-017420-tjwxec77 21 26 chemotherapy chemotherapy NN cord-017420-tjwxec77 21 27 for for IN cord-017420-tjwxec77 21 28 hematologic hematologic JJ cord-017420-tjwxec77 21 29 malignancies malignancy NNS cord-017420-tjwxec77 21 30 or or CC cord-017420-tjwxec77 21 31 undergoing undergo VBG cord-017420-tjwxec77 21 32 HSCT HSCT NNP cord-017420-tjwxec77 21 33 [ [ -LRB- cord-017420-tjwxec77 21 34 28 28 CD cord-017420-tjwxec77 21 35 ] ] -RRB- cord-017420-tjwxec77 21 36 . . . cord-017420-tjwxec77 22 1 In in IN cord-017420-tjwxec77 22 2 2012 2012 CD cord-017420-tjwxec77 22 3 , , , cord-017420-tjwxec77 22 4 more more JJR cord-017420-tjwxec77 22 5 than than IN cord-017420-tjwxec77 22 6 90,000 90,000 CD cord-017420-tjwxec77 22 7 adults adult NNS cord-017420-tjwxec77 22 8 were be VBD cord-017420-tjwxec77 22 9 hospitalized hospitalize VBN cord-017420-tjwxec77 22 10 for for IN cord-017420-tjwxec77 22 11 cancer cancer NN cord-017420-tjwxec77 22 12 - - HYPH cord-017420-tjwxec77 22 13 related relate VBN cord-017420-tjwxec77 22 14 neutropenia neutropenia NN cord-017420-tjwxec77 22 15 , , , cord-017420-tjwxec77 22 16 with with IN cord-017420-tjwxec77 22 17 a a DT cord-017420-tjwxec77 22 18 total total JJ cord-017420-tjwxec77 22 19 cost cost NN cord-017420-tjwxec77 22 20 of of IN cord-017420-tjwxec77 22 21 $ $ $ cord-017420-tjwxec77 22 22 2.3 2.3 CD cord-017420-tjwxec77 22 23 billion billion CD cord-017420-tjwxec77 22 24 [ [ -LRB- cord-017420-tjwxec77 22 25 75 75 CD cord-017420-tjwxec77 22 26 ] ] -RRB- cord-017420-tjwxec77 22 27 . . . cord-017420-tjwxec77 23 1 In in IN cord-017420-tjwxec77 23 2 - - HYPH cord-017420-tjwxec77 23 3 hospital hospital NN cord-017420-tjwxec77 23 4 mortality mortality NN cord-017420-tjwxec77 23 5 for for IN cord-017420-tjwxec77 23 6 all all DT cord-017420-tjwxec77 23 7 patients patient NNS cord-017420-tjwxec77 23 8 admitted admit VBN cord-017420-tjwxec77 23 9 with with IN cord-017420-tjwxec77 23 10 neutropenic neutropenic JJ cord-017420-tjwxec77 23 11 fever fever NN cord-017420-tjwxec77 23 12 is be VBZ cord-017420-tjwxec77 23 13 nearly nearly RB cord-017420-tjwxec77 23 14 10 10 CD cord-017420-tjwxec77 23 15 % % NN cord-017420-tjwxec77 23 16 ; ; , cord-017420-tjwxec77 23 17 this this DT cord-017420-tjwxec77 23 18 increases increase VBZ cord-017420-tjwxec77 23 19 to to IN cord-017420-tjwxec77 23 20 a a DT cord-017420-tjwxec77 23 21 hospital hospital NN cord-017420-tjwxec77 23 22 mortality mortality NN cord-017420-tjwxec77 23 23 rate rate NN cord-017420-tjwxec77 23 24 of of IN cord-017420-tjwxec77 23 25 more more JJR cord-017420-tjwxec77 23 26 than than IN cord-017420-tjwxec77 23 27 15 15 CD cord-017420-tjwxec77 23 28 % % NN cord-017420-tjwxec77 23 29 for for IN cord-017420-tjwxec77 23 30 patients patient NNS cord-017420-tjwxec77 23 31 with with IN cord-017420-tjwxec77 23 32 leukemia leukemia NN cord-017420-tjwxec77 23 33 admitted admit VBN cord-017420-tjwxec77 23 34 for for IN cord-017420-tjwxec77 23 35 neutropenic neutropenic JJ cord-017420-tjwxec77 23 36 fever fever NN cord-017420-tjwxec77 23 37 [ [ -LRB- cord-017420-tjwxec77 23 38 37 37 CD cord-017420-tjwxec77 23 39 ] ] -RRB- cord-017420-tjwxec77 23 40 . . . cord-017420-tjwxec77 24 1 Bacteremia Bacteremia NNP cord-017420-tjwxec77 24 2 is be VBZ cord-017420-tjwxec77 24 3 documented document VBN cord-017420-tjwxec77 24 4 in in IN cord-017420-tjwxec77 24 5 up up IN cord-017420-tjwxec77 24 6 to to TO cord-017420-tjwxec77 24 7 25 25 CD cord-017420-tjwxec77 24 8 % % NN cord-017420-tjwxec77 24 9 of of IN cord-017420-tjwxec77 24 10 neutropenic neutropenic JJ cord-017420-tjwxec77 24 11 fever fever NN cord-017420-tjwxec77 24 12 patients patient NNS cord-017420-tjwxec77 24 13 [ [ -LRB- cord-017420-tjwxec77 24 14 28 28 CD cord-017420-tjwxec77 24 15 ] ] -RRB- cord-017420-tjwxec77 24 16 . . . cord-017420-tjwxec77 25 1 Whereas whereas IN cord-017420-tjwxec77 25 2 in in IN cord-017420-tjwxec77 25 3 the the DT cord-017420-tjwxec77 25 4 past past JJ cord-017420-tjwxec77 25 5 gram gram JJ cord-017420-tjwxec77 25 6 - - HYPH cord-017420-tjwxec77 25 7 negative negative JJ cord-017420-tjwxec77 25 8 organisms organism NNS cord-017420-tjwxec77 25 9 were be VBD cord-017420-tjwxec77 25 10 commonly commonly RB cord-017420-tjwxec77 25 11 cultured culture VBN cord-017420-tjwxec77 25 12 , , , cord-017420-tjwxec77 25 13 gram gram NN cord-017420-tjwxec77 25 14 - - HYPH cord-017420-tjwxec77 25 15 positive positive JJ cord-017420-tjwxec77 25 16 organisms organism NNS cord-017420-tjwxec77 25 17 , , , cord-017420-tjwxec77 25 18 including include VBG cord-017420-tjwxec77 25 19 staphylococci staphylococcus NNS cord-017420-tjwxec77 25 20 , , , cord-017420-tjwxec77 25 21 enterococci enterococci NNP cord-017420-tjwxec77 25 22 , , , cord-017420-tjwxec77 25 23 and and CC cord-017420-tjwxec77 25 24 streptococci streptococcus NNS cord-017420-tjwxec77 25 25 , , , cord-017420-tjwxec77 25 26 are be VBP cord-017420-tjwxec77 25 27 currently currently RB cord-017420-tjwxec77 25 28 the the DT cord-017420-tjwxec77 25 29 most most RBS cord-017420-tjwxec77 25 30 commonly commonly RB cord-017420-tjwxec77 25 31 isolated isolate VBN cord-017420-tjwxec77 25 32 bacteria bacteria NNS cord-017420-tjwxec77 25 33 [ [ -LRB- cord-017420-tjwxec77 25 34 28 28 CD cord-017420-tjwxec77 25 35 , , , cord-017420-tjwxec77 25 36 50 50 CD cord-017420-tjwxec77 25 37 ] ] -RRB- cord-017420-tjwxec77 26 1 ( ( -LRB- cord-017420-tjwxec77 26 2 Table table NN cord-017420-tjwxec77 26 3 1 1 CD cord-017420-tjwxec77 26 4 ) ) -RRB- cord-017420-tjwxec77 26 5 . . . cord-017420-tjwxec77 27 1 This this DT cord-017420-tjwxec77 27 2 shift shift NN cord-017420-tjwxec77 27 3 is be VBZ cord-017420-tjwxec77 27 4 presumably presumably RB cord-017420-tjwxec77 27 5 due due IN cord-017420-tjwxec77 27 6 to to IN cord-017420-tjwxec77 27 7 the the DT cord-017420-tjwxec77 27 8 increased increase VBN cord-017420-tjwxec77 27 9 use use NN cord-017420-tjwxec77 27 10 of of IN cord-017420-tjwxec77 27 11 long long JJ cord-017420-tjwxec77 27 12 - - HYPH cord-017420-tjwxec77 27 13 term term NN cord-017420-tjwxec77 27 14 indwelling indwell VBG cord-017420-tjwxec77 27 15 vascular vascular JJ cord-017420-tjwxec77 27 16 catheters catheter NNS cord-017420-tjwxec77 27 17 and and CC cord-017420-tjwxec77 27 18 may may MD cord-017420-tjwxec77 27 19 also also RB cord-017420-tjwxec77 27 20 be be VB cord-017420-tjwxec77 27 21 affected affect VBN cord-017420-tjwxec77 27 22 by by IN cord-017420-tjwxec77 27 23 increased increase VBN cord-017420-tjwxec77 27 24 use use NN cord-017420-tjwxec77 27 25 of of IN cord-017420-tjwxec77 27 26 prophylaxis prophylaxis NN cord-017420-tjwxec77 27 27 against against IN cord-017420-tjwxec77 27 28 gram- gram- NNP cord-017420-tjwxec77 27 29 [ [ -LRB- cord-017420-tjwxec77 27 30 50 50 CD cord-017420-tjwxec77 27 31 , , , cord-017420-tjwxec77 27 32 59 59 CD cord-017420-tjwxec77 27 33 ] ] -RRB- cord-017420-tjwxec77 27 34 . . . cord-017420-tjwxec77 28 1 Though though IN cord-017420-tjwxec77 28 2 grampositive grampositive JJ cord-017420-tjwxec77 28 3 infections infection NNS cord-017420-tjwxec77 28 4 are be VBP cord-017420-tjwxec77 28 5 more more RBR cord-017420-tjwxec77 28 6 common common JJ cord-017420-tjwxec77 28 7 , , , cord-017420-tjwxec77 28 8 gramnegative gramnegative JJ cord-017420-tjwxec77 28 9 infections infection NNS cord-017420-tjwxec77 28 10 confer confer VBP cord-017420-tjwxec77 28 11 a a DT cord-017420-tjwxec77 28 12 higher high JJR cord-017420-tjwxec77 28 13 risk risk NN cord-017420-tjwxec77 28 14 of of IN cord-017420-tjwxec77 28 15 mortality mortality NN cord-017420-tjwxec77 28 16 [ [ -LRB- cord-017420-tjwxec77 28 17 77 77 CD cord-017420-tjwxec77 28 18 ] ] -RRB- cord-017420-tjwxec77 28 19 . . . cord-017420-tjwxec77 29 1 Fungal fungal JJ cord-017420-tjwxec77 29 2 infections infection NNS cord-017420-tjwxec77 29 3 , , , cord-017420-tjwxec77 29 4 particularly particularly RB cord-017420-tjwxec77 29 5 Candida Candida NNP cord-017420-tjwxec77 29 6 and and CC cord-017420-tjwxec77 29 7 Aspergillus Aspergillus NNP cord-017420-tjwxec77 29 8 , , , cord-017420-tjwxec77 29 9 are be VBP cord-017420-tjwxec77 29 10 also also RB cord-017420-tjwxec77 29 11 frequent frequent JJ cord-017420-tjwxec77 29 12 , , , cord-017420-tjwxec77 29 13 especially especially RB cord-017420-tjwxec77 29 14 in in IN cord-017420-tjwxec77 29 15 patients patient NNS cord-017420-tjwxec77 29 16 with with IN cord-017420-tjwxec77 29 17 prolonged prolonged JJ cord-017420-tjwxec77 29 18 or or CC cord-017420-tjwxec77 29 19 profound profound JJ cord-017420-tjwxec77 29 20 neutropenia neutropenia NN cord-017420-tjwxec77 29 21 [ [ -LRB- cord-017420-tjwxec77 29 22 33 33 CD cord-017420-tjwxec77 29 23 ] ] -RRB- cord-017420-tjwxec77 29 24 . . . cord-017420-tjwxec77 30 1 Respiratory respiratory JJ cord-017420-tjwxec77 30 2 viruses virus NNS cord-017420-tjwxec77 30 3 can can MD cord-017420-tjwxec77 30 4 be be VB cord-017420-tjwxec77 30 5 isolated isolate VBN cord-017420-tjwxec77 30 6 in in IN cord-017420-tjwxec77 30 7 approximately approximately RB cord-017420-tjwxec77 30 8 20 20 CD cord-017420-tjwxec77 30 9 % % NN cord-017420-tjwxec77 30 10 of of IN cord-017420-tjwxec77 30 11 patients patient NNS cord-017420-tjwxec77 30 12 [ [ -LRB- cord-017420-tjwxec77 30 13 34 34 CD cord-017420-tjwxec77 30 14 ] ] -RRB- cord-017420-tjwxec77 30 15 . . . cord-017420-tjwxec77 31 1 Despite despite IN cord-017420-tjwxec77 31 2 best good JJS cord-017420-tjwxec77 31 3 efforts effort NNS cord-017420-tjwxec77 31 4 , , , cord-017420-tjwxec77 31 5 no no DT cord-017420-tjwxec77 31 6 causative causative JJ cord-017420-tjwxec77 31 7 organism organism NN cord-017420-tjwxec77 31 8 can can MD cord-017420-tjwxec77 31 9 be be VB cord-017420-tjwxec77 31 10 identified identify VBN cord-017420-tjwxec77 31 11 in in IN cord-017420-tjwxec77 31 12 about about RB cord-017420-tjwxec77 31 13 50 50 CD cord-017420-tjwxec77 31 14 % % NN cord-017420-tjwxec77 31 15 of of IN cord-017420-tjwxec77 31 16 cases case NNS cord-017420-tjwxec77 31 17 of of IN cord-017420-tjwxec77 31 18 neutropenic neutropenic JJ cord-017420-tjwxec77 31 19 fever fever NN cord-017420-tjwxec77 31 20 [ [ -LRB- cord-017420-tjwxec77 31 21 28 28 CD cord-017420-tjwxec77 31 22 , , , cord-017420-tjwxec77 31 23 33 33 CD cord-017420-tjwxec77 31 24 ] ] -RRB- cord-017420-tjwxec77 31 25 . . . cord-017420-tjwxec77 32 1 Sepsis sepsis NN cord-017420-tjwxec77 32 2 has have VBZ cord-017420-tjwxec77 32 3 been be VBN cord-017420-tjwxec77 32 4 most most RBS cord-017420-tjwxec77 32 5 recently recently RB cord-017420-tjwxec77 32 6 defined define VBN cord-017420-tjwxec77 32 7 as as IN cord-017420-tjwxec77 32 8 " " `` cord-017420-tjwxec77 32 9 lifethreatening lifethreatening JJ cord-017420-tjwxec77 32 10 organ organ NN cord-017420-tjwxec77 32 11 dysfunction dysfunction NN cord-017420-tjwxec77 32 12 caused cause VBN cord-017420-tjwxec77 32 13 by by IN cord-017420-tjwxec77 32 14 a a DT cord-017420-tjwxec77 32 15 dysregulated dysregulate VBN cord-017420-tjwxec77 32 16 host host NN cord-017420-tjwxec77 32 17 response response NN cord-017420-tjwxec77 32 18 to to IN cord-017420-tjwxec77 32 19 infection infection NN cord-017420-tjwxec77 32 20 " " '' cord-017420-tjwxec77 32 21 [ [ -LRB- cord-017420-tjwxec77 32 22 70 70 CD cord-017420-tjwxec77 32 23 ] ] -RRB- cord-017420-tjwxec77 32 24 . . . cord-017420-tjwxec77 33 1 A a DT cord-017420-tjwxec77 33 2 premium premium NN cord-017420-tjwxec77 33 3 is be VBZ cord-017420-tjwxec77 33 4 placed place VBN cord-017420-tjwxec77 33 5 on on IN cord-017420-tjwxec77 33 6 identification identification NN cord-017420-tjwxec77 33 7 of of IN cord-017420-tjwxec77 33 8 organ organ NN cord-017420-tjwxec77 33 9 dysfunction dysfunction NN cord-017420-tjwxec77 33 10 using use VBG cord-017420-tjwxec77 33 11 either either CC cord-017420-tjwxec77 33 12 the the DT cord-017420-tjwxec77 33 13 Sequential Sequential NNP cord-017420-tjwxec77 33 14 Organ Organ NNP cord-017420-tjwxec77 33 15 Failure Failure NNP cord-017420-tjwxec77 33 16 Assessment Assessment NNP cord-017420-tjwxec77 33 17 ( ( -LRB- cord-017420-tjwxec77 33 18 SOFA SOFA NNP cord-017420-tjwxec77 33 19 ) ) -RRB- cord-017420-tjwxec77 33 20 score score NN cord-017420-tjwxec77 33 21 or or CC cord-017420-tjwxec77 33 22 the the DT cord-017420-tjwxec77 33 23 Quick quick JJ cord-017420-tjwxec77 33 24 SOFA sofa NN cord-017420-tjwxec77 33 25 ( ( -LRB- cord-017420-tjwxec77 33 26 qSOFA qsofa NN cord-017420-tjwxec77 33 27 ) ) -RRB- cord-017420-tjwxec77 33 28 score score NN cord-017420-tjwxec77 33 29 ; ; : cord-017420-tjwxec77 33 30 the the DT cord-017420-tjwxec77 33 31 presence presence NN cord-017420-tjwxec77 33 32 of of IN cord-017420-tjwxec77 33 33 organ organ NN cord-017420-tjwxec77 33 34 dysfunction dysfunction NN cord-017420-tjwxec77 33 35 in in IN cord-017420-tjwxec77 33 36 the the DT cord-017420-tjwxec77 33 37 setting setting NN cord-017420-tjwxec77 33 38 of of IN cord-017420-tjwxec77 33 39 a a DT cord-017420-tjwxec77 33 40 suspected suspect VBN cord-017420-tjwxec77 33 41 or or CC cord-017420-tjwxec77 33 42 proven prove VBN cord-017420-tjwxec77 33 43 infection infection NN cord-017420-tjwxec77 33 44 is be VBZ cord-017420-tjwxec77 33 45 sufficient sufficient JJ cord-017420-tjwxec77 33 46 to to TO cord-017420-tjwxec77 33 47 diagnose diagnose VB cord-017420-tjwxec77 33 48 sepsis sepsis NN cord-017420-tjwxec77 33 49 ( ( -LRB- cord-017420-tjwxec77 33 50 Tables table NNS cord-017420-tjwxec77 33 51 2 2 CD cord-017420-tjwxec77 33 52 and and CC cord-017420-tjwxec77 33 53 3 3 CD cord-017420-tjwxec77 33 54 ) ) -RRB- cord-017420-tjwxec77 33 55 . . . cord-017420-tjwxec77 34 1 Septic septic JJ cord-017420-tjwxec77 34 2 shock shock NN cord-017420-tjwxec77 34 3 is be VBZ cord-017420-tjwxec77 34 4 defined define VBN cord-017420-tjwxec77 34 5 by by IN cord-017420-tjwxec77 34 6 the the DT cord-017420-tjwxec77 34 7 need need NN cord-017420-tjwxec77 34 8 for for IN cord-017420-tjwxec77 34 9 vasopressors vasopressor NNS cord-017420-tjwxec77 34 10 to to TO cord-017420-tjwxec77 34 11 maintain maintain VB cord-017420-tjwxec77 34 12 a a DT cord-017420-tjwxec77 34 13 mean mean JJ cord-017420-tjwxec77 34 14 arterial arterial JJ cord-017420-tjwxec77 34 15 pressure pressure NN cord-017420-tjwxec77 34 16 ( ( -LRB- cord-017420-tjwxec77 34 17 MAP MAP NNP cord-017420-tjwxec77 34 18 ) ) -RRB- cord-017420-tjwxec77 34 19 ! ! . cord-017420-tjwxec77 35 1 65 65 CD cord-017420-tjwxec77 35 2 mmHg mmHg NNS cord-017420-tjwxec77 35 3 or or CC cord-017420-tjwxec77 35 4 a a DT cord-017420-tjwxec77 35 5 serum serum NN cord-017420-tjwxec77 35 6 lactate lactate NN cord-017420-tjwxec77 35 7 > > XX cord-017420-tjwxec77 35 8 2 2 CD cord-017420-tjwxec77 35 9 mmol mmol NNP cord-017420-tjwxec77 35 10 / / SYM cord-017420-tjwxec77 35 11 L l NN cord-017420-tjwxec77 35 12 despite despite IN cord-017420-tjwxec77 35 13 adequate adequate JJ cord-017420-tjwxec77 35 14 volume volume NN cord-017420-tjwxec77 35 15 resuscitation resuscitation NN cord-017420-tjwxec77 35 16 . . . cord-017420-tjwxec77 36 1 There there EX cord-017420-tjwxec77 36 2 is be VBZ cord-017420-tjwxec77 36 3 no no DT cord-017420-tjwxec77 36 4 specific specific JJ cord-017420-tjwxec77 36 5 consensus consensus NN cord-017420-tjwxec77 36 6 definition definition NN cord-017420-tjwxec77 36 7 for for IN cord-017420-tjwxec77 36 8 neutropenic neutropenic JJ cord-017420-tjwxec77 36 9 sepsis sepsis NN cord-017420-tjwxec77 36 10 , , , cord-017420-tjwxec77 36 11 other other JJ cord-017420-tjwxec77 36 12 than than IN cord-017420-tjwxec77 36 13 sepsis sepsis NN cord-017420-tjwxec77 36 14 occurring occur VBG cord-017420-tjwxec77 36 15 in in IN cord-017420-tjwxec77 36 16 the the DT cord-017420-tjwxec77 36 17 presence presence NN cord-017420-tjwxec77 36 18 of of IN cord-017420-tjwxec77 36 19 neutropenia neutropenia NN cord-017420-tjwxec77 36 20 . . . cord-017420-tjwxec77 37 1 Any any DT cord-017420-tjwxec77 37 2 evidence evidence NN cord-017420-tjwxec77 37 3 of of IN cord-017420-tjwxec77 37 4 organ organ NN cord-017420-tjwxec77 37 5 dysfunction dysfunction NN cord-017420-tjwxec77 37 6 , , , cord-017420-tjwxec77 37 7 including include VBG cord-017420-tjwxec77 37 8 an an DT cord-017420-tjwxec77 37 9 elevated elevated JJ cord-017420-tjwxec77 37 10 lactate lactate NN cord-017420-tjwxec77 37 11 , , , cord-017420-tjwxec77 37 12 in in IN cord-017420-tjwxec77 37 13 the the DT cord-017420-tjwxec77 37 14 presence presence NN cord-017420-tjwxec77 37 15 of of IN cord-017420-tjwxec77 37 16 neutropenia neutropenia NN cord-017420-tjwxec77 37 17 should should MD cord-017420-tjwxec77 37 18 be be VB cord-017420-tjwxec77 37 19 treated treat VBN cord-017420-tjwxec77 37 20 as as IN cord-017420-tjwxec77 37 21 a a DT cord-017420-tjwxec77 37 22 potential potential JJ cord-017420-tjwxec77 37 23 indicator indicator NN cord-017420-tjwxec77 37 24 of of IN cord-017420-tjwxec77 37 25 sepsis sepsis NN cord-017420-tjwxec77 37 26 . . . cord-017420-tjwxec77 38 1 There there EX cord-017420-tjwxec77 38 2 are be VBP cord-017420-tjwxec77 38 3 few few JJ cord-017420-tjwxec77 38 4 reliable reliable JJ cord-017420-tjwxec77 38 5 data datum NNS cord-017420-tjwxec77 38 6 on on IN cord-017420-tjwxec77 38 7 the the DT cord-017420-tjwxec77 38 8 incidence incidence NN cord-017420-tjwxec77 38 9 of of IN cord-017420-tjwxec77 38 10 neutropenic neutropenic JJ cord-017420-tjwxec77 38 11 sepsis sepsis NN cord-017420-tjwxec77 38 12 or or CC cord-017420-tjwxec77 38 13 neutropenic neutropenic JJ cord-017420-tjwxec77 38 14 septic septic JJ cord-017420-tjwxec77 38 15 shock shock NN cord-017420-tjwxec77 38 16 . . . cord-017420-tjwxec77 39 1 It -PRON- PRP cord-017420-tjwxec77 39 2 has have VBZ cord-017420-tjwxec77 39 3 been be VBN cord-017420-tjwxec77 39 4 estimated estimate VBN cord-017420-tjwxec77 39 5 that that IN cord-017420-tjwxec77 39 6 50 50 CD cord-017420-tjwxec77 39 7 % % NN cord-017420-tjwxec77 39 8 of of IN cord-017420-tjwxec77 39 9 patients patient NNS cord-017420-tjwxec77 39 10 with with IN cord-017420-tjwxec77 39 11 neutropenic neutropenic JJ cord-017420-tjwxec77 39 12 fever fever NN cord-017420-tjwxec77 39 13 will will MD cord-017420-tjwxec77 39 14 develop develop VB cord-017420-tjwxec77 39 15 sepsis sepsis NN cord-017420-tjwxec77 39 16 , , , cord-017420-tjwxec77 39 17 and and CC cord-017420-tjwxec77 39 18 up up IN cord-017420-tjwxec77 39 19 to to TO cord-017420-tjwxec77 39 20 10 10 CD cord-017420-tjwxec77 39 21 % % NN cord-017420-tjwxec77 39 22 of of IN cord-017420-tjwxec77 39 23 patients patient NNS cord-017420-tjwxec77 39 24 with with IN cord-017420-tjwxec77 39 25 neutropenic neutropenic JJ cord-017420-tjwxec77 39 26 fever fever NN cord-017420-tjwxec77 39 27 will will MD cord-017420-tjwxec77 39 28 progress progress VB cord-017420-tjwxec77 39 29 to to IN cord-017420-tjwxec77 39 30 septic septic JJ cord-017420-tjwxec77 39 31 shock shock NN cord-017420-tjwxec77 39 32 [ [ -LRB- cord-017420-tjwxec77 39 33 33 33 CD cord-017420-tjwxec77 39 34 ] ] -RRB- cord-017420-tjwxec77 39 35 . . . cord-017420-tjwxec77 40 1 Among among IN cord-017420-tjwxec77 40 2 neutropenic neutropenic JJ cord-017420-tjwxec77 40 3 allogeneic allogeneic IN cord-017420-tjwxec77 40 4 HSCT HSCT NNP cord-017420-tjwxec77 40 5 patients patient NNS cord-017420-tjwxec77 40 6 , , , cord-017420-tjwxec77 40 7 approximately approximately RB cord-017420-tjwxec77 40 8 10 10 CD cord-017420-tjwxec77 40 9 % % NN cord-017420-tjwxec77 40 10 will will MD cord-017420-tjwxec77 40 11 develop develop VB cord-017420-tjwxec77 40 12 severe severe JJ cord-017420-tjwxec77 40 13 sepsis sepsis NN cord-017420-tjwxec77 40 14 during during IN cord-017420-tjwxec77 40 15 the the DT cord-017420-tjwxec77 40 16 engraftment engraftment NN cord-017420-tjwxec77 40 17 period period NN cord-017420-tjwxec77 40 18 [ [ -LRB- cord-017420-tjwxec77 40 19 38 38 CD cord-017420-tjwxec77 40 20 ] ] -RRB- cord-017420-tjwxec77 40 21 . . . cord-017420-tjwxec77 41 1 Cytotoxic cytotoxic JJ cord-017420-tjwxec77 41 2 chemotherapy chemotherapy NN cord-017420-tjwxec77 41 3 or or CC cord-017420-tjwxec77 41 4 cytotoxic cytotoxic JJ cord-017420-tjwxec77 41 5 radiation radiation NN cord-017420-tjwxec77 41 6 , , , cord-017420-tjwxec77 41 7 whether whether IN cord-017420-tjwxec77 41 8 given give VBN cord-017420-tjwxec77 41 9 as as IN cord-017420-tjwxec77 41 10 an an DT cord-017420-tjwxec77 41 11 antitumor antitumor JJ cord-017420-tjwxec77 41 12 agent agent NN cord-017420-tjwxec77 41 13 or or CC cord-017420-tjwxec77 41 14 conditioning conditioning NN cord-017420-tjwxec77 41 15 regimen regimen NN cord-017420-tjwxec77 41 16 for for IN cord-017420-tjwxec77 41 17 HSCT HSCT NNP cord-017420-tjwxec77 41 18 , , , cord-017420-tjwxec77 41 19 induces induce VBZ cord-017420-tjwxec77 41 20 neutropenia neutropenia NN cord-017420-tjwxec77 41 21 by by IN cord-017420-tjwxec77 41 22 injuring injure VBG cord-017420-tjwxec77 41 23 or or CC cord-017420-tjwxec77 41 24 destroying destroy VBG cord-017420-tjwxec77 41 25 hematopoietic hematopoietic JJ cord-017420-tjwxec77 41 26 precursor precursor NN cord-017420-tjwxec77 41 27 cells cell NNS cord-017420-tjwxec77 41 28 within within IN cord-017420-tjwxec77 41 29 the the DT cord-017420-tjwxec77 41 30 bone bone NN cord-017420-tjwxec77 41 31 marrow marrow NN cord-017420-tjwxec77 41 32 as as RB cord-017420-tjwxec77 41 33 well well RB cord-017420-tjwxec77 41 34 as as IN cord-017420-tjwxec77 41 35 injuring injure VBG cord-017420-tjwxec77 41 36 the the DT cord-017420-tjwxec77 41 37 bone bone NN cord-017420-tjwxec77 41 38 marrow marrow NN cord-017420-tjwxec77 41 39 structure structure NN cord-017420-tjwxec77 41 40 itself -PRON- PRP cord-017420-tjwxec77 41 41 [ [ -LRB- cord-017420-tjwxec77 41 42 44 44 CD cord-017420-tjwxec77 41 43 ] ] -RRB- cord-017420-tjwxec77 41 44 . . . cord-017420-tjwxec77 42 1 Circulating circulate VBG cord-017420-tjwxec77 42 2 [ [ -LRB- cord-017420-tjwxec77 42 3 43 43 CD cord-017420-tjwxec77 42 4 ] ] -RRB- cord-017420-tjwxec77 42 5 , , , cord-017420-tjwxec77 42 6 so so RB cord-017420-tjwxec77 42 7 neutropenia neutropenia NN cord-017420-tjwxec77 42 8 develops develop VBZ cord-017420-tjwxec77 42 9 rapidly rapidly RB cord-017420-tjwxec77 42 10 after after IN cord-017420-tjwxec77 42 11 myelosuppressive myelosuppressive NNP cord-017420-tjwxec77 42 12 therapy therapy NN cord-017420-tjwxec77 42 13 . . . cord-017420-tjwxec77 43 1 Depending depend VBG cord-017420-tjwxec77 43 2 on on IN cord-017420-tjwxec77 43 3 the the DT cord-017420-tjwxec77 43 4 chemotherapy chemotherapy NN cord-017420-tjwxec77 43 5 employed employ VBN cord-017420-tjwxec77 43 6 , , , cord-017420-tjwxec77 43 7 circulating circulate VBG cord-017420-tjwxec77 43 8 neutrophils neutrophil NNS cord-017420-tjwxec77 43 9 and and CC cord-017420-tjwxec77 43 10 other other JJ cord-017420-tjwxec77 43 11 white white JJ cord-017420-tjwxec77 43 12 blood blood NN cord-017420-tjwxec77 43 13 cells cell NNS cord-017420-tjwxec77 43 14 may may MD cord-017420-tjwxec77 43 15 also also RB cord-017420-tjwxec77 43 16 be be VB cord-017420-tjwxec77 43 17 damaged damage VBN cord-017420-tjwxec77 43 18 or or CC cord-017420-tjwxec77 43 19 destroyed destroy VBN cord-017420-tjwxec77 43 20 , , , cord-017420-tjwxec77 43 21 causing cause VBG cord-017420-tjwxec77 43 22 a a DT cord-017420-tjwxec77 43 23 more more RBR cord-017420-tjwxec77 43 24 rapid rapid JJ cord-017420-tjwxec77 43 25 leukopenia leukopenia NN cord-017420-tjwxec77 43 26 than than IN cord-017420-tjwxec77 43 27 regimens regimen NNS cord-017420-tjwxec77 43 28 which which WDT cord-017420-tjwxec77 43 29 only only RB cord-017420-tjwxec77 43 30 affect affect VBP cord-017420-tjwxec77 43 31 the the DT cord-017420-tjwxec77 43 32 marrow marrow NN cord-017420-tjwxec77 43 33 . . . cord-017420-tjwxec77 44 1 Some some DT cord-017420-tjwxec77 44 2 agents agent NNS cord-017420-tjwxec77 44 3 will will MD cord-017420-tjwxec77 44 4 injure injure VB cord-017420-tjwxec77 44 5 progenitor progenitor NN cord-017420-tjwxec77 44 6 cells cell NNS cord-017420-tjwxec77 44 7 but but CC cord-017420-tjwxec77 44 8 not not RB cord-017420-tjwxec77 44 9 primitive primitive JJ cord-017420-tjwxec77 44 10 stem stem NN cord-017420-tjwxec77 44 11 cells cell NNS cord-017420-tjwxec77 44 12 ( ( -LRB- cord-017420-tjwxec77 44 13 which which WDT cord-017420-tjwxec77 44 14 re re NNS cord-017420-tjwxec77 44 15 - - VBP cord-017420-tjwxec77 44 16 populate populate VB cord-017420-tjwxec77 44 17 the the DT cord-017420-tjwxec77 44 18 progenitor progenitor NN cord-017420-tjwxec77 44 19 cells cell NNS cord-017420-tjwxec77 44 20 ) ) -RRB- cord-017420-tjwxec77 44 21 , , , cord-017420-tjwxec77 44 22 whereas whereas IN cord-017420-tjwxec77 44 23 other other JJ cord-017420-tjwxec77 44 24 agents agent NNS cord-017420-tjwxec77 44 25 will will MD cord-017420-tjwxec77 44 26 injure injure VB cord-017420-tjwxec77 44 27 all all DT cord-017420-tjwxec77 44 28 cells cell NNS cord-017420-tjwxec77 44 29 in in IN cord-017420-tjwxec77 44 30 the the DT cord-017420-tjwxec77 44 31 marrow marrow NN cord-017420-tjwxec77 44 32 [ [ -LRB- cord-017420-tjwxec77 44 33 44 44 CD cord-017420-tjwxec77 44 34 ] ] -RRB- cord-017420-tjwxec77 44 35 . . . cord-017420-tjwxec77 45 1 In in IN cord-017420-tjwxec77 45 2 the the DT cord-017420-tjwxec77 45 3 normal normal JJ cord-017420-tjwxec77 45 4 patient patient NN cord-017420-tjwxec77 45 5 with with IN cord-017420-tjwxec77 45 6 a a DT cord-017420-tjwxec77 45 7 localized localize VBN cord-017420-tjwxec77 45 8 infection infection NN cord-017420-tjwxec77 45 9 , , , cord-017420-tjwxec77 45 10 neutrophils neutrophil NNS cord-017420-tjwxec77 45 11 are be VBP cord-017420-tjwxec77 45 12 rapidly rapidly RB cord-017420-tjwxec77 45 13 recruited recruit VBN cord-017420-tjwxec77 45 14 at at IN cord-017420-tjwxec77 45 15 the the DT cord-017420-tjwxec77 45 16 onset onset NN cord-017420-tjwxec77 45 17 of of IN cord-017420-tjwxec77 45 18 focal focal JJ cord-017420-tjwxec77 45 19 infection infection NN cord-017420-tjwxec77 45 20 and and CC cord-017420-tjwxec77 45 21 are be VBP cord-017420-tjwxec77 45 22 essential essential JJ cord-017420-tjwxec77 45 23 to to IN cord-017420-tjwxec77 45 24 microbial microbial JJ cord-017420-tjwxec77 45 25 killing killing NN cord-017420-tjwxec77 45 26 and and CC cord-017420-tjwxec77 45 27 infection infection NN cord-017420-tjwxec77 45 28 control control NN cord-017420-tjwxec77 45 29 [ [ -LRB- cord-017420-tjwxec77 45 30 40 40 CD cord-017420-tjwxec77 45 31 , , , cord-017420-tjwxec77 45 32 45 45 CD cord-017420-tjwxec77 45 33 ] ] -RRB- cord-017420-tjwxec77 45 34 . . . cord-017420-tjwxec77 46 1 Neutropenic neutropenic JJ cord-017420-tjwxec77 46 2 fever fever NN cord-017420-tjwxec77 46 3 and and CC cord-017420-tjwxec77 46 4 neutropenic neutropenic JJ cord-017420-tjwxec77 46 5 sepsis sepsis NN cord-017420-tjwxec77 46 6 have have VBP cord-017420-tjwxec77 46 7 historically historically RB cord-017420-tjwxec77 46 8 been be VBN cord-017420-tjwxec77 46 9 thought think VBN cord-017420-tjwxec77 46 10 of of IN cord-017420-tjwxec77 46 11 as as IN cord-017420-tjwxec77 46 12 variants variant NNS cord-017420-tjwxec77 46 13 of of IN cord-017420-tjwxec77 46 14 non non JJ cord-017420-tjwxec77 46 15 - - JJ cord-017420-tjwxec77 46 16 neutropenic neutropenic JJ cord-017420-tjwxec77 46 17 fever fever NN cord-017420-tjwxec77 46 18 and and CC cord-017420-tjwxec77 46 19 sepsis sepsis NN cord-017420-tjwxec77 46 20 , , , cord-017420-tjwxec77 46 21 just just RB cord-017420-tjwxec77 46 22 without without IN cord-017420-tjwxec77 46 23 an an DT cord-017420-tjwxec77 46 24 intact intact JJ cord-017420-tjwxec77 46 25 immune immune JJ cord-017420-tjwxec77 46 26 system system NN cord-017420-tjwxec77 46 27 , , , cord-017420-tjwxec77 46 28 akin akin JJ cord-017420-tjwxec77 46 29 to to IN cord-017420-tjwxec77 46 30 a a DT cord-017420-tjwxec77 46 31 " " `` cord-017420-tjwxec77 46 32 fire fire NN cord-017420-tjwxec77 46 33 without without IN cord-017420-tjwxec77 46 34 firefighters firefighter NNS cord-017420-tjwxec77 46 35 . . . cord-017420-tjwxec77 46 36 " " '' cord-017420-tjwxec77 47 1 However however RB cord-017420-tjwxec77 47 2 , , , cord-017420-tjwxec77 47 3 increasing increase VBG cord-017420-tjwxec77 47 4 data datum NNS cord-017420-tjwxec77 47 5 suggest suggest VBP cord-017420-tjwxec77 47 6 that that IN cord-017420-tjwxec77 47 7 the the DT cord-017420-tjwxec77 47 8 pathophysiology pathophysiology NN cord-017420-tjwxec77 47 9 of of IN cord-017420-tjwxec77 47 10 neutropenic neutropenic JJ cord-017420-tjwxec77 47 11 patients patient NNS cord-017420-tjwxec77 47 12 is be VBZ cord-017420-tjwxec77 47 13 much much RB cord-017420-tjwxec77 47 14 more more RBR cord-017420-tjwxec77 47 15 complicated complicated JJ cord-017420-tjwxec77 47 16 than than IN cord-017420-tjwxec77 47 17 simply simply RB cord-017420-tjwxec77 47 18 an an DT cord-017420-tjwxec77 47 19 uncontrolled uncontrolled JJ cord-017420-tjwxec77 47 20 infection infection NN cord-017420-tjwxec77 47 21 [ [ -LRB- cord-017420-tjwxec77 47 22 36 36 CD cord-017420-tjwxec77 47 23 ] ] -RRB- cord-017420-tjwxec77 47 24 . . . cord-017420-tjwxec77 48 1 In in IN cord-017420-tjwxec77 48 2 addition addition NN cord-017420-tjwxec77 48 3 to to IN cord-017420-tjwxec77 48 4 their -PRON- PRP$ cord-017420-tjwxec77 48 5 key key JJ cord-017420-tjwxec77 48 6 role role NN cord-017420-tjwxec77 48 7 in in IN cord-017420-tjwxec77 48 8 the the DT cord-017420-tjwxec77 48 9 response response NN cord-017420-tjwxec77 48 10 to to IN cord-017420-tjwxec77 48 11 localized localize VBN cord-017420-tjwxec77 48 12 infections infection NNS cord-017420-tjwxec77 48 13 ( ( -LRB- cord-017420-tjwxec77 48 14 e.g. e.g. RB cord-017420-tjwxec77 48 15 , , , cord-017420-tjwxec77 48 16 pneumonia pneumonia NN cord-017420-tjwxec77 48 17 ) ) -RRB- cord-017420-tjwxec77 48 18 , , , cord-017420-tjwxec77 48 19 in in IN cord-017420-tjwxec77 48 20 sepsis sepsis NN cord-017420-tjwxec77 48 21 neutrophils neutrophil NNS cord-017420-tjwxec77 48 22 are be VBP cord-017420-tjwxec77 48 23 rapidly rapidly RB cord-017420-tjwxec77 48 24 recruited recruit VBN cord-017420-tjwxec77 48 25 to to IN cord-017420-tjwxec77 48 26 organs organ NNS cord-017420-tjwxec77 48 27 ( ( -LRB- cord-017420-tjwxec77 48 28 lungs lung NNS cord-017420-tjwxec77 48 29 , , , cord-017420-tjwxec77 48 30 kidneys kidney NNS cord-017420-tjwxec77 48 31 , , , cord-017420-tjwxec77 48 32 liver liver NN cord-017420-tjwxec77 48 33 ) ) -RRB- cord-017420-tjwxec77 48 34 and and CC cord-017420-tjwxec77 48 35 are be VBP cord-017420-tjwxec77 48 36 thought think VBN cord-017420-tjwxec77 48 37 to to TO cord-017420-tjwxec77 48 38 contribute contribute VB cord-017420-tjwxec77 48 39 to to IN cord-017420-tjwxec77 48 40 tissue tissue NN cord-017420-tjwxec77 48 41 damage damage NN cord-017420-tjwxec77 48 42 and and CC cord-017420-tjwxec77 48 43 organ organ NN cord-017420-tjwxec77 48 44 dysfunction dysfunction NN cord-017420-tjwxec77 48 45 [ [ -LRB- cord-017420-tjwxec77 48 46 45 45 CD cord-017420-tjwxec77 48 47 ] ] -RRB- cord-017420-tjwxec77 48 48 . . . cord-017420-tjwxec77 49 1 Neutrophils neutrophils NN cord-017420-tjwxec77 49 2 also also RB cord-017420-tjwxec77 49 3 contribute contribute VBP cord-017420-tjwxec77 49 4 to to IN cord-017420-tjwxec77 49 5 resolution resolution NN cord-017420-tjwxec77 49 6 of of IN cord-017420-tjwxec77 49 7 injury injury NN cord-017420-tjwxec77 49 8 and and CC cord-017420-tjwxec77 49 9 tissue tissue NN cord-017420-tjwxec77 49 10 repair repair NN cord-017420-tjwxec77 49 11 [ [ -LRB- cord-017420-tjwxec77 49 12 36 36 CD cord-017420-tjwxec77 49 13 ] ] -RRB- cord-017420-tjwxec77 49 14 , , , cord-017420-tjwxec77 49 15 as as RB cord-017420-tjwxec77 49 16 well well RB cord-017420-tjwxec77 49 17 as as IN cord-017420-tjwxec77 49 18 regulation regulation NN cord-017420-tjwxec77 49 19 of of IN cord-017420-tjwxec77 49 20 the the DT cord-017420-tjwxec77 49 21 adaptive adaptive JJ cord-017420-tjwxec77 49 22 immune immune JJ cord-017420-tjwxec77 49 23 response response NN cord-017420-tjwxec77 49 24 [ [ -LRB- cord-017420-tjwxec77 49 25 40 40 CD cord-017420-tjwxec77 49 26 , , , cord-017420-tjwxec77 49 27 76 76 CD cord-017420-tjwxec77 49 28 ] ] -RRB- cord-017420-tjwxec77 49 29 . . . cord-017420-tjwxec77 50 1 Thus thus RB cord-017420-tjwxec77 50 2 neutropenic neutropenic JJ cord-017420-tjwxec77 50 3 patients patient NNS cord-017420-tjwxec77 50 4 are be VBP cord-017420-tjwxec77 50 5 not not RB cord-017420-tjwxec77 50 6 only only RB cord-017420-tjwxec77 50 7 deficient deficient JJ cord-017420-tjwxec77 50 8 in in IN cord-017420-tjwxec77 50 9 the the DT cord-017420-tjwxec77 50 10 immediate immediate JJ cord-017420-tjwxec77 50 11 response response NN cord-017420-tjwxec77 50 12 to to IN cord-017420-tjwxec77 50 13 infection infection NN cord-017420-tjwxec77 50 14 but but CC cord-017420-tjwxec77 50 15 also also RB cord-017420-tjwxec77 50 16 have have VBP cord-017420-tjwxec77 50 17 an an DT cord-017420-tjwxec77 50 18 altered altered JJ cord-017420-tjwxec77 50 19 physiology physiology NN cord-017420-tjwxec77 50 20 regarding regard VBG cord-017420-tjwxec77 50 21 the the DT cord-017420-tjwxec77 50 22 development development NN cord-017420-tjwxec77 50 23 of of IN cord-017420-tjwxec77 50 24 systemic systemic JJ cord-017420-tjwxec77 50 25 inflammation inflammation NN cord-017420-tjwxec77 50 26 and and CC cord-017420-tjwxec77 50 27 sepsis sepsis NN cord-017420-tjwxec77 50 28 and and CC cord-017420-tjwxec77 50 29 in in IN cord-017420-tjwxec77 50 30 the the DT cord-017420-tjwxec77 50 31 regulation regulation NN cord-017420-tjwxec77 50 32 of of IN cord-017420-tjwxec77 50 33 the the DT cord-017420-tjwxec77 50 34 immune immune JJ cord-017420-tjwxec77 50 35 response response NN cord-017420-tjwxec77 50 36 to to IN cord-017420-tjwxec77 50 37 injury injury NN cord-017420-tjwxec77 50 38 and and CC cord-017420-tjwxec77 50 39 tissue tissue NN cord-017420-tjwxec77 50 40 repair repair NN cord-017420-tjwxec77 50 41 . . . cord-017420-tjwxec77 51 1 It -PRON- PRP cord-017420-tjwxec77 51 2 is be VBZ cord-017420-tjwxec77 51 3 increasingly increasingly RB cord-017420-tjwxec77 51 4 unclear unclear JJ cord-017420-tjwxec77 51 5 whether whether IN cord-017420-tjwxec77 51 6 neutropenic neutropenic JJ cord-017420-tjwxec77 51 7 sepsis sepsis NN cord-017420-tjwxec77 51 8 ( ( -LRB- cord-017420-tjwxec77 51 9 and and CC cord-017420-tjwxec77 51 10 the the DT cord-017420-tjwxec77 51 11 organ organ NN cord-017420-tjwxec77 51 12 damage damage NN cord-017420-tjwxec77 51 13 sequelae sequela NNS cord-017420-tjwxec77 51 14 ) ) -RRB- cord-017420-tjwxec77 51 15 is be VBZ cord-017420-tjwxec77 51 16 the the DT cord-017420-tjwxec77 51 17 same same JJ cord-017420-tjwxec77 51 18 disease disease NN cord-017420-tjwxec77 51 19 as as IN cord-017420-tjwxec77 51 20 non non JJ cord-017420-tjwxec77 51 21 - - JJ cord-017420-tjwxec77 51 22 neutropenic neutropenic JJ cord-017420-tjwxec77 51 23 sepsis sepsis NN cord-017420-tjwxec77 51 24 . . . cord-017420-tjwxec77 52 1 Because because IN cord-017420-tjwxec77 52 2 cytotoxic cytotoxic JJ cord-017420-tjwxec77 52 3 chemotherapy chemotherapy NN cord-017420-tjwxec77 52 4 is be VBZ cord-017420-tjwxec77 52 5 not not RB cord-017420-tjwxec77 52 6 selective selective JJ cord-017420-tjwxec77 52 7 , , , cord-017420-tjwxec77 52 8 neutropenic neutropenic JJ cord-017420-tjwxec77 52 9 patients patient NNS cord-017420-tjwxec77 52 10 are be VBP cord-017420-tjwxec77 52 11 also also RB cord-017420-tjwxec77 52 12 lymphopenic lymphopenic JJ cord-017420-tjwxec77 52 13 , , , cord-017420-tjwxec77 52 14 thrombocytopenic thrombocytopenic JJ cord-017420-tjwxec77 52 15 , , , cord-017420-tjwxec77 52 16 and and CC cord-017420-tjwxec77 52 17 anemic anemic JJ cord-017420-tjwxec77 52 18 . . . cord-017420-tjwxec77 53 1 Lymphocytes lymphocyte NNS cord-017420-tjwxec77 53 2 , , , cord-017420-tjwxec77 53 3 including include VBG cord-017420-tjwxec77 53 4 T t NN cord-017420-tjwxec77 53 5 cells cell NNS cord-017420-tjwxec77 53 6 , , , cord-017420-tjwxec77 53 7 B b NN cord-017420-tjwxec77 53 8 cells cell NNS cord-017420-tjwxec77 53 9 , , , cord-017420-tjwxec77 53 10 and and CC cord-017420-tjwxec77 53 11 natural natural JJ cord-017420-tjwxec77 53 12 killer killer NN cord-017420-tjwxec77 53 13 ( ( -LRB- cord-017420-tjwxec77 53 14 NK NK NNP cord-017420-tjwxec77 53 15 ) ) -RRB- cord-017420-tjwxec77 53 16 cells cell NNS cord-017420-tjwxec77 53 17 , , , cord-017420-tjwxec77 53 18 have have VBP cord-017420-tjwxec77 53 19 protean protean JJ cord-017420-tjwxec77 53 20 roles role NNS cord-017420-tjwxec77 53 21 in in IN cord-017420-tjwxec77 53 22 the the DT cord-017420-tjwxec77 53 23 immune immune JJ cord-017420-tjwxec77 53 24 system system NN cord-017420-tjwxec77 53 25 and and CC cord-017420-tjwxec77 53 26 a a DT cord-017420-tjwxec77 53 27 broad broad JJ cord-017420-tjwxec77 53 28 effect effect NN cord-017420-tjwxec77 53 29 on on IN cord-017420-tjwxec77 53 30 the the DT cord-017420-tjwxec77 53 31 response response NN cord-017420-tjwxec77 53 32 to to IN cord-017420-tjwxec77 53 33 infection infection NN cord-017420-tjwxec77 53 34 and and CC cord-017420-tjwxec77 53 35 septic septic JJ cord-017420-tjwxec77 53 36 physiology physiology NN cord-017420-tjwxec77 53 37 [ [ -LRB- cord-017420-tjwxec77 53 38 20 20 CD cord-017420-tjwxec77 53 39 , , , cord-017420-tjwxec77 53 40 43 43 CD cord-017420-tjwxec77 53 41 ] ] -RRB- cord-017420-tjwxec77 53 42 . . . cord-017420-tjwxec77 54 1 These these DT cord-017420-tjwxec77 54 2 cells cell NNS cord-017420-tjwxec77 54 3 are be VBP cord-017420-tjwxec77 54 4 also also RB cord-017420-tjwxec77 54 5 drastically drastically RB cord-017420-tjwxec77 54 6 reduced reduce VBN cord-017420-tjwxec77 54 7 after after IN cord-017420-tjwxec77 54 8 cytotoxic cytotoxic JJ cord-017420-tjwxec77 54 9 chemotherapy chemotherapy NN cord-017420-tjwxec77 54 10 , , , cord-017420-tjwxec77 54 11 and and CC cord-017420-tjwxec77 54 12 lymphopenia lymphopenia NNP cord-017420-tjwxec77 54 13 has have VBZ cord-017420-tjwxec77 54 14 been be VBN cord-017420-tjwxec77 54 15 associated associate VBN cord-017420-tjwxec77 54 16 with with IN cord-017420-tjwxec77 54 17 an an DT cord-017420-tjwxec77 54 18 increased increase VBN cord-017420-tjwxec77 54 19 risk risk NN cord-017420-tjwxec77 54 20 of of IN cord-017420-tjwxec77 54 21 death death NN cord-017420-tjwxec77 54 22 [ [ -LRB- cord-017420-tjwxec77 54 23 67 67 CD cord-017420-tjwxec77 54 24 , , , cord-017420-tjwxec77 54 25 71 71 CD cord-017420-tjwxec77 54 26 ] ] -RRB- cord-017420-tjwxec77 54 27 . . . cord-017420-tjwxec77 55 1 Adding add VBG cord-017420-tjwxec77 55 2 to to IN cord-017420-tjwxec77 55 3 the the DT cord-017420-tjwxec77 55 4 complexity complexity NN cord-017420-tjwxec77 55 5 , , , cord-017420-tjwxec77 55 6 the the DT cord-017420-tjwxec77 55 7 kinetics kinetic NNS cord-017420-tjwxec77 55 8 of of IN cord-017420-tjwxec77 55 9 count count NN cord-017420-tjwxec77 55 10 recovery recovery NN cord-017420-tjwxec77 55 11 and and CC cord-017420-tjwxec77 55 12 engraftment engraftment NN cord-017420-tjwxec77 55 13 vary vary VBP cord-017420-tjwxec77 55 14 , , , cord-017420-tjwxec77 55 15 and and CC cord-017420-tjwxec77 55 16 reconstitution reconstitution NN cord-017420-tjwxec77 55 17 of of IN cord-017420-tjwxec77 55 18 all all DT cord-017420-tjwxec77 55 19 cell cell NN cord-017420-tjwxec77 55 20 lines line NNS cord-017420-tjwxec77 55 21 does do VBZ cord-017420-tjwxec77 55 22 not not RB cord-017420-tjwxec77 55 23 happen happen VB cord-017420-tjwxec77 55 24 simultaneously simultaneously RB cord-017420-tjwxec77 55 25 [ [ -LRB- cord-017420-tjwxec77 55 26 11 11 CD cord-017420-tjwxec77 55 27 ] ] -RRB- cord-017420-tjwxec77 55 28 . . . cord-017420-tjwxec77 56 1 Though though IN cord-017420-tjwxec77 56 2 the the DT cord-017420-tjwxec77 56 3 total total JJ cord-017420-tjwxec77 56 4 effect effect NN cord-017420-tjwxec77 56 5 of of IN cord-017420-tjwxec77 56 6 lymphopenia lymphopenia NNP cord-017420-tjwxec77 56 7 on on IN cord-017420-tjwxec77 56 8 the the DT cord-017420-tjwxec77 56 9 pathophysiology pathophysiology NN cord-017420-tjwxec77 56 10 of of IN cord-017420-tjwxec77 56 11 neutropenic neutropenic JJ cord-017420-tjwxec77 56 12 fever fever NN cord-017420-tjwxec77 56 13 and and CC cord-017420-tjwxec77 56 14 infection infection NN cord-017420-tjwxec77 56 15 remains remain VBZ cord-017420-tjwxec77 56 16 to to TO cord-017420-tjwxec77 56 17 be be VB cord-017420-tjwxec77 56 18 fully fully RB cord-017420-tjwxec77 56 19 determined determine VBN cord-017420-tjwxec77 56 20 , , , cord-017420-tjwxec77 56 21 patients patient NNS cord-017420-tjwxec77 56 22 with with IN cord-017420-tjwxec77 56 23 neutropenic neutropenic JJ cord-017420-tjwxec77 56 24 sepsis sepsis NN cord-017420-tjwxec77 56 25 have have VBP cord-017420-tjwxec77 56 26 different different JJ cord-017420-tjwxec77 56 27 cytokine cytokine NN cord-017420-tjwxec77 56 28 profiles profile NNS cord-017420-tjwxec77 56 29 than than IN cord-017420-tjwxec77 56 30 patients patient NNS cord-017420-tjwxec77 56 31 with with IN cord-017420-tjwxec77 56 32 non non JJ cord-017420-tjwxec77 56 33 - - JJ cord-017420-tjwxec77 56 34 neutropenic neutropenic JJ cord-017420-tjwxec77 56 35 sepsis sepsis NN cord-017420-tjwxec77 56 36 : : : cord-017420-tjwxec77 56 37 neutropenic neutropenic JJ cord-017420-tjwxec77 56 38 patients patient NNS cord-017420-tjwxec77 56 39 have have VBP cord-017420-tjwxec77 56 40 higher high JJR cord-017420-tjwxec77 56 41 levels level NNS cord-017420-tjwxec77 56 42 of of IN cord-017420-tjwxec77 56 43 IL-6 IL-6 NNP cord-017420-tjwxec77 56 44 , , , cord-017420-tjwxec77 56 45 IL-8 IL-8 NNP cord-017420-tjwxec77 56 46 , , , cord-017420-tjwxec77 56 47 and and CC cord-017420-tjwxec77 56 48 G G NNP cord-017420-tjwxec77 56 49 - - HYPH cord-017420-tjwxec77 56 50 CSF CSF NNP cord-017420-tjwxec77 56 51 than than IN cord-017420-tjwxec77 56 52 non non JJ cord-017420-tjwxec77 56 53 - - JJ cord-017420-tjwxec77 56 54 neutropenic neutropenic JJ cord-017420-tjwxec77 56 55 patients patient NNS cord-017420-tjwxec77 56 56 [ [ -LRB- cord-017420-tjwxec77 56 57 60 60 CD cord-017420-tjwxec77 56 58 ] ] -RRB- cord-017420-tjwxec77 56 59 . . . cord-017420-tjwxec77 57 1 Monocytes monocyte NNS cord-017420-tjwxec77 57 2 are be VBP cord-017420-tjwxec77 57 3 also also RB cord-017420-tjwxec77 57 4 dysfunctional dysfunctional JJ cord-017420-tjwxec77 57 5 in in IN cord-017420-tjwxec77 57 6 neutropenic neutropenic JJ cord-017420-tjwxec77 57 7 sepsis sepsis NN cord-017420-tjwxec77 57 8 , , , cord-017420-tjwxec77 57 9 with with IN cord-017420-tjwxec77 57 10 evidence evidence NN cord-017420-tjwxec77 57 11 not not RB cord-017420-tjwxec77 57 12 only only RB cord-017420-tjwxec77 57 13 of of IN cord-017420-tjwxec77 57 14 deactivation deactivation NN cord-017420-tjwxec77 57 15 of of IN cord-017420-tjwxec77 57 16 monocytes monocyte NNS cord-017420-tjwxec77 57 17 in in IN cord-017420-tjwxec77 57 18 peripheral peripheral JJ cord-017420-tjwxec77 57 19 blood blood NN cord-017420-tjwxec77 57 20 but but CC cord-017420-tjwxec77 57 21 also also RB cord-017420-tjwxec77 57 22 of of IN cord-017420-tjwxec77 57 23 deactivation deactivation NN cord-017420-tjwxec77 57 24 of of IN cord-017420-tjwxec77 57 25 differentiated differentiated JJ cord-017420-tjwxec77 57 26 pulmonary pulmonary JJ cord-017420-tjwxec77 57 27 macrophages macrophage NNS cord-017420-tjwxec77 57 28 in in IN cord-017420-tjwxec77 57 29 patients patient NNS cord-017420-tjwxec77 57 30 with with IN cord-017420-tjwxec77 57 31 neutropenic neutropenic JJ cord-017420-tjwxec77 57 32 sepsis sepsis NN cord-017420-tjwxec77 57 33 [ [ -LRB- cord-017420-tjwxec77 57 34 48 48 CD cord-017420-tjwxec77 57 35 , , , cord-017420-tjwxec77 57 36 49 49 CD cord-017420-tjwxec77 57 37 ] ] -RRB- cord-017420-tjwxec77 57 38 . . . cord-017420-tjwxec77 58 1 The the DT cord-017420-tjwxec77 58 2 implications implication NNS cord-017420-tjwxec77 58 3 of of IN cord-017420-tjwxec77 58 4 pancytopenia pancytopenia NNP cord-017420-tjwxec77 58 5 for for IN cord-017420-tjwxec77 58 6 the the DT cord-017420-tjwxec77 58 7 response response NN cord-017420-tjwxec77 58 8 to to IN cord-017420-tjwxec77 58 9 infection infection NN cord-017420-tjwxec77 58 10 extend extend VBP cord-017420-tjwxec77 58 11 beyond beyond IN cord-017420-tjwxec77 58 12 white white JJ cord-017420-tjwxec77 58 13 blood blood NN cord-017420-tjwxec77 58 14 cells cell NNS cord-017420-tjwxec77 58 15 . . . cord-017420-tjwxec77 59 1 Most Most JJS cord-017420-tjwxec77 59 2 neutropenic neutropenic JJ cord-017420-tjwxec77 59 3 patients patient NNS cord-017420-tjwxec77 59 4 are be VBP cord-017420-tjwxec77 59 5 thrombocytopenic thrombocytopenic JJ cord-017420-tjwxec77 59 6 , , , cord-017420-tjwxec77 59 7 and and CC cord-017420-tjwxec77 59 8 platelets platelet NNS cord-017420-tjwxec77 59 9 are be VBP cord-017420-tjwxec77 59 10 increasingly increasingly RB cord-017420-tjwxec77 59 11 recognized recognize VBN cord-017420-tjwxec77 59 12 to to TO cord-017420-tjwxec77 59 13 play play VB cord-017420-tjwxec77 59 14 an an DT cord-017420-tjwxec77 59 15 important important JJ cord-017420-tjwxec77 59 16 role role NN cord-017420-tjwxec77 59 17 in in IN cord-017420-tjwxec77 59 18 the the DT cord-017420-tjwxec77 59 19 immune immune JJ cord-017420-tjwxec77 59 20 response response NN cord-017420-tjwxec77 59 21 [ [ -LRB- cord-017420-tjwxec77 59 22 23 23 CD cord-017420-tjwxec77 59 23 , , , cord-017420-tjwxec77 59 24 74 74 CD cord-017420-tjwxec77 59 25 ] ] -RRB- cord-017420-tjwxec77 59 26 . . . cord-017420-tjwxec77 60 1 Thrombocytopenia Thrombocytopenia NNP cord-017420-tjwxec77 60 2 is be VBZ cord-017420-tjwxec77 60 3 associated associate VBN cord-017420-tjwxec77 60 4 with with IN cord-017420-tjwxec77 60 5 poor poor JJ cord-017420-tjwxec77 60 6 outcomes outcome NNS cord-017420-tjwxec77 60 7 in in IN cord-017420-tjwxec77 60 8 critical critical JJ cord-017420-tjwxec77 60 9 illness illness NN cord-017420-tjwxec77 60 10 , , , cord-017420-tjwxec77 60 11 including include VBG cord-017420-tjwxec77 60 12 in in IN cord-017420-tjwxec77 60 13 sepsis sepsis NN cord-017420-tjwxec77 60 14 [ [ -LRB- cord-017420-tjwxec77 60 15 18 18 CD cord-017420-tjwxec77 60 16 ] ] -RRB- cord-017420-tjwxec77 60 17 . . . cord-017420-tjwxec77 61 1 In in IN cord-017420-tjwxec77 61 2 addition addition NN cord-017420-tjwxec77 61 3 to to IN cord-017420-tjwxec77 61 4 secreting secrete VBG cord-017420-tjwxec77 61 5 mediators mediator NNS cord-017420-tjwxec77 61 6 and and CC cord-017420-tjwxec77 61 7 regulators regulator NNS cord-017420-tjwxec77 61 8 of of IN cord-017420-tjwxec77 61 9 inflammation inflammation NN cord-017420-tjwxec77 61 10 , , , cord-017420-tjwxec77 61 11 platelets platelet NNS cord-017420-tjwxec77 61 12 interact interact VBP cord-017420-tjwxec77 61 13 with with IN cord-017420-tjwxec77 61 14 neutrophils neutrophil NNS cord-017420-tjwxec77 61 15 and and CC cord-017420-tjwxec77 61 16 monocytes monocyte NNS cord-017420-tjwxec77 61 17 and and CC cord-017420-tjwxec77 61 18 play play VB cord-017420-tjwxec77 61 19 a a DT cord-017420-tjwxec77 61 20 vital vital JJ cord-017420-tjwxec77 61 21 role role NN cord-017420-tjwxec77 61 22 in in IN cord-017420-tjwxec77 61 23 the the DT cord-017420-tjwxec77 61 24 defense defense NN cord-017420-tjwxec77 61 25 against against IN cord-017420-tjwxec77 61 26 bacterial bacterial JJ cord-017420-tjwxec77 61 27 , , , cord-017420-tjwxec77 61 28 viral viral JJ cord-017420-tjwxec77 61 29 , , , cord-017420-tjwxec77 61 30 and and CC cord-017420-tjwxec77 61 31 fungal fungal JJ cord-017420-tjwxec77 61 32 infections infection NNS cord-017420-tjwxec77 61 33 via via IN cord-017420-tjwxec77 61 34 the the DT cord-017420-tjwxec77 61 35 formation formation NN cord-017420-tjwxec77 61 36 of of IN cord-017420-tjwxec77 61 37 neutrophil neutrophil NN cord-017420-tjwxec77 61 38 extracellular extracellular JJ cord-017420-tjwxec77 61 39 traps trap NNS cord-017420-tjwxec77 61 40 ( ( -LRB- cord-017420-tjwxec77 61 41 NETs nets NN cord-017420-tjwxec77 61 42 ) ) -RRB- cord-017420-tjwxec77 61 43 [ [ -LRB- cord-017420-tjwxec77 61 44 16 16 CD cord-017420-tjwxec77 61 45 , , , cord-017420-tjwxec77 61 46 21 21 CD cord-017420-tjwxec77 61 47 , , , cord-017420-tjwxec77 61 48 23 23 CD cord-017420-tjwxec77 61 49 ] ] -RRB- cord-017420-tjwxec77 61 50 . . . cord-017420-tjwxec77 62 1 Platelets platelet NNS cord-017420-tjwxec77 62 2 also also RB cord-017420-tjwxec77 62 3 play play VBP cord-017420-tjwxec77 62 4 roles role NNS cord-017420-tjwxec77 62 5 in in IN cord-017420-tjwxec77 62 6 the the DT cord-017420-tjwxec77 62 7 development development NN cord-017420-tjwxec77 62 8 and and CC cord-017420-tjwxec77 62 9 resolution resolution NN cord-017420-tjwxec77 62 10 of of IN cord-017420-tjwxec77 62 11 organ organ NN cord-017420-tjwxec77 62 12 failure failure NN cord-017420-tjwxec77 62 13 in in IN cord-017420-tjwxec77 62 14 inflammatory inflammatory JJ cord-017420-tjwxec77 62 15 states state NNS cord-017420-tjwxec77 62 16 , , , cord-017420-tjwxec77 62 17 including include VBG cord-017420-tjwxec77 62 18 sepsis sepsis NN cord-017420-tjwxec77 62 19 . . . cord-017420-tjwxec77 63 1 In in IN cord-017420-tjwxec77 63 2 particular particular JJ cord-017420-tjwxec77 63 3 , , , cord-017420-tjwxec77 63 4 thrombocytopenia thrombocytopenia NN cord-017420-tjwxec77 63 5 has have VBZ cord-017420-tjwxec77 63 6 been be VBN cord-017420-tjwxec77 63 7 demonstrated demonstrate VBN cord-017420-tjwxec77 63 8 to to TO cord-017420-tjwxec77 63 9 potentiate potentiate VB cord-017420-tjwxec77 63 10 lung lung NN cord-017420-tjwxec77 63 11 injury injury NN cord-017420-tjwxec77 63 12 [ [ -LRB- cord-017420-tjwxec77 63 13 46 46 CD cord-017420-tjwxec77 63 14 , , , cord-017420-tjwxec77 63 15 86 86 CD cord-017420-tjwxec77 63 16 ] ] -RRB- cord-017420-tjwxec77 63 17 , , , cord-017420-tjwxec77 63 18 and and CC cord-017420-tjwxec77 63 19 platelets platelet NNS cord-017420-tjwxec77 63 20 may may MD cord-017420-tjwxec77 63 21 play play VB cord-017420-tjwxec77 63 22 a a DT cord-017420-tjwxec77 63 23 role role NN cord-017420-tjwxec77 63 24 in in IN cord-017420-tjwxec77 63 25 the the DT cord-017420-tjwxec77 63 26 pathophysiology pathophysiology NN cord-017420-tjwxec77 63 27 of of IN cord-017420-tjwxec77 63 28 acute acute JJ cord-017420-tjwxec77 63 29 kidney kidney NN cord-017420-tjwxec77 63 30 injury injury NN cord-017420-tjwxec77 63 31 [ [ -LRB- cord-017420-tjwxec77 63 32 23 23 CD cord-017420-tjwxec77 63 33 ] ] -RRB- cord-017420-tjwxec77 63 34 . . . cord-017420-tjwxec77 64 1 While while IN cord-017420-tjwxec77 64 2 the the DT cord-017420-tjwxec77 64 3 role role NN cord-017420-tjwxec77 64 4 of of IN cord-017420-tjwxec77 64 5 thrombocytopenia thrombocytopenia NN cord-017420-tjwxec77 64 6 in in IN cord-017420-tjwxec77 64 7 infection infection NN cord-017420-tjwxec77 64 8 remains remain VBZ cord-017420-tjwxec77 64 9 incompletely incompletely RB cord-017420-tjwxec77 64 10 elucidated elucidate VBN cord-017420-tjwxec77 64 11 , , , cord-017420-tjwxec77 64 12 it -PRON- PRP cord-017420-tjwxec77 64 13 seems seem VBZ cord-017420-tjwxec77 64 14 clear clear JJ cord-017420-tjwxec77 64 15 that that IN cord-017420-tjwxec77 64 16 [ [ -LRB- cord-017420-tjwxec77 64 17 70 70 CD cord-017420-tjwxec77 64 18 ] ] -RRB- cord-017420-tjwxec77 64 19 thrombocytopenia thrombocytopenia NN cord-017420-tjwxec77 64 20 is be VBZ cord-017420-tjwxec77 64 21 an an DT cord-017420-tjwxec77 64 22 important important JJ cord-017420-tjwxec77 64 23 factor factor NN cord-017420-tjwxec77 64 24 in in IN cord-017420-tjwxec77 64 25 the the DT cord-017420-tjwxec77 64 26 pathophysiology pathophysiology NN cord-017420-tjwxec77 64 27 of of IN cord-017420-tjwxec77 64 28 neutropenic neutropenic JJ cord-017420-tjwxec77 64 29 infection infection NN cord-017420-tjwxec77 64 30 . . . cord-017420-tjwxec77 65 1 Other other JJ cord-017420-tjwxec77 65 2 organ organ NN cord-017420-tjwxec77 65 3 systems system NNS cord-017420-tjwxec77 65 4 with with IN cord-017420-tjwxec77 65 5 relevance relevance NN cord-017420-tjwxec77 65 6 to to IN cord-017420-tjwxec77 65 7 neutropenic neutropenic JJ cord-017420-tjwxec77 65 8 infections infection NNS cord-017420-tjwxec77 65 9 are be VBP cord-017420-tjwxec77 65 10 also also RB cord-017420-tjwxec77 65 11 affected affect VBN cord-017420-tjwxec77 65 12 by by IN cord-017420-tjwxec77 65 13 cytotoxic cytotoxic JJ cord-017420-tjwxec77 65 14 chemotherapy chemotherapy NN cord-017420-tjwxec77 65 15 . . . cord-017420-tjwxec77 66 1 The the DT cord-017420-tjwxec77 66 2 most most RBS cord-017420-tjwxec77 66 3 important important JJ cord-017420-tjwxec77 66 4 of of IN cord-017420-tjwxec77 66 5 these these DT cord-017420-tjwxec77 66 6 is be VBZ cord-017420-tjwxec77 66 7 injury injury NN cord-017420-tjwxec77 66 8 to to IN cord-017420-tjwxec77 66 9 the the DT cord-017420-tjwxec77 66 10 mucosal mucosal JJ cord-017420-tjwxec77 66 11 barrier barrier NN cord-017420-tjwxec77 66 12 of of IN cord-017420-tjwxec77 66 13 the the DT cord-017420-tjwxec77 66 14 intestinal intestinal JJ cord-017420-tjwxec77 66 15 tract tract NN cord-017420-tjwxec77 66 16 [ [ -LRB- cord-017420-tjwxec77 66 17 13 13 CD cord-017420-tjwxec77 66 18 , , , cord-017420-tjwxec77 66 19 14 14 CD cord-017420-tjwxec77 66 20 , , , cord-017420-tjwxec77 66 21 78 78 CD cord-017420-tjwxec77 66 22 ] ] -RRB- cord-017420-tjwxec77 66 23 . . . cord-017420-tjwxec77 67 1 Disruption disruption NN cord-017420-tjwxec77 67 2 of of IN cord-017420-tjwxec77 67 3 this this DT cord-017420-tjwxec77 67 4 barrier barrier NN cord-017420-tjwxec77 67 5 , , , cord-017420-tjwxec77 67 6 which which WDT cord-017420-tjwxec77 67 7 can can MD cord-017420-tjwxec77 67 8 occur occur VB cord-017420-tjwxec77 67 9 throughout throughout IN cord-017420-tjwxec77 67 10 the the DT cord-017420-tjwxec77 67 11 gastrointestinal gastrointestinal JJ cord-017420-tjwxec77 67 12 ( ( -LRB- cord-017420-tjwxec77 67 13 GI GI NNP cord-017420-tjwxec77 67 14 ) ) -RRB- cord-017420-tjwxec77 67 15 tract tract NN cord-017420-tjwxec77 67 16 , , , cord-017420-tjwxec77 67 17 creates create VBZ cord-017420-tjwxec77 67 18 portals portal NNS cord-017420-tjwxec77 67 19 through through IN cord-017420-tjwxec77 67 20 which which WDT cord-017420-tjwxec77 67 21 enteric enteric JJ cord-017420-tjwxec77 67 22 pathogens pathogen NNS cord-017420-tjwxec77 67 23 , , , cord-017420-tjwxec77 67 24 including include VBG cord-017420-tjwxec77 67 25 bacteria bacteria NNS cord-017420-tjwxec77 67 26 and and CC cord-017420-tjwxec77 67 27 yeast yeast NN cord-017420-tjwxec77 67 28 , , , cord-017420-tjwxec77 67 29 can can MD cord-017420-tjwxec77 67 30 enter enter VB cord-017420-tjwxec77 67 31 the the DT cord-017420-tjwxec77 67 32 bloodstream bloodstream NN cord-017420-tjwxec77 67 33 . . . cord-017420-tjwxec77 68 1 This this DT cord-017420-tjwxec77 68 2 is be VBZ cord-017420-tjwxec77 68 3 an an DT cord-017420-tjwxec77 68 4 important important JJ cord-017420-tjwxec77 68 5 source source NN cord-017420-tjwxec77 68 6 of of IN cord-017420-tjwxec77 68 7 gram gram NN cord-017420-tjwxec77 68 8 - - HYPH cord-017420-tjwxec77 68 9 positive positive JJ cord-017420-tjwxec77 68 10 , , , cord-017420-tjwxec77 68 11 gram gram NN cord-017420-tjwxec77 68 12 - - HYPH cord-017420-tjwxec77 68 13 negative negative JJ cord-017420-tjwxec77 68 14 , , , cord-017420-tjwxec77 68 15 and and CC cord-017420-tjwxec77 68 16 fungal fungal JJ cord-017420-tjwxec77 68 17 infections infection NNS cord-017420-tjwxec77 68 18 in in IN cord-017420-tjwxec77 68 19 neutropenic neutropenic JJ cord-017420-tjwxec77 68 20 patients patient NNS cord-017420-tjwxec77 68 21 . . . cord-017420-tjwxec77 69 1 The the DT cord-017420-tjwxec77 69 2 respiratory respiratory JJ cord-017420-tjwxec77 69 3 system system NN cord-017420-tjwxec77 69 4 is be VBZ cord-017420-tjwxec77 69 5 also also RB cord-017420-tjwxec77 69 6 affected affect VBN cord-017420-tjwxec77 69 7 in in IN cord-017420-tjwxec77 69 8 neutropenia neutropenia NN cord-017420-tjwxec77 69 9 . . . cord-017420-tjwxec77 70 1 Not not RB cord-017420-tjwxec77 70 2 only only RB cord-017420-tjwxec77 70 3 are be VBP cord-017420-tjwxec77 70 4 pulmonary pulmonary JJ cord-017420-tjwxec77 70 5 macrophages macrophage NNS cord-017420-tjwxec77 70 6 known know VBN cord-017420-tjwxec77 70 7 to to TO cord-017420-tjwxec77 70 8 be be VB cord-017420-tjwxec77 70 9 qualitatively qualitatively RB cord-017420-tjwxec77 70 10 dysfunctional dysfunctional JJ cord-017420-tjwxec77 70 11 in in IN cord-017420-tjwxec77 70 12 neutropenic neutropenic JJ cord-017420-tjwxec77 70 13 sepsis sepsis NN cord-017420-tjwxec77 70 14 [ [ -LRB- cord-017420-tjwxec77 70 15 48 48 CD cord-017420-tjwxec77 70 16 , , , cord-017420-tjwxec77 70 17 49 49 CD cord-017420-tjwxec77 70 18 ] ] -RRB- cord-017420-tjwxec77 70 19 , , , cord-017420-tjwxec77 70 20 but but CC cord-017420-tjwxec77 70 21 quantitative quantitative JJ cord-017420-tjwxec77 70 22 cell cell NN cord-017420-tjwxec77 70 23 counts count NNS cord-017420-tjwxec77 70 24 of of IN cord-017420-tjwxec77 70 25 alveolar alveolar JJ cord-017420-tjwxec77 70 26 macrophages macrophage NNS cord-017420-tjwxec77 70 27 , , , cord-017420-tjwxec77 70 28 lymphocytes lymphocyte NNS cord-017420-tjwxec77 70 29 , , , cord-017420-tjwxec77 70 30 and and CC cord-017420-tjwxec77 70 31 neutrophils neutrophil NNS cord-017420-tjwxec77 70 32 are be VBP cord-017420-tjwxec77 70 33 decreased decrease VBN cord-017420-tjwxec77 70 34 during during IN cord-017420-tjwxec77 70 35 neutropenia neutropenia NN cord-017420-tjwxec77 70 36 [ [ -LRB- cord-017420-tjwxec77 70 37 19 19 CD cord-017420-tjwxec77 70 38 ] ] -RRB- cord-017420-tjwxec77 70 39 . . . cord-017420-tjwxec77 71 1 Neutropenia neutropenia NN cord-017420-tjwxec77 71 2 also also RB cord-017420-tjwxec77 71 3 appears appear VBZ cord-017420-tjwxec77 71 4 to to TO cord-017420-tjwxec77 71 5 adversely adversely RB cord-017420-tjwxec77 71 6 affect affect VB cord-017420-tjwxec77 71 7 lung lung NN cord-017420-tjwxec77 71 8 repair repair NN cord-017420-tjwxec77 71 9 after after IN cord-017420-tjwxec77 71 10 injury injury NN cord-017420-tjwxec77 71 11 [ [ -LRB- cord-017420-tjwxec77 71 12 12 12 CD cord-017420-tjwxec77 71 13 ] ] -RRB- cord-017420-tjwxec77 71 14 . . . cord-017420-tjwxec77 72 1 Taken take VBN cord-017420-tjwxec77 72 2 together together RB cord-017420-tjwxec77 72 3 , , , cord-017420-tjwxec77 72 4 these these DT cord-017420-tjwxec77 72 5 data datum NNS cord-017420-tjwxec77 72 6 strongly strongly RB cord-017420-tjwxec77 72 7 support support VBP cord-017420-tjwxec77 72 8 the the DT cord-017420-tjwxec77 72 9 hypothesis hypothesis NN cord-017420-tjwxec77 72 10 that that IN cord-017420-tjwxec77 72 11 neutropenic neutropenic JJ cord-017420-tjwxec77 72 12 sepsis sepsis NN cord-017420-tjwxec77 72 13 has have VBZ cord-017420-tjwxec77 72 14 a a DT cord-017420-tjwxec77 72 15 significantly significantly RB cord-017420-tjwxec77 72 16 different different JJ cord-017420-tjwxec77 72 17 pathophysiology pathophysiology NN cord-017420-tjwxec77 72 18 than than IN cord-017420-tjwxec77 72 19 non non JJ cord-017420-tjwxec77 72 20 - - JJ cord-017420-tjwxec77 72 21 neutropenic neutropenic JJ cord-017420-tjwxec77 72 22 sepsis sepsis NN cord-017420-tjwxec77 72 23 . . . cord-017420-tjwxec77 73 1 As as IN cord-017420-tjwxec77 73 2 defined define VBN cord-017420-tjwxec77 73 3 above above RB cord-017420-tjwxec77 73 4 , , , cord-017420-tjwxec77 73 5 the the DT cord-017420-tjwxec77 73 6 diagnosis diagnosis NN cord-017420-tjwxec77 73 7 of of IN cord-017420-tjwxec77 73 8 neutropenic neutropenic JJ cord-017420-tjwxec77 73 9 fever fever NN cord-017420-tjwxec77 73 10 requires require VBZ cord-017420-tjwxec77 73 11 a a DT cord-017420-tjwxec77 73 12 single single JJ cord-017420-tjwxec77 73 13 temperature temperature NN cord-017420-tjwxec77 73 14 higher high JJR cord-017420-tjwxec77 73 15 than than IN cord-017420-tjwxec77 73 16 38.3 38.3 CD cord-017420-tjwxec77 73 17 C c NN cord-017420-tjwxec77 73 18 or or CC cord-017420-tjwxec77 73 19 a a DT cord-017420-tjwxec77 73 20 sustained sustained JJ cord-017420-tjwxec77 73 21 temperature temperature NN cord-017420-tjwxec77 73 22 greater great JJR cord-017420-tjwxec77 73 23 than than IN cord-017420-tjwxec77 73 24 38.0 38.0 CD cord-017420-tjwxec77 73 25 C c NN cord-017420-tjwxec77 73 26 for for IN cord-017420-tjwxec77 73 27 more more JJR cord-017420-tjwxec77 73 28 than than IN cord-017420-tjwxec77 73 29 1 1 CD cord-017420-tjwxec77 73 30 h h NN cord-017420-tjwxec77 73 31 in in IN cord-017420-tjwxec77 73 32 the the DT cord-017420-tjwxec77 73 33 presence presence NN cord-017420-tjwxec77 73 34 of of IN cord-017420-tjwxec77 73 35 neutropenia neutropenia NNP cord-017420-tjwxec77 73 36 [ [ -LRB- cord-017420-tjwxec77 73 37 28 28 CD cord-017420-tjwxec77 73 38 , , , cord-017420-tjwxec77 73 39 33 33 CD cord-017420-tjwxec77 73 40 ] ] -RRB- cord-017420-tjwxec77 73 41 . . . cord-017420-tjwxec77 74 1 While while IN cord-017420-tjwxec77 74 2 some some DT cord-017420-tjwxec77 74 3 patients patient NNS cord-017420-tjwxec77 74 4 are be VBP cord-017420-tjwxec77 74 5 asymptomatic asymptomatic JJ cord-017420-tjwxec77 74 6 in in IN cord-017420-tjwxec77 74 7 the the DT cord-017420-tjwxec77 74 8 presence presence NN cord-017420-tjwxec77 74 9 of of IN cord-017420-tjwxec77 74 10 neutropenic neutropenic JJ cord-017420-tjwxec77 74 11 fever fever NN cord-017420-tjwxec77 74 12 , , , cord-017420-tjwxec77 74 13 many many JJ cord-017420-tjwxec77 74 14 describe describe VBP cord-017420-tjwxec77 74 15 non non JJ cord-017420-tjwxec77 74 16 - - JJ cord-017420-tjwxec77 74 17 specific specific JJ cord-017420-tjwxec77 74 18 symptoms symptom NNS cord-017420-tjwxec77 74 19 ( ( -LRB- cord-017420-tjwxec77 74 20 e.g. e.g. RB cord-017420-tjwxec77 74 21 , , , cord-017420-tjwxec77 74 22 cough cough NN cord-017420-tjwxec77 74 23 , , , cord-017420-tjwxec77 74 24 anorexia anorexia NN cord-017420-tjwxec77 74 25 , , , cord-017420-tjwxec77 74 26 nausea nausea NN cord-017420-tjwxec77 74 27 , , , cord-017420-tjwxec77 74 28 fatigue fatigue NN cord-017420-tjwxec77 74 29 , , , cord-017420-tjwxec77 74 30 dizziness dizziness NN cord-017420-tjwxec77 74 31 , , , cord-017420-tjwxec77 74 32 myalgias myalgias NNP cord-017420-tjwxec77 74 33 , , , cord-017420-tjwxec77 74 34 confusion confusion NN cord-017420-tjwxec77 74 35 , , , cord-017420-tjwxec77 74 36 behavioral behavioral JJ cord-017420-tjwxec77 74 37 changes change NNS cord-017420-tjwxec77 74 38 ) ) -RRB- cord-017420-tjwxec77 74 39 . . . cord-017420-tjwxec77 75 1 Patients patient NNS cord-017420-tjwxec77 75 2 may may MD cord-017420-tjwxec77 75 3 also also RB cord-017420-tjwxec77 75 4 present present VB cord-017420-tjwxec77 75 5 with with IN cord-017420-tjwxec77 75 6 respiratory respiratory JJ cord-017420-tjwxec77 75 7 symptoms symptom NNS cord-017420-tjwxec77 75 8 ( ( -LRB- cord-017420-tjwxec77 75 9 cough cough NN cord-017420-tjwxec77 75 10 , , , cord-017420-tjwxec77 75 11 shortness shortness NN cord-017420-tjwxec77 75 12 of of IN cord-017420-tjwxec77 75 13 breath breath NN cord-017420-tjwxec77 75 14 , , , cord-017420-tjwxec77 75 15 sinus sinus NN cord-017420-tjwxec77 75 16 pain pain NN cord-017420-tjwxec77 75 17 or or CC cord-017420-tjwxec77 75 18 drainage drainage NN cord-017420-tjwxec77 75 19 ) ) -RRB- cord-017420-tjwxec77 75 20 or or CC cord-017420-tjwxec77 75 21 abdominal abdominal JJ cord-017420-tjwxec77 75 22 symptoms symptom NNS cord-017420-tjwxec77 75 23 such such JJ cord-017420-tjwxec77 75 24 as as IN cord-017420-tjwxec77 75 25 pain pain NN cord-017420-tjwxec77 75 26 or or CC cord-017420-tjwxec77 75 27 diarrhea diarrhea NN cord-017420-tjwxec77 75 28 . . . cord-017420-tjwxec77 76 1 Fewer few JJR cord-017420-tjwxec77 76 2 than than IN cord-017420-tjwxec77 76 3 half half NN cord-017420-tjwxec77 76 4 of of IN cord-017420-tjwxec77 76 5 patients patient NNS cord-017420-tjwxec77 76 6 will will MD cord-017420-tjwxec77 76 7 feel feel VB cord-017420-tjwxec77 76 8 feverish feverish JJ cord-017420-tjwxec77 76 9 , , , cord-017420-tjwxec77 76 10 shiver shiver NN cord-017420-tjwxec77 76 11 , , , cord-017420-tjwxec77 76 12 or or CC cord-017420-tjwxec77 76 13 have have VBP cord-017420-tjwxec77 76 14 rigors rigor NNS cord-017420-tjwxec77 76 15 [ [ -LRB- cord-017420-tjwxec77 76 16 17 17 CD cord-017420-tjwxec77 76 17 ] ] -RRB- cord-017420-tjwxec77 76 18 . . . cord-017420-tjwxec77 77 1 Presentation presentation NN cord-017420-tjwxec77 77 2 to to IN cord-017420-tjwxec77 77 3 the the DT cord-017420-tjwxec77 77 4 hospital hospital NN cord-017420-tjwxec77 77 5 can can MD cord-017420-tjwxec77 77 6 be be VB cord-017420-tjwxec77 77 7 delayed delay VBN cord-017420-tjwxec77 77 8 , , , cord-017420-tjwxec77 77 9 with with IN cord-017420-tjwxec77 77 10 one one CD cord-017420-tjwxec77 77 11 study study NN cord-017420-tjwxec77 77 12 suggesting suggest VBG cord-017420-tjwxec77 77 13 a a DT cord-017420-tjwxec77 77 14 mean mean JJ cord-017420-tjwxec77 77 15 delay delay NN cord-017420-tjwxec77 77 16 in in IN cord-017420-tjwxec77 77 17 presentation presentation NN cord-017420-tjwxec77 77 18 of of IN cord-017420-tjwxec77 77 19 11 11 CD cord-017420-tjwxec77 77 20 h h NN cord-017420-tjwxec77 77 21 and and CC cord-017420-tjwxec77 77 22 nearly nearly RB cord-017420-tjwxec77 77 23 40 40 CD cord-017420-tjwxec77 77 24 % % NN cord-017420-tjwxec77 77 25 of of IN cord-017420-tjwxec77 77 26 patients patient NNS cord-017420-tjwxec77 77 27 delaying delay VBG cord-017420-tjwxec77 77 28 presentation presentation NN cord-017420-tjwxec77 77 29 for for IN cord-017420-tjwxec77 77 30 more more JJR cord-017420-tjwxec77 77 31 than than IN cord-017420-tjwxec77 77 32 12 12 CD cord-017420-tjwxec77 77 33 h h NN cord-017420-tjwxec77 77 34 [ [ -LRB- cord-017420-tjwxec77 77 35 17 17 CD cord-017420-tjwxec77 77 36 ] ] -RRB- cord-017420-tjwxec77 77 37 . . . cord-017420-tjwxec77 78 1 Though though IN cord-017420-tjwxec77 78 2 neutropenic neutropenic JJ cord-017420-tjwxec77 78 3 patients patient NNS cord-017420-tjwxec77 78 4 have have VBP cord-017420-tjwxec77 78 5 higher high JJR cord-017420-tjwxec77 78 6 fevers fever NNS cord-017420-tjwxec77 78 7 than than IN cord-017420-tjwxec77 78 8 non non JJ cord-017420-tjwxec77 78 9 - - JJ cord-017420-tjwxec77 78 10 neutropenic neutropenic JJ cord-017420-tjwxec77 78 11 patients patient NNS cord-017420-tjwxec77 78 12 , , , cord-017420-tjwxec77 78 13 there there EX cord-017420-tjwxec77 78 14 is be VBZ cord-017420-tjwxec77 78 15 no no DT cord-017420-tjwxec77 78 16 association association NN cord-017420-tjwxec77 78 17 between between IN cord-017420-tjwxec77 78 18 peak peak NN cord-017420-tjwxec77 78 19 temperature temperature NN cord-017420-tjwxec77 78 20 and and CC cord-017420-tjwxec77 78 21 mortality mortality NN cord-017420-tjwxec77 78 22 . . . cord-017420-tjwxec77 79 1 Hypothermia hypothermia NN cord-017420-tjwxec77 79 2 during during IN cord-017420-tjwxec77 79 3 neutropenic neutropenic JJ cord-017420-tjwxec77 79 4 sepsis sepsis NN cord-017420-tjwxec77 79 5 is be VBZ cord-017420-tjwxec77 79 6 associated associate VBN cord-017420-tjwxec77 79 7 with with IN cord-017420-tjwxec77 79 8 worse bad JJR cord-017420-tjwxec77 79 9 outcomes outcome NNS cord-017420-tjwxec77 79 10 [ [ -LRB- cord-017420-tjwxec77 79 11 84 84 CD cord-017420-tjwxec77 79 12 ] ] -RRB- cord-017420-tjwxec77 79 13 . . . cord-017420-tjwxec77 80 1 Neutropenic neutropenic JJ cord-017420-tjwxec77 80 2 patients patient NNS cord-017420-tjwxec77 80 3 with with IN cord-017420-tjwxec77 80 4 septic septic JJ cord-017420-tjwxec77 80 5 shock shock NN cord-017420-tjwxec77 80 6 tend tend VBP cord-017420-tjwxec77 80 7 to to TO cord-017420-tjwxec77 80 8 have have VB cord-017420-tjwxec77 80 9 more more RBR cord-017420-tjwxec77 80 10 frequently frequently RB cord-017420-tjwxec77 80 11 positive positive JJ cord-017420-tjwxec77 80 12 blood blood NN cord-017420-tjwxec77 80 13 cultures culture NNS cord-017420-tjwxec77 80 14 , , , cord-017420-tjwxec77 80 15 more more JJR cord-017420-tjwxec77 80 16 fungal fungal JJ cord-017420-tjwxec77 80 17 infections infection NNS cord-017420-tjwxec77 80 18 , , , cord-017420-tjwxec77 80 19 more more JJR cord-017420-tjwxec77 80 20 multidrug multidrug NN cord-017420-tjwxec77 80 21 - - HYPH cord-017420-tjwxec77 80 22 resistant resistant JJ cord-017420-tjwxec77 80 23 bacterial bacterial JJ cord-017420-tjwxec77 80 24 infections infection NNS cord-017420-tjwxec77 80 25 , , , cord-017420-tjwxec77 80 26 and and CC cord-017420-tjwxec77 80 27 higher high JJR cord-017420-tjwxec77 80 28 mortality mortality NN cord-017420-tjwxec77 80 29 rates rate NNS cord-017420-tjwxec77 80 30 than than IN cord-017420-tjwxec77 80 31 immunocompetent immunocompetent JJ cord-017420-tjwxec77 80 32 patients patient NNS cord-017420-tjwxec77 80 33 . . . cord-017420-tjwxec77 81 1 Compared compare VBN cord-017420-tjwxec77 81 2 to to IN cord-017420-tjwxec77 81 3 non non JJ cord-017420-tjwxec77 81 4 - - JJ cord-017420-tjwxec77 81 5 neutropenic neutropenic JJ cord-017420-tjwxec77 81 6 patients patient NNS cord-017420-tjwxec77 81 7 , , , cord-017420-tjwxec77 81 8 patients patient NNS cord-017420-tjwxec77 81 9 with with IN cord-017420-tjwxec77 81 10 neutropenic neutropenic JJ cord-017420-tjwxec77 81 11 sepsis sepsis NN cord-017420-tjwxec77 81 12 have have VBP cord-017420-tjwxec77 81 13 higher high JJR cord-017420-tjwxec77 81 14 rates rate NNS cord-017420-tjwxec77 81 15 of of IN cord-017420-tjwxec77 81 16 shock shock NN cord-017420-tjwxec77 81 17 and and CC cord-017420-tjwxec77 81 18 are be VBP cord-017420-tjwxec77 81 19 at at IN cord-017420-tjwxec77 81 20 higher high JJR cord-017420-tjwxec77 81 21 risk risk NN cord-017420-tjwxec77 81 22 to to TO cord-017420-tjwxec77 81 23 sustain sustain VB cord-017420-tjwxec77 81 24 acute acute JJ cord-017420-tjwxec77 81 25 kidney kidney NN cord-017420-tjwxec77 81 26 injury injury NN cord-017420-tjwxec77 81 27 [ [ -LRB- cord-017420-tjwxec77 81 28 60 60 CD cord-017420-tjwxec77 81 29 ] ] -RRB- cord-017420-tjwxec77 81 30 . . . cord-017420-tjwxec77 82 1 Early early JJ cord-017420-tjwxec77 82 2 recognition recognition NN cord-017420-tjwxec77 82 3 of of IN cord-017420-tjwxec77 82 4 neutropenic neutropenic JJ cord-017420-tjwxec77 82 5 fever fever NN cord-017420-tjwxec77 82 6 is be VBZ cord-017420-tjwxec77 82 7 essential essential JJ cord-017420-tjwxec77 82 8 . . . cord-017420-tjwxec77 83 1 Regardless regardless RB cord-017420-tjwxec77 83 2 of of IN cord-017420-tjwxec77 83 3 whether whether IN cord-017420-tjwxec77 83 4 neutropenic neutropenic JJ cord-017420-tjwxec77 83 5 patients patient NNS cord-017420-tjwxec77 83 6 are be VBP cord-017420-tjwxec77 83 7 hospitalized hospitalize VBN cord-017420-tjwxec77 83 8 or or CC cord-017420-tjwxec77 83 9 not not RB cord-017420-tjwxec77 83 10 , , , cord-017420-tjwxec77 83 11 frequent frequent JJ cord-017420-tjwxec77 83 12 temperature temperature NN cord-017420-tjwxec77 83 13 checks check NNS cord-017420-tjwxec77 83 14 are be VBP cord-017420-tjwxec77 83 15 essential essential JJ cord-017420-tjwxec77 83 16 to to TO cord-017420-tjwxec77 83 17 detect detect VB cord-017420-tjwxec77 83 18 fever fever NN cord-017420-tjwxec77 83 19 ; ; : cord-017420-tjwxec77 83 20 outpatients outpatient NNS cord-017420-tjwxec77 83 21 must must MD cord-017420-tjwxec77 83 22 particularly particularly RB cord-017420-tjwxec77 83 23 be be VB cord-017420-tjwxec77 83 24 educated educate VBN cord-017420-tjwxec77 83 25 on on IN cord-017420-tjwxec77 83 26 the the DT cord-017420-tjwxec77 83 27 importance importance NN cord-017420-tjwxec77 83 28 of of IN cord-017420-tjwxec77 83 29 monitoring monitor VBG cord-017420-tjwxec77 83 30 temperature temperature NN cord-017420-tjwxec77 83 31 . . . cord-017420-tjwxec77 84 1 Similarly similarly RB cord-017420-tjwxec77 84 2 , , , cord-017420-tjwxec77 84 3 interventions intervention NNS cord-017420-tjwxec77 84 4 that that WDT cord-017420-tjwxec77 84 5 might may MD cord-017420-tjwxec77 84 6 mask mask VB cord-017420-tjwxec77 84 7 fevers fever NNS cord-017420-tjwxec77 84 8 ( ( -LRB- cord-017420-tjwxec77 84 9 e.g. e.g. RB cord-017420-tjwxec77 84 10 , , , cord-017420-tjwxec77 84 11 antipyretics antipyretic NNS cord-017420-tjwxec77 84 12 such such JJ cord-017420-tjwxec77 84 13 as as IN cord-017420-tjwxec77 84 14 acetaminophen acetaminophen NN cord-017420-tjwxec77 84 15 ) ) -RRB- cord-017420-tjwxec77 84 16 should should MD cord-017420-tjwxec77 84 17 generally generally RB cord-017420-tjwxec77 84 18 be be VB cord-017420-tjwxec77 84 19 avoided avoid VBN cord-017420-tjwxec77 84 20 in in IN cord-017420-tjwxec77 84 21 neutropenic neutropenic JJ cord-017420-tjwxec77 84 22 patients patient NNS cord-017420-tjwxec77 84 23 , , , cord-017420-tjwxec77 84 24 and and CC cord-017420-tjwxec77 84 25 clinicians clinician NNS cord-017420-tjwxec77 84 26 should should MD cord-017420-tjwxec77 84 27 be be VB cord-017420-tjwxec77 84 28 aware aware JJ cord-017420-tjwxec77 84 29 of of IN cord-017420-tjwxec77 84 30 other other JJ cord-017420-tjwxec77 84 31 interventions intervention NNS cord-017420-tjwxec77 84 32 ( ( -LRB- cord-017420-tjwxec77 84 33 e.g. e.g. RB cord-017420-tjwxec77 84 34 , , , cord-017420-tjwxec77 84 35 steroids steroid NNS cord-017420-tjwxec77 84 36 , , , cord-017420-tjwxec77 84 37 continuous continuous JJ cord-017420-tjwxec77 84 38 renal renal JJ cord-017420-tjwxec77 84 39 replacement replacement NN cord-017420-tjwxec77 84 40 therapy therapy NN cord-017420-tjwxec77 84 41 ) ) -RRB- cord-017420-tjwxec77 84 42 which which WDT cord-017420-tjwxec77 84 43 may may MD cord-017420-tjwxec77 84 44 suppress suppress VB cord-017420-tjwxec77 84 45 fevers fever NNS cord-017420-tjwxec77 84 46 . . . cord-017420-tjwxec77 85 1 Once once RB cord-017420-tjwxec77 85 2 a a DT cord-017420-tjwxec77 85 3 fever fever NN cord-017420-tjwxec77 85 4 is be VBZ cord-017420-tjwxec77 85 5 detected detect VBN cord-017420-tjwxec77 85 6 , , , cord-017420-tjwxec77 85 7 blood blood NN cord-017420-tjwxec77 85 8 cultures culture NNS cord-017420-tjwxec77 85 9 should should MD cord-017420-tjwxec77 85 10 be be VB cord-017420-tjwxec77 85 11 obtained obtain VBN cord-017420-tjwxec77 85 12 without without IN cord-017420-tjwxec77 85 13 delay delay NN cord-017420-tjwxec77 85 14 , , , cord-017420-tjwxec77 85 15 and and CC cord-017420-tjwxec77 85 16 antibiotics antibiotic NNS cord-017420-tjwxec77 85 17 initiated initiate VBD cord-017420-tjwxec77 85 18 as as RB cord-017420-tjwxec77 85 19 quickly quickly RB cord-017420-tjwxec77 85 20 as as IN cord-017420-tjwxec77 85 21 possible possible JJ cord-017420-tjwxec77 85 22 . . . cord-017420-tjwxec77 86 1 Diagnostic diagnostic JJ cord-017420-tjwxec77 86 2 measures measure NNS cord-017420-tjwxec77 86 3 must must MD cord-017420-tjwxec77 86 4 not not RB cord-017420-tjwxec77 86 5 interfere interfere VB cord-017420-tjwxec77 86 6 with with IN cord-017420-tjwxec77 86 7 the the DT cord-017420-tjwxec77 86 8 timely timely JJ cord-017420-tjwxec77 86 9 administration administration NN cord-017420-tjwxec77 86 10 of of IN cord-017420-tjwxec77 86 11 antibiotics antibiotic NNS cord-017420-tjwxec77 86 12 . . . cord-017420-tjwxec77 87 1 A a DT cord-017420-tjwxec77 87 2 comprehensive comprehensive JJ cord-017420-tjwxec77 87 3 physical physical JJ cord-017420-tjwxec77 87 4 exam exam NN cord-017420-tjwxec77 87 5 should should MD cord-017420-tjwxec77 87 6 be be VB cord-017420-tjwxec77 87 7 performed perform VBN cord-017420-tjwxec77 87 8 and and CC cord-017420-tjwxec77 87 9 may may MD cord-017420-tjwxec77 87 10 uncover uncover VB cord-017420-tjwxec77 87 11 potential potential JJ cord-017420-tjwxec77 87 12 sources source NNS cord-017420-tjwxec77 87 13 of of IN cord-017420-tjwxec77 87 14 infection infection NN cord-017420-tjwxec77 87 15 ( ( -LRB- cord-017420-tjwxec77 87 16 e.g. e.g. RB cord-017420-tjwxec77 87 17 , , , cord-017420-tjwxec77 87 18 mouth mouth NN cord-017420-tjwxec77 87 19 sores sore NNS cord-017420-tjwxec77 87 20 , , , cord-017420-tjwxec77 87 21 skin skin NN cord-017420-tjwxec77 87 22 lesions lesion NNS cord-017420-tjwxec77 87 23 , , , cord-017420-tjwxec77 87 24 pulmonary pulmonary JJ cord-017420-tjwxec77 87 25 findings finding NNS cord-017420-tjwxec77 87 26 , , , cord-017420-tjwxec77 87 27 abdominal abdominal JJ cord-017420-tjwxec77 87 28 tenderness tenderness NN cord-017420-tjwxec77 87 29 or or CC cord-017420-tjwxec77 87 30 pain pain NN cord-017420-tjwxec77 87 31 ) ) -RRB- cord-017420-tjwxec77 87 32 . . . cord-017420-tjwxec77 88 1 Blood blood NN cord-017420-tjwxec77 88 2 cultures culture NNS cord-017420-tjwxec77 88 3 are be VBP cord-017420-tjwxec77 88 4 essential essential JJ cord-017420-tjwxec77 88 5 to to IN cord-017420-tjwxec77 88 6 the the DT cord-017420-tjwxec77 88 7 evaluation evaluation NN cord-017420-tjwxec77 88 8 of of IN cord-017420-tjwxec77 88 9 neutropenic neutropenic JJ cord-017420-tjwxec77 88 10 patients patient NNS cord-017420-tjwxec77 88 11 with with IN cord-017420-tjwxec77 88 12 fever fever NN cord-017420-tjwxec77 88 13 . . . cord-017420-tjwxec77 89 1 A a DT cord-017420-tjwxec77 89 2 minimum minimum NN cord-017420-tjwxec77 89 3 of of IN cord-017420-tjwxec77 89 4 two two CD cord-017420-tjwxec77 89 5 sets set NNS cord-017420-tjwxec77 89 6 of of IN cord-017420-tjwxec77 89 7 blood blood NN cord-017420-tjwxec77 89 8 cultures culture NNS cord-017420-tjwxec77 89 9 should should MD cord-017420-tjwxec77 89 10 be be VB cord-017420-tjwxec77 89 11 drawn draw VBN cord-017420-tjwxec77 89 12 upon upon IN cord-017420-tjwxec77 89 13 presentation presentation NN cord-017420-tjwxec77 89 14 . . . cord-017420-tjwxec77 90 1 Current current JJ cord-017420-tjwxec77 90 2 recommendations recommendation NNS cord-017420-tjwxec77 90 3 suggest suggest VBP cord-017420-tjwxec77 90 4 obtaining obtain VBG cord-017420-tjwxec77 90 5 two two CD cord-017420-tjwxec77 90 6 sets set NNS cord-017420-tjwxec77 90 7 of of IN cord-017420-tjwxec77 90 8 cultures culture NNS cord-017420-tjwxec77 90 9 , , , cord-017420-tjwxec77 90 10 including include VBG cord-017420-tjwxec77 90 11 both both DT cord-017420-tjwxec77 90 12 peripheral peripheral JJ cord-017420-tjwxec77 90 13 blood blood NN cord-017420-tjwxec77 90 14 cultures culture NNS cord-017420-tjwxec77 90 15 and and CC cord-017420-tjwxec77 90 16 cultures culture NNS cord-017420-tjwxec77 90 17 from from IN cord-017420-tjwxec77 90 18 a a DT cord-017420-tjwxec77 90 19 central central JJ cord-017420-tjwxec77 90 20 venous venous JJ cord-017420-tjwxec77 90 21 catheter catheter NN cord-017420-tjwxec77 90 22 , , , cord-017420-tjwxec77 90 23 if if IN cord-017420-tjwxec77 90 24 present present JJ cord-017420-tjwxec77 90 25 [ [ -LRB- cord-017420-tjwxec77 90 26 28 28 CD cord-017420-tjwxec77 90 27 , , , cord-017420-tjwxec77 90 28 33 33 CD cord-017420-tjwxec77 90 29 ] ] -RRB- cord-017420-tjwxec77 90 30 . . . cord-017420-tjwxec77 91 1 Additional additional JJ cord-017420-tjwxec77 91 2 laboratory laboratory NN cord-017420-tjwxec77 91 3 studies study NNS cord-017420-tjwxec77 91 4 at at IN cord-017420-tjwxec77 91 5 presentation presentation NN cord-017420-tjwxec77 91 6 should should MD cord-017420-tjwxec77 91 7 include include VB cord-017420-tjwxec77 91 8 complete complete JJ cord-017420-tjwxec77 91 9 blood blood NN cord-017420-tjwxec77 91 10 count count NN cord-017420-tjwxec77 91 11 with with IN cord-017420-tjwxec77 91 12 differential differential NN cord-017420-tjwxec77 91 13 , , , cord-017420-tjwxec77 91 14 electrolytes electrolyte NNS cord-017420-tjwxec77 91 15 , , , cord-017420-tjwxec77 91 16 and and CC cord-017420-tjwxec77 91 17 markers marker NNS cord-017420-tjwxec77 91 18 of of IN cord-017420-tjwxec77 91 19 renal renal JJ cord-017420-tjwxec77 91 20 and and CC cord-017420-tjwxec77 91 21 hepatic hepatic JJ cord-017420-tjwxec77 91 22 function function NN cord-017420-tjwxec77 91 23 ( ( -LRB- cord-017420-tjwxec77 91 24 creatinine creatinine NN cord-017420-tjwxec77 91 25 , , , cord-017420-tjwxec77 91 26 blood blood NN cord-017420-tjwxec77 91 27 urea urea NN cord-017420-tjwxec77 91 28 nitrogen nitrogen NN cord-017420-tjwxec77 91 29 , , , cord-017420-tjwxec77 91 30 transaminases transaminase NNS cord-017420-tjwxec77 91 31 ) ) -RRB- cord-017420-tjwxec77 91 32 . . . cord-017420-tjwxec77 92 1 Depending depend VBG cord-017420-tjwxec77 92 2 on on IN cord-017420-tjwxec77 92 3 the the DT cord-017420-tjwxec77 92 4 clinical clinical JJ cord-017420-tjwxec77 92 5 scenario scenario NN cord-017420-tjwxec77 92 6 , , , cord-017420-tjwxec77 92 7 strong strong JJ cord-017420-tjwxec77 92 8 consideration consideration NN cord-017420-tjwxec77 92 9 should should MD cord-017420-tjwxec77 92 10 be be VB cord-017420-tjwxec77 92 11 given give VBN cord-017420-tjwxec77 92 12 to to IN cord-017420-tjwxec77 92 13 obtaining obtain VBG cord-017420-tjwxec77 92 14 an an DT cord-017420-tjwxec77 92 15 arterial arterial JJ cord-017420-tjwxec77 92 16 blood blood NN cord-017420-tjwxec77 92 17 gas gas NN cord-017420-tjwxec77 92 18 , , , cord-017420-tjwxec77 92 19 coagulation coagulation NN cord-017420-tjwxec77 92 20 studies study NNS cord-017420-tjwxec77 92 21 , , , cord-017420-tjwxec77 92 22 and and CC cord-017420-tjwxec77 92 23 lactate lactate NN cord-017420-tjwxec77 92 24 level level NN cord-017420-tjwxec77 92 25 [ [ -LRB- cord-017420-tjwxec77 92 26 33 33 CD cord-017420-tjwxec77 92 27 ] ] -RRB- cord-017420-tjwxec77 92 28 . . . cord-017420-tjwxec77 93 1 Lactate lactate NN cord-017420-tjwxec77 93 2 is be VBZ cord-017420-tjwxec77 93 3 of of IN cord-017420-tjwxec77 93 4 particular particular JJ cord-017420-tjwxec77 93 5 potential potential JJ cord-017420-tjwxec77 93 6 interest interest NN cord-017420-tjwxec77 93 7 , , , cord-017420-tjwxec77 93 8 as as IN cord-017420-tjwxec77 93 9 an an DT cord-017420-tjwxec77 93 10 elevated elevated JJ cord-017420-tjwxec77 93 11 level level NN cord-017420-tjwxec77 93 12 may may MD cord-017420-tjwxec77 93 13 help help VB cord-017420-tjwxec77 93 14 detect detect VB cord-017420-tjwxec77 93 15 early early JJ cord-017420-tjwxec77 93 16 evidence evidence NN cord-017420-tjwxec77 93 17 of of IN cord-017420-tjwxec77 93 18 sepsis sepsis NN cord-017420-tjwxec77 93 19 - - HYPH cord-017420-tjwxec77 93 20 induced induce VBN cord-017420-tjwxec77 93 21 malperfusion malperfusion NN cord-017420-tjwxec77 93 22 [ [ -LRB- cord-017420-tjwxec77 93 23 33 33 CD cord-017420-tjwxec77 93 24 , , , cord-017420-tjwxec77 93 25 70 70 CD cord-017420-tjwxec77 93 26 ] ] -RRB- cord-017420-tjwxec77 93 27 . . . cord-017420-tjwxec77 94 1 Other other JJ cord-017420-tjwxec77 94 2 microbiologic microbiologic JJ cord-017420-tjwxec77 94 3 studies study NNS cord-017420-tjwxec77 94 4 can can MD cord-017420-tjwxec77 94 5 be be VB cord-017420-tjwxec77 94 6 targeted target VBN cord-017420-tjwxec77 94 7 toward toward IN cord-017420-tjwxec77 94 8 patient patient NN cord-017420-tjwxec77 94 9 - - HYPH cord-017420-tjwxec77 94 10 specific specific JJ cord-017420-tjwxec77 94 11 indicators indicator NNS cord-017420-tjwxec77 94 12 . . . cord-017420-tjwxec77 95 1 For for IN cord-017420-tjwxec77 95 2 example example NN cord-017420-tjwxec77 95 3 , , , cord-017420-tjwxec77 95 4 urinary urinary JJ cord-017420-tjwxec77 95 5 symptoms symptom NNS cord-017420-tjwxec77 95 6 or or CC cord-017420-tjwxec77 95 7 an an DT cord-017420-tjwxec77 95 8 abnormal abnormal JJ cord-017420-tjwxec77 95 9 urinalysis urinalysis NN cord-017420-tjwxec77 95 10 should should MD cord-017420-tjwxec77 95 11 prompt prompt VB cord-017420-tjwxec77 95 12 urine urine NN cord-017420-tjwxec77 95 13 cultures culture NNS cord-017420-tjwxec77 95 14 . . . cord-017420-tjwxec77 96 1 Diarrhea diarrhea NN cord-017420-tjwxec77 96 2 , , , cord-017420-tjwxec77 96 3 especially especially RB cord-017420-tjwxec77 96 4 in in IN cord-017420-tjwxec77 96 5 a a DT cord-017420-tjwxec77 96 6 patient patient NN cord-017420-tjwxec77 96 7 treated treat VBN cord-017420-tjwxec77 96 8 with with IN cord-017420-tjwxec77 96 9 antibiotics antibiotic NNS cord-017420-tjwxec77 96 10 , , , cord-017420-tjwxec77 96 11 should should MD cord-017420-tjwxec77 96 12 prompt prompt VB cord-017420-tjwxec77 96 13 evaluation evaluation NN cord-017420-tjwxec77 96 14 for for IN cord-017420-tjwxec77 96 15 Clostridium clostridium NN cord-017420-tjwxec77 96 16 difficile difficile NN cord-017420-tjwxec77 96 17 colitis colitis NN cord-017420-tjwxec77 96 18 . . . cord-017420-tjwxec77 97 1 Fungal fungal JJ cord-017420-tjwxec77 97 2 markers marker NNS cord-017420-tjwxec77 97 3 such such JJ cord-017420-tjwxec77 97 4 as as IN cord-017420-tjwxec77 97 5 galactomannan galactomannan NNP cord-017420-tjwxec77 97 6 or or CC cord-017420-tjwxec77 97 7 beta beta NN cord-017420-tjwxec77 97 8 - - HYPH cord-017420-tjwxec77 97 9 D d NN cord-017420-tjwxec77 97 10 - - HYPH cord-017420-tjwxec77 97 11 glucan glucan NN cord-017420-tjwxec77 97 12 may may MD cord-017420-tjwxec77 97 13 be be VB cord-017420-tjwxec77 97 14 useful useful JJ cord-017420-tjwxec77 97 15 in in IN cord-017420-tjwxec77 97 16 some some DT cord-017420-tjwxec77 97 17 patients patient NNS cord-017420-tjwxec77 97 18 [ [ -LRB- cord-017420-tjwxec77 97 19 33 33 CD cord-017420-tjwxec77 97 20 ] ] -RRB- cord-017420-tjwxec77 97 21 . . . cord-017420-tjwxec77 98 1 Respiratory respiratory JJ cord-017420-tjwxec77 98 2 symptoms symptom NNS cord-017420-tjwxec77 98 3 or or CC cord-017420-tjwxec77 98 4 abnormalities abnormality NNS cord-017420-tjwxec77 98 5 on on IN cord-017420-tjwxec77 98 6 chest chest NN cord-017420-tjwxec77 98 7 imaging imaging NN cord-017420-tjwxec77 98 8 should should MD cord-017420-tjwxec77 98 9 be be VB cord-017420-tjwxec77 98 10 evaluated evaluate VBN cord-017420-tjwxec77 98 11 with with IN cord-017420-tjwxec77 98 12 testing testing NN cord-017420-tjwxec77 98 13 for for IN cord-017420-tjwxec77 98 14 respiratory respiratory JJ cord-017420-tjwxec77 98 15 viruses virus NNS cord-017420-tjwxec77 98 16 and and CC cord-017420-tjwxec77 98 17 sputum sputum NN cord-017420-tjwxec77 98 18 culture culture NN cord-017420-tjwxec77 98 19 [ [ -LRB- cord-017420-tjwxec77 98 20 28 28 CD cord-017420-tjwxec77 98 21 ] ] -RRB- cord-017420-tjwxec77 98 22 . . . cord-017420-tjwxec77 99 1 Symptom symptom NN cord-017420-tjwxec77 99 2 - - HYPH cord-017420-tjwxec77 99 3 guided guide VBN cord-017420-tjwxec77 99 4 imaging imaging NN cord-017420-tjwxec77 99 5 studies study NNS cord-017420-tjwxec77 99 6 comprise comprise VBP cord-017420-tjwxec77 99 7 an an DT cord-017420-tjwxec77 99 8 important important JJ cord-017420-tjwxec77 99 9 part part NN cord-017420-tjwxec77 99 10 of of IN cord-017420-tjwxec77 99 11 the the DT cord-017420-tjwxec77 99 12 evaluation evaluation NN cord-017420-tjwxec77 99 13 of of IN cord-017420-tjwxec77 99 14 neutropenic neutropenic JJ cord-017420-tjwxec77 99 15 fever fever NN cord-017420-tjwxec77 99 16 . . . cord-017420-tjwxec77 100 1 Chest chest NN cord-017420-tjwxec77 100 2 computed compute VBN cord-017420-tjwxec77 100 3 tomography tomography NN cord-017420-tjwxec77 100 4 ( ( -LRB- cord-017420-tjwxec77 100 5 CT CT NNP cord-017420-tjwxec77 100 6 ) ) -RRB- cord-017420-tjwxec77 100 7 scanning scanning NN cord-017420-tjwxec77 100 8 should should MD cord-017420-tjwxec77 100 9 be be VB cord-017420-tjwxec77 100 10 performed perform VBN cord-017420-tjwxec77 100 11 in in IN cord-017420-tjwxec77 100 12 patients patient NNS cord-017420-tjwxec77 100 13 with with IN cord-017420-tjwxec77 100 14 respiratory respiratory JJ cord-017420-tjwxec77 100 15 symptoms symptom NNS cord-017420-tjwxec77 100 16 , , , cord-017420-tjwxec77 100 17 and and CC cord-017420-tjwxec77 100 18 potentially potentially RB cord-017420-tjwxec77 100 19 asymptomatic asymptomatic JJ cord-017420-tjwxec77 100 20 patients patient NNS cord-017420-tjwxec77 100 21 with with IN cord-017420-tjwxec77 100 22 cryptic cryptic JJ cord-017420-tjwxec77 100 23 fevers fever NNS cord-017420-tjwxec77 100 24 [ [ -LRB- cord-017420-tjwxec77 100 25 33 33 CD cord-017420-tjwxec77 100 26 ] ] -RRB- cord-017420-tjwxec77 100 27 . . . cord-017420-tjwxec77 101 1 Plain plain JJ cord-017420-tjwxec77 101 2 chest chest NN cord-017420-tjwxec77 101 3 radiographs radiograph NNS cord-017420-tjwxec77 101 4 are be VBP cord-017420-tjwxec77 101 5 of of IN cord-017420-tjwxec77 101 6 limited limited JJ cord-017420-tjwxec77 101 7 utility utility NN cord-017420-tjwxec77 101 8 in in IN cord-017420-tjwxec77 101 9 this this DT cord-017420-tjwxec77 101 10 population population NN cord-017420-tjwxec77 101 11 and and CC cord-017420-tjwxec77 101 12 should should MD cord-017420-tjwxec77 101 13 not not RB cord-017420-tjwxec77 101 14 be be VB cord-017420-tjwxec77 101 15 routinely routinely RB cord-017420-tjwxec77 101 16 obtained obtain VBN cord-017420-tjwxec77 101 17 in in IN cord-017420-tjwxec77 101 18 lieu lieu NN cord-017420-tjwxec77 101 19 of of IN cord-017420-tjwxec77 101 20 CT CT NNP cord-017420-tjwxec77 101 21 scans scan NNS cord-017420-tjwxec77 101 22 [ [ -LRB- cord-017420-tjwxec77 101 23 87 87 CD cord-017420-tjwxec77 101 24 ] ] -RRB- cord-017420-tjwxec77 101 25 . . . cord-017420-tjwxec77 102 1 Sinus Sinus NNP cord-017420-tjwxec77 102 2 , , , cord-017420-tjwxec77 102 3 head head NN cord-017420-tjwxec77 102 4 , , , cord-017420-tjwxec77 102 5 and and CC cord-017420-tjwxec77 102 6 abdominal abdominal JJ cord-017420-tjwxec77 102 7 imaging imaging NN cord-017420-tjwxec77 102 8 should should MD cord-017420-tjwxec77 102 9 be be VB cord-017420-tjwxec77 102 10 performed perform VBN cord-017420-tjwxec77 102 11 as as IN cord-017420-tjwxec77 102 12 indicated indicate VBN cord-017420-tjwxec77 102 13 [ [ -LRB- cord-017420-tjwxec77 102 14 28 28 CD cord-017420-tjwxec77 102 15 , , , cord-017420-tjwxec77 102 16 33 33 CD cord-017420-tjwxec77 102 17 ] ] -RRB- cord-017420-tjwxec77 102 18 . . . cord-017420-tjwxec77 103 1 The the DT cord-017420-tjwxec77 103 2 use use NN cord-017420-tjwxec77 103 3 of of IN cord-017420-tjwxec77 103 4 nuclear nuclear JJ cord-017420-tjwxec77 103 5 medicine medicine NN cord-017420-tjwxec77 103 6 techniques technique NNS cord-017420-tjwxec77 103 7 such such JJ cord-017420-tjwxec77 103 8 as as IN cord-017420-tjwxec77 103 9 FDG FDG NNP cord-017420-tjwxec77 103 10 - - HYPH cord-017420-tjwxec77 103 11 PET/ PET/ NNP cord-017420-tjwxec77 103 12 CT CT NNP cord-017420-tjwxec77 103 13 to to TO cord-017420-tjwxec77 103 14 identify identify VB cord-017420-tjwxec77 103 15 foci foci NN cord-017420-tjwxec77 103 16 of of IN cord-017420-tjwxec77 103 17 infections infection NNS cord-017420-tjwxec77 103 18 in in IN cord-017420-tjwxec77 103 19 febrile febrile JJ cord-017420-tjwxec77 103 20 neutropenia neutropenia NN cord-017420-tjwxec77 103 21 has have VBZ cord-017420-tjwxec77 103 22 been be VBN cord-017420-tjwxec77 103 23 described describe VBN cord-017420-tjwxec77 103 24 , , , cord-017420-tjwxec77 103 25 but but CC cord-017420-tjwxec77 103 26 the the DT cord-017420-tjwxec77 103 27 utility utility NN cord-017420-tjwxec77 103 28 of of IN cord-017420-tjwxec77 103 29 these these DT cord-017420-tjwxec77 103 30 techniques technique NNS cord-017420-tjwxec77 103 31 has have VBZ cord-017420-tjwxec77 103 32 not not RB cord-017420-tjwxec77 103 33 yet yet RB cord-017420-tjwxec77 103 34 been be VBN cord-017420-tjwxec77 103 35 proven prove VBN cord-017420-tjwxec77 103 36 , , , cord-017420-tjwxec77 103 37 and and CC cord-017420-tjwxec77 103 38 remains remain VBZ cord-017420-tjwxec77 103 39 impractical impractical JJ cord-017420-tjwxec77 103 40 for for IN cord-017420-tjwxec77 103 41 current current JJ cord-017420-tjwxec77 103 42 clinical clinical JJ cord-017420-tjwxec77 103 43 use use NN cord-017420-tjwxec77 103 44 [ [ -LRB- cord-017420-tjwxec77 103 45 80 80 CD cord-017420-tjwxec77 103 46 ] ] -RRB- cord-017420-tjwxec77 103 47 . . . cord-017420-tjwxec77 104 1 As as IN cord-017420-tjwxec77 104 2 noted note VBN cord-017420-tjwxec77 104 3 above above RB cord-017420-tjwxec77 104 4 , , , cord-017420-tjwxec77 104 5 respiratory respiratory JJ cord-017420-tjwxec77 104 6 symptoms symptom NNS cord-017420-tjwxec77 104 7 and/or and/or CC cord-017420-tjwxec77 104 8 the the DT cord-017420-tjwxec77 104 9 presence presence NN cord-017420-tjwxec77 104 10 of of IN cord-017420-tjwxec77 104 11 abnormalities abnormality NNS cord-017420-tjwxec77 104 12 on on IN cord-017420-tjwxec77 104 13 chest chest NN cord-017420-tjwxec77 104 14 imaging imaging NN cord-017420-tjwxec77 104 15 should should MD cord-017420-tjwxec77 104 16 prompt prompt VB cord-017420-tjwxec77 104 17 evaluation evaluation NN cord-017420-tjwxec77 104 18 for for IN cord-017420-tjwxec77 104 19 a a DT cord-017420-tjwxec77 104 20 respiratory respiratory JJ cord-017420-tjwxec77 104 21 infection infection NN cord-017420-tjwxec77 104 22 . . . cord-017420-tjwxec77 105 1 In in IN cord-017420-tjwxec77 105 2 most most JJS cord-017420-tjwxec77 105 3 cases case NNS cord-017420-tjwxec77 105 4 , , , cord-017420-tjwxec77 105 5 this this DT cord-017420-tjwxec77 105 6 can can MD cord-017420-tjwxec77 105 7 be be VB cord-017420-tjwxec77 105 8 done do VBN cord-017420-tjwxec77 105 9 noninvasively noninvasively RB cord-017420-tjwxec77 105 10 [ [ -LRB- cord-017420-tjwxec77 105 11 6 6 CD cord-017420-tjwxec77 105 12 , , , cord-017420-tjwxec77 105 13 8 8 CD cord-017420-tjwxec77 105 14 , , , cord-017420-tjwxec77 105 15 10 10 CD cord-017420-tjwxec77 105 16 ] ] -RRB- cord-017420-tjwxec77 105 17 . . . cord-017420-tjwxec77 106 1 Bronchoscopy Bronchoscopy NNP cord-017420-tjwxec77 106 2 may may MD cord-017420-tjwxec77 106 3 be be VB cord-017420-tjwxec77 106 4 indicated indicate VBN cord-017420-tjwxec77 106 5 in in IN cord-017420-tjwxec77 106 6 some some DT cord-017420-tjwxec77 106 7 patients patient NNS cord-017420-tjwxec77 106 8 , , , cord-017420-tjwxec77 106 9 but but CC cord-017420-tjwxec77 106 10 the the DT cord-017420-tjwxec77 106 11 benefits benefit NNS cord-017420-tjwxec77 106 12 of of IN cord-017420-tjwxec77 106 13 potential potential JJ cord-017420-tjwxec77 106 14 diagnosis diagnosis NN cord-017420-tjwxec77 106 15 must must MD cord-017420-tjwxec77 106 16 be be VB cord-017420-tjwxec77 106 17 weighed weigh VBN cord-017420-tjwxec77 106 18 against against IN cord-017420-tjwxec77 106 19 the the DT cord-017420-tjwxec77 106 20 risk risk NN cord-017420-tjwxec77 106 21 of of IN cord-017420-tjwxec77 106 22 requiring require VBG cord-017420-tjwxec77 106 23 endotracheal endotracheal NN cord-017420-tjwxec77 106 24 intubation intubation NN cord-017420-tjwxec77 106 25 during during IN cord-017420-tjwxec77 106 26 bronchoscopy bronchoscopy NN cord-017420-tjwxec77 106 27 . . . cord-017420-tjwxec77 107 1 Abdominal abdominal JJ cord-017420-tjwxec77 107 2 symptoms symptom NNS cord-017420-tjwxec77 107 3 ( ( -LRB- cord-017420-tjwxec77 107 4 pain pain NN cord-017420-tjwxec77 107 5 , , , cord-017420-tjwxec77 107 6 diarrhea diarrhea NN cord-017420-tjwxec77 107 7 ) ) -RRB- cord-017420-tjwxec77 107 8 should should MD cord-017420-tjwxec77 107 9 lead lead VB cord-017420-tjwxec77 107 10 to to IN cord-017420-tjwxec77 107 11 consideration consideration NN cord-017420-tjwxec77 107 12 of of IN cord-017420-tjwxec77 107 13 neutropenic neutropenic JJ cord-017420-tjwxec77 107 14 enterocolitis enterocolitis NN cord-017420-tjwxec77 107 15 , , , cord-017420-tjwxec77 107 16 also also RB cord-017420-tjwxec77 107 17 known know VBN cord-017420-tjwxec77 107 18 as as IN cord-017420-tjwxec77 107 19 typhlitis typhlitis NNP cord-017420-tjwxec77 107 20 , , , cord-017420-tjwxec77 107 21 which which WDT cord-017420-tjwxec77 107 22 is be VBZ cord-017420-tjwxec77 107 23 an an DT cord-017420-tjwxec77 107 24 incompletely incompletely RB cord-017420-tjwxec77 107 25 understood understand VBN cord-017420-tjwxec77 107 26 condition condition NN cord-017420-tjwxec77 107 27 of of IN cord-017420-tjwxec77 107 28 ileocolonic ileocolonic JJ cord-017420-tjwxec77 107 29 inflammation inflammation NN cord-017420-tjwxec77 107 30 which which WDT cord-017420-tjwxec77 107 31 can can MD cord-017420-tjwxec77 107 32 lead lead VB cord-017420-tjwxec77 107 33 to to IN cord-017420-tjwxec77 107 34 intestinal intestinal JJ cord-017420-tjwxec77 107 35 necrosis necrosis NN cord-017420-tjwxec77 107 36 and and CC cord-017420-tjwxec77 107 37 perforation perforation NN cord-017420-tjwxec77 107 38 and and CC cord-017420-tjwxec77 107 39 is be VBZ cord-017420-tjwxec77 107 40 associated associate VBN cord-017420-tjwxec77 107 41 with with IN cord-017420-tjwxec77 107 42 a a DT cord-017420-tjwxec77 107 43 high high JJ cord-017420-tjwxec77 107 44 mortality mortality NN cord-017420-tjwxec77 107 45 rate rate NN cord-017420-tjwxec77 107 46 [ [ -LRB- cord-017420-tjwxec77 107 47 63 63 CD cord-017420-tjwxec77 107 48 , , , cord-017420-tjwxec77 107 49 64 64 CD cord-017420-tjwxec77 107 50 ] ] -RRB- cord-017420-tjwxec77 107 51 . . . cord-017420-tjwxec77 108 1 Diagnosis diagnosis NN cord-017420-tjwxec77 108 2 requires require VBZ cord-017420-tjwxec77 108 3 the the DT cord-017420-tjwxec77 108 4 presence presence NN cord-017420-tjwxec77 108 5 of of IN cord-017420-tjwxec77 108 6 neutropenia neutropenia NN cord-017420-tjwxec77 108 7 , , , cord-017420-tjwxec77 108 8 bowel bowel NN cord-017420-tjwxec77 108 9 wall wall NN cord-017420-tjwxec77 108 10 thickening thicken VBG cord-017420-tjwxec77 108 11 > > XX cord-017420-tjwxec77 108 12 4 4 CD cord-017420-tjwxec77 108 13 mm mm NNS cord-017420-tjwxec77 108 14 over over IN cord-017420-tjwxec77 108 15 a a DT cord-017420-tjwxec77 108 16 > > SYM cord-017420-tjwxec77 108 17 30 30 CD cord-017420-tjwxec77 108 18 mm mm NN cord-017420-tjwxec77 108 19 longitudinal longitudinal JJ cord-017420-tjwxec77 108 20 distance distance NN cord-017420-tjwxec77 108 21 , , , cord-017420-tjwxec77 108 22 fever fever NN cord-017420-tjwxec77 108 23 > > XX cord-017420-tjwxec77 108 24 38 38 CD cord-017420-tjwxec77 108 25 C c NN cord-017420-tjwxec77 108 26 , , , cord-017420-tjwxec77 108 27 and and CC cord-017420-tjwxec77 108 28 abdominal abdominal JJ cord-017420-tjwxec77 108 29 pain pain NN cord-017420-tjwxec77 108 30 [ [ -LRB- cord-017420-tjwxec77 108 31 31 31 CD cord-017420-tjwxec77 108 32 , , , cord-017420-tjwxec77 108 33 51 51 CD cord-017420-tjwxec77 108 34 , , , cord-017420-tjwxec77 108 35 63 63 CD cord-017420-tjwxec77 108 36 ] ] -RRB- cord-017420-tjwxec77 108 37 . . . cord-017420-tjwxec77 109 1 Specific specific JJ cord-017420-tjwxec77 109 2 diagnosis diagnosis NN cord-017420-tjwxec77 109 3 is be VBZ cord-017420-tjwxec77 109 4 elusive elusive JJ cord-017420-tjwxec77 109 5 in in IN cord-017420-tjwxec77 109 6 many many JJ cord-017420-tjwxec77 109 7 patients patient NNS cord-017420-tjwxec77 109 8 , , , cord-017420-tjwxec77 109 9 and and CC cord-017420-tjwxec77 109 10 diagnostic diagnostic JJ cord-017420-tjwxec77 109 11 steps step NNS cord-017420-tjwxec77 109 12 should should MD cord-017420-tjwxec77 109 13 be be VB cord-017420-tjwxec77 109 14 repeated repeat VBN cord-017420-tjwxec77 109 15 if if IN cord-017420-tjwxec77 109 16 no no DT cord-017420-tjwxec77 109 17 source source NN cord-017420-tjwxec77 109 18 is be VBZ cord-017420-tjwxec77 109 19 found find VBN cord-017420-tjwxec77 109 20 and and CC cord-017420-tjwxec77 109 21 fevers fever NNS cord-017420-tjwxec77 109 22 persist persist VBP cord-017420-tjwxec77 109 23 for for IN cord-017420-tjwxec77 109 24 72 72 CD cord-017420-tjwxec77 109 25 - - SYM cord-017420-tjwxec77 109 26 96 96 CD cord-017420-tjwxec77 109 27 h. h. NN cord-017420-tjwxec77 109 28 Repeat repeat VB cord-017420-tjwxec77 109 29 blood blood NN cord-017420-tjwxec77 109 30 cultures culture NNS cord-017420-tjwxec77 109 31 and and CC cord-017420-tjwxec77 109 32 repeat repeat VB cord-017420-tjwxec77 109 33 or or CC cord-017420-tjwxec77 109 34 expanded expand VBN cord-017420-tjwxec77 109 35 imaging imaging NN cord-017420-tjwxec77 109 36 studies study NNS cord-017420-tjwxec77 109 37 may may MD cord-017420-tjwxec77 109 38 provide provide VB cord-017420-tjwxec77 109 39 additional additional JJ cord-017420-tjwxec77 109 40 diagnostic diagnostic JJ cord-017420-tjwxec77 109 41 information information NN cord-017420-tjwxec77 109 42 . . . cord-017420-tjwxec77 110 1 Risk risk NN cord-017420-tjwxec77 110 2 stratification stratification NN cord-017420-tjwxec77 110 3 is be VBZ cord-017420-tjwxec77 110 4 an an DT cord-017420-tjwxec77 110 5 essential essential JJ cord-017420-tjwxec77 110 6 part part NN cord-017420-tjwxec77 110 7 of of IN cord-017420-tjwxec77 110 8 diagnosis diagnosis NN cord-017420-tjwxec77 110 9 , , , cord-017420-tjwxec77 110 10 as as IN cord-017420-tjwxec77 110 11 it -PRON- PRP cord-017420-tjwxec77 110 12 informs inform VBZ cord-017420-tjwxec77 110 13 immediate immediate JJ cord-017420-tjwxec77 110 14 management management NN cord-017420-tjwxec77 110 15 . . . cord-017420-tjwxec77 111 1 The the DT cord-017420-tjwxec77 111 2 Multinational Multinational NNP cord-017420-tjwxec77 111 3 Association Association NNP cord-017420-tjwxec77 111 4 of of IN cord-017420-tjwxec77 111 5 Supportive Supportive NNP cord-017420-tjwxec77 111 6 Care Care NNP cord-017420-tjwxec77 111 7 in in IN cord-017420-tjwxec77 111 8 Cancer Cancer NNP cord-017420-tjwxec77 111 9 ( ( -LRB- cord-017420-tjwxec77 111 10 MASCC MASCC NNP cord-017420-tjwxec77 111 11 ) ) -RRB- cord-017420-tjwxec77 111 12 score score NN cord-017420-tjwxec77 111 13 ( ( -LRB- cord-017420-tjwxec77 111 14 Table table NN cord-017420-tjwxec77 111 15 4 4 CD cord-017420-tjwxec77 111 16 ) ) -RRB- cord-017420-tjwxec77 112 1 [ [ -LRB- cord-017420-tjwxec77 112 2 35 35 CD cord-017420-tjwxec77 112 3 ] ] -RRB- cord-017420-tjwxec77 112 4 was be VBD cord-017420-tjwxec77 112 5 developed develop VBN cord-017420-tjwxec77 112 6 to to TO cord-017420-tjwxec77 112 7 predict predict VB cord-017420-tjwxec77 112 8 which which WDT cord-017420-tjwxec77 112 9 patients patient NNS cord-017420-tjwxec77 112 10 with with IN cord-017420-tjwxec77 112 11 neutropenic neutropenic JJ cord-017420-tjwxec77 112 12 fever fever NN cord-017420-tjwxec77 112 13 may may MD cord-017420-tjwxec77 112 14 be be VB cord-017420-tjwxec77 112 15 safely safely RB cord-017420-tjwxec77 112 16 treated treat VBN cord-017420-tjwxec77 112 17 as as IN cord-017420-tjwxec77 112 18 outpatients outpatient NNS cord-017420-tjwxec77 112 19 . . . cord-017420-tjwxec77 113 1 A a DT cord-017420-tjwxec77 113 2 score score NN cord-017420-tjwxec77 113 3 ! ! . cord-017420-tjwxec77 114 1 21 21 CD cord-017420-tjwxec77 114 2 identifies identify VBZ cord-017420-tjwxec77 114 3 a a DT cord-017420-tjwxec77 114 4 standard standard JJ cord-017420-tjwxec77 114 5 risk risk NN cord-017420-tjwxec77 114 6 patient patient NN cord-017420-tjwxec77 114 7 , , , cord-017420-tjwxec77 114 8 whereas whereas IN cord-017420-tjwxec77 114 9 a a DT cord-017420-tjwxec77 114 10 score score NN cord-017420-tjwxec77 114 11 < < XX cord-017420-tjwxec77 114 12 21 21 CD cord-017420-tjwxec77 114 13 indicates indicate VBZ cord-017420-tjwxec77 114 14 a a DT cord-017420-tjwxec77 114 15 high high JJ cord-017420-tjwxec77 114 16 - - HYPH cord-017420-tjwxec77 114 17 risk risk NN cord-017420-tjwxec77 114 18 patient patient NN cord-017420-tjwxec77 114 19 . . . cord-017420-tjwxec77 115 1 Additional additional JJ cord-017420-tjwxec77 115 2 criteria criterion NNS cord-017420-tjwxec77 115 3 for for IN cord-017420-tjwxec77 115 4 outpatient outpatient NN cord-017420-tjwxec77 115 5 treatment treatment NN cord-017420-tjwxec77 115 6 have have VBP cord-017420-tjwxec77 115 7 been be VBN cord-017420-tjwxec77 115 8 enumerated enumerate VBN cord-017420-tjwxec77 115 9 by by IN cord-017420-tjwxec77 115 10 Heinz Heinz NNP cord-017420-tjwxec77 115 11 et et NNP cord-017420-tjwxec77 115 12 al al NNP cord-017420-tjwxec77 115 13 . . . cord-017420-tjwxec77 116 1 [ [ -LRB- cord-017420-tjwxec77 116 2 33 33 CD cord-017420-tjwxec77 116 3 ] ] -RRB- cord-017420-tjwxec77 116 4 ; ; : cord-017420-tjwxec77 116 5 these these DT cord-017420-tjwxec77 116 6 focus focus NN cord-017420-tjwxec77 116 7 on on IN cord-017420-tjwxec77 116 8 signs sign NNS cord-017420-tjwxec77 116 9 of of IN cord-017420-tjwxec77 116 10 clinical clinical JJ cord-017420-tjwxec77 116 11 and and CC cord-017420-tjwxec77 116 12 social social JJ cord-017420-tjwxec77 116 13 stability stability NN cord-017420-tjwxec77 116 14 , , , cord-017420-tjwxec77 116 15 with with IN cord-017420-tjwxec77 116 16 particular particular JJ cord-017420-tjwxec77 116 17 emphasis emphasis NN cord-017420-tjwxec77 116 18 placed place VBN cord-017420-tjwxec77 116 19 on on IN cord-017420-tjwxec77 116 20 expected expect VBN cord-017420-tjwxec77 116 21 good good JJ cord-017420-tjwxec77 116 22 adherence adherence NN cord-017420-tjwxec77 116 23 to to IN cord-017420-tjwxec77 116 24 oral oral JJ cord-017420-tjwxec77 116 25 medications medication NNS cord-017420-tjwxec77 116 26 , , , cord-017420-tjwxec77 116 27 adequate adequate JJ cord-017420-tjwxec77 116 28 social social JJ cord-017420-tjwxec77 116 29 support support NN cord-017420-tjwxec77 116 30 ( ( -LRB- cord-017420-tjwxec77 116 31 the the DT cord-017420-tjwxec77 116 32 patient patient NN cord-017420-tjwxec77 116 33 does do VBZ cord-017420-tjwxec77 116 34 not not RB cord-017420-tjwxec77 116 35 live live VB cord-017420-tjwxec77 116 36 alone alone RB cord-017420-tjwxec77 116 37 ) ) -RRB- cord-017420-tjwxec77 116 38 , , , cord-017420-tjwxec77 116 39 and and CC cord-017420-tjwxec77 116 40 the the DT cord-017420-tjwxec77 116 41 ability ability NN cord-017420-tjwxec77 116 42 to to TO cord-017420-tjwxec77 116 43 present present VB cord-017420-tjwxec77 116 44 to to IN cord-017420-tjwxec77 116 45 the the DT cord-017420-tjwxec77 116 46 hospital hospital NN cord-017420-tjwxec77 116 47 within within IN cord-017420-tjwxec77 116 48 60 60 CD cord-017420-tjwxec77 116 49 min min NN cord-017420-tjwxec77 116 50 . . . cord-017420-tjwxec77 117 1 It -PRON- PRP cord-017420-tjwxec77 117 2 should should MD cord-017420-tjwxec77 117 3 be be VB cord-017420-tjwxec77 117 4 noted note VBN cord-017420-tjwxec77 117 5 that that IN cord-017420-tjwxec77 117 6 the the DT cord-017420-tjwxec77 117 7 MASCC MASCC NNP cord-017420-tjwxec77 117 8 score score NN cord-017420-tjwxec77 117 9 has have VBZ cord-017420-tjwxec77 117 10 limited limit VBN cord-017420-tjwxec77 117 11 utility utility NN cord-017420-tjwxec77 117 12 in in IN cord-017420-tjwxec77 117 13 predicting predict VBG cord-017420-tjwxec77 117 14 either either CC cord-017420-tjwxec77 117 15 the the DT cord-017420-tjwxec77 117 16 risk risk NN cord-017420-tjwxec77 117 17 of of IN cord-017420-tjwxec77 117 18 critical critical JJ cord-017420-tjwxec77 117 19 illness illness NN cord-017420-tjwxec77 117 20 or or CC cord-017420-tjwxec77 117 21 ICU ICU NNP cord-017420-tjwxec77 117 22 outcomes outcome NNS cord-017420-tjwxec77 117 23 . . . cord-017420-tjwxec77 118 1 Other other JJ cord-017420-tjwxec77 118 2 factors factor NNS cord-017420-tjwxec77 118 3 which which WDT cord-017420-tjwxec77 118 4 influence influence VBP cord-017420-tjwxec77 118 5 risk risk NN cord-017420-tjwxec77 118 6 stratification stratification NN cord-017420-tjwxec77 118 7 include include VBP cord-017420-tjwxec77 118 8 the the DT cord-017420-tjwxec77 118 9 depth depth NN cord-017420-tjwxec77 118 10 and and CC cord-017420-tjwxec77 118 11 duration duration NN cord-017420-tjwxec77 118 12 of of IN cord-017420-tjwxec77 118 13 neutropenia neutropenia NN cord-017420-tjwxec77 118 14 , , , cord-017420-tjwxec77 118 15 with with IN cord-017420-tjwxec77 118 16 an an DT cord-017420-tjwxec77 118 17 ANC ANC NNP cord-017420-tjwxec77 118 18 100 100 CD cord-017420-tjwxec77 118 19 cells cell NNS cord-017420-tjwxec77 118 20 / / SYM cord-017420-tjwxec77 118 21 mm mm NNP cord-017420-tjwxec77 118 22 3 3 CD cord-017420-tjwxec77 118 23 and and CC cord-017420-tjwxec77 118 24 > > XX cord-017420-tjwxec77 118 25 7 7 CD cord-017420-tjwxec77 118 26 days day NNS cord-017420-tjwxec77 118 27 duration duration NN cord-017420-tjwxec77 118 28 , , , cord-017420-tjwxec77 118 29 respectively respectively RB cord-017420-tjwxec77 118 30 , , , cord-017420-tjwxec77 118 31 being be VBG cord-017420-tjwxec77 118 32 markers marker NNS cord-017420-tjwxec77 118 33 of of IN cord-017420-tjwxec77 118 34 a a DT cord-017420-tjwxec77 118 35 high high JJ cord-017420-tjwxec77 118 36 - - HYPH cord-017420-tjwxec77 118 37 risk risk NN cord-017420-tjwxec77 118 38 patient patient NN cord-017420-tjwxec77 118 39 [ [ -LRB- cord-017420-tjwxec77 118 40 28 28 CD cord-017420-tjwxec77 118 41 ] ] -RRB- cord-017420-tjwxec77 118 42 . . . cord-017420-tjwxec77 119 1 Accordingly accordingly RB cord-017420-tjwxec77 119 2 , , , cord-017420-tjwxec77 119 3 neutropenic neutropenic RB cord-017420-tjwxec77 119 4 Modified modify VBN cord-017420-tjwxec77 119 5 from from IN cord-017420-tjwxec77 119 6 [ [ -LRB- cord-017420-tjwxec77 119 7 35 35 CD cord-017420-tjwxec77 119 8 ] ] -RRB- cord-017420-tjwxec77 119 9 patients patient NNS cord-017420-tjwxec77 119 10 with with IN cord-017420-tjwxec77 119 11 a a DT cord-017420-tjwxec77 119 12 hematologic hematologic JJ cord-017420-tjwxec77 119 13 malignancy malignancy NN cord-017420-tjwxec77 119 14 or or CC cord-017420-tjwxec77 119 15 status status NN cord-017420-tjwxec77 119 16 post post NN cord-017420-tjwxec77 120 1 HSCT HSCT NNP cord-017420-tjwxec77 120 2 are be VBP cord-017420-tjwxec77 120 3 almost almost RB cord-017420-tjwxec77 120 4 always always RB cord-017420-tjwxec77 120 5 higher high JJR cord-017420-tjwxec77 120 6 risk risk NN cord-017420-tjwxec77 120 7 than than IN cord-017420-tjwxec77 120 8 patients patient NNS cord-017420-tjwxec77 120 9 who who WP cord-017420-tjwxec77 120 10 become become VBP cord-017420-tjwxec77 120 11 neutropenic neutropenic JJ cord-017420-tjwxec77 120 12 during during IN cord-017420-tjwxec77 120 13 the the DT cord-017420-tjwxec77 120 14 course course NN cord-017420-tjwxec77 120 15 of of IN cord-017420-tjwxec77 120 16 cyclic cyclic JJ cord-017420-tjwxec77 120 17 treatment treatment NN cord-017420-tjwxec77 120 18 for for IN cord-017420-tjwxec77 120 19 a a DT cord-017420-tjwxec77 120 20 solid solid JJ cord-017420-tjwxec77 120 21 malignancy malignancy NN cord-017420-tjwxec77 120 22 . . . cord-017420-tjwxec77 121 1 Comorbid comorbid NN cord-017420-tjwxec77 121 2 conditions condition NNS cord-017420-tjwxec77 121 3 should should MD cord-017420-tjwxec77 121 4 also also RB cord-017420-tjwxec77 121 5 be be VB cord-017420-tjwxec77 121 6 integrated integrate VBN cord-017420-tjwxec77 121 7 into into IN cord-017420-tjwxec77 121 8 any any DT cord-017420-tjwxec77 121 9 clinical clinical JJ cord-017420-tjwxec77 121 10 risk risk NN cord-017420-tjwxec77 121 11 assessment assessment NN cord-017420-tjwxec77 121 12 . . . cord-017420-tjwxec77 122 1 Pharmacologic Pharmacologic NNP cord-017420-tjwxec77 122 2 Prophylaxis Prophylaxis NNP cord-017420-tjwxec77 122 3 in in IN cord-017420-tjwxec77 122 4 Neutropenic Neutropenic NNP cord-017420-tjwxec77 122 5 Patients Patients NNPS cord-017420-tjwxec77 122 6 Before before IN cord-017420-tjwxec77 122 7 Neutropenic Neutropenic NNP cord-017420-tjwxec77 122 8 Fever Fever NNP cord-017420-tjwxec77 122 9 Develops develop VBZ cord-017420-tjwxec77 122 10 Due due IN cord-017420-tjwxec77 122 11 to to IN cord-017420-tjwxec77 122 12 the the DT cord-017420-tjwxec77 122 13 high high JJ cord-017420-tjwxec77 122 14 risk risk NN cord-017420-tjwxec77 122 15 of of IN cord-017420-tjwxec77 122 16 infection infection NN cord-017420-tjwxec77 122 17 in in IN cord-017420-tjwxec77 122 18 neutropenia neutropenia NN cord-017420-tjwxec77 122 19 , , , cord-017420-tjwxec77 122 20 many many JJ cord-017420-tjwxec77 122 21 centers center NNS cord-017420-tjwxec77 122 22 provide provide VBP cord-017420-tjwxec77 122 23 routine routine JJ cord-017420-tjwxec77 122 24 antimicrobial antimicrobial JJ cord-017420-tjwxec77 122 25 prophylaxis prophylaxis NN cord-017420-tjwxec77 122 26 to to IN cord-017420-tjwxec77 122 27 patients patient NNS cord-017420-tjwxec77 122 28 deemed deem VBN cord-017420-tjwxec77 122 29 to to TO cord-017420-tjwxec77 122 30 be be VB cord-017420-tjwxec77 122 31 at at IN cord-017420-tjwxec77 122 32 high high JJ cord-017420-tjwxec77 122 33 risk risk NN cord-017420-tjwxec77 122 34 for for IN cord-017420-tjwxec77 122 35 infection infection NN cord-017420-tjwxec77 122 36 and and CC cord-017420-tjwxec77 122 37 who who WP cord-017420-tjwxec77 122 38 are be VBP cord-017420-tjwxec77 122 39 expected expect VBN cord-017420-tjwxec77 122 40 to to TO cord-017420-tjwxec77 122 41 have have VB cord-017420-tjwxec77 122 42 prolonged prolong VBN cord-017420-tjwxec77 122 43 periods period NNS cord-017420-tjwxec77 122 44 of of IN cord-017420-tjwxec77 122 45 profound profound JJ cord-017420-tjwxec77 122 46 neutropenia neutropenia NN cord-017420-tjwxec77 122 47 ( ( -LRB- cord-017420-tjwxec77 122 48 e.g. e.g. RB cord-017420-tjwxec77 122 49 , , , cord-017420-tjwxec77 122 50 ANC ANC NNP cord-017420-tjwxec77 122 51 500 500 CD cord-017420-tjwxec77 122 52 cells cell NNS cord-017420-tjwxec77 122 53 / / SYM cord-017420-tjwxec77 122 54 mm mm NN cord-017420-tjwxec77 122 55 3 3 CD cord-017420-tjwxec77 122 56 for for IN cord-017420-tjwxec77 122 57 > > $ cord-017420-tjwxec77 122 58 7 7 CD cord-017420-tjwxec77 122 59 days day NNS cord-017420-tjwxec77 122 60 ) ) -RRB- cord-017420-tjwxec77 122 61 . . . cord-017420-tjwxec77 123 1 The the DT cord-017420-tjwxec77 123 2 rationale rationale NN cord-017420-tjwxec77 123 3 for for IN cord-017420-tjwxec77 123 4 antibacterial antibacterial JJ cord-017420-tjwxec77 123 5 prophylaxis prophylaxis NN cord-017420-tjwxec77 123 6 is be VBZ cord-017420-tjwxec77 123 7 to to TO cord-017420-tjwxec77 123 8 reduce reduce VB cord-017420-tjwxec77 123 9 the the DT cord-017420-tjwxec77 123 10 risk risk NN cord-017420-tjwxec77 123 11 of of IN cord-017420-tjwxec77 123 12 gram gram NN cord-017420-tjwxec77 123 13 - - HYPH cord-017420-tjwxec77 123 14 negative negative JJ cord-017420-tjwxec77 123 15 infections infection NNS cord-017420-tjwxec77 123 16 and and CC cord-017420-tjwxec77 123 17 streptococcal streptococcal JJ cord-017420-tjwxec77 123 18 infection infection NN cord-017420-tjwxec77 123 19 from from IN cord-017420-tjwxec77 123 20 oral oral JJ cord-017420-tjwxec77 123 21 mucositis mucositis NNP cord-017420-tjwxec77 123 22 . . . cord-017420-tjwxec77 124 1 In in IN cord-017420-tjwxec77 124 2 high high JJ cord-017420-tjwxec77 124 3 - - HYPH cord-017420-tjwxec77 124 4 risk risk NN cord-017420-tjwxec77 124 5 patients patient NNS cord-017420-tjwxec77 124 6 , , , cord-017420-tjwxec77 124 7 current current JJ cord-017420-tjwxec77 124 8 guidelines guideline NNS cord-017420-tjwxec77 124 9 suggest suggest VBP cord-017420-tjwxec77 124 10 antibacterial antibacterial JJ cord-017420-tjwxec77 124 11 prophylaxis prophylaxis NN cord-017420-tjwxec77 124 12 with with IN cord-017420-tjwxec77 124 13 a a DT cord-017420-tjwxec77 124 14 fluoroquinolone fluoroquinolone NN cord-017420-tjwxec77 124 15 such such JJ cord-017420-tjwxec77 124 16 as as IN cord-017420-tjwxec77 124 17 ciprofloxacin ciprofloxacin NN cord-017420-tjwxec77 124 18 or or CC cord-017420-tjwxec77 124 19 levofloxacin levofloxacin NNS cord-017420-tjwxec77 124 20 , , , cord-017420-tjwxec77 124 21 with with IN cord-017420-tjwxec77 124 22 the the DT cord-017420-tjwxec77 124 23 latter latter JJ cord-017420-tjwxec77 124 24 preferred prefer VBN cord-017420-tjwxec77 124 25 if if IN cord-017420-tjwxec77 124 26 severe severe JJ cord-017420-tjwxec77 124 27 mucositis mucositis NNP cord-017420-tjwxec77 124 28 is be VBZ cord-017420-tjwxec77 124 29 anticipated anticipate VBN cord-017420-tjwxec77 124 30 [ [ -LRB- cord-017420-tjwxec77 124 31 29 29 CD cord-017420-tjwxec77 124 32 , , , cord-017420-tjwxec77 124 33 30 30 CD cord-017420-tjwxec77 124 34 ] ] -RRB- cord-017420-tjwxec77 124 35 . . . cord-017420-tjwxec77 125 1 Antifungal antifungal JJ cord-017420-tjwxec77 125 2 prophylaxis prophylaxis NN cord-017420-tjwxec77 125 3 against against IN cord-017420-tjwxec77 125 4 yeast yeast NN cord-017420-tjwxec77 125 5 is be VBZ cord-017420-tjwxec77 125 6 recommended recommend VBN cord-017420-tjwxec77 125 7 in in IN cord-017420-tjwxec77 125 8 highrisk highrisk JJ cord-017420-tjwxec77 125 9 patients patient NNS cord-017420-tjwxec77 125 10 ( ( -LRB- cord-017420-tjwxec77 125 11 HSCT HSCT NNP cord-017420-tjwxec77 125 12 , , , cord-017420-tjwxec77 125 13 chemotherapy chemotherapy NN cord-017420-tjwxec77 125 14 for for IN cord-017420-tjwxec77 125 15 leukemia leukemia NN cord-017420-tjwxec77 125 16 ) ) -RRB- cord-017420-tjwxec77 125 17 with with IN cord-017420-tjwxec77 125 18 fluconazole fluconazole NNP cord-017420-tjwxec77 125 19 , , , cord-017420-tjwxec77 125 20 itraconazole itraconazole NNP cord-017420-tjwxec77 125 21 , , , cord-017420-tjwxec77 125 22 voriconazole voriconazole NNP cord-017420-tjwxec77 125 23 , , , cord-017420-tjwxec77 125 24 posaconazole posaconazole NNP cord-017420-tjwxec77 125 25 , , , cord-017420-tjwxec77 125 26 or or CC cord-017420-tjwxec77 125 27 an an DT cord-017420-tjwxec77 125 28 echinocandin echinocandin NN cord-017420-tjwxec77 125 29 ( ( -LRB- cord-017420-tjwxec77 125 30 caspofungin caspofungin NNP cord-017420-tjwxec77 125 31 or or CC cord-017420-tjwxec77 125 32 micafungin micafungin NNP cord-017420-tjwxec77 125 33 ) ) -RRB- cord-017420-tjwxec77 125 34 . . . cord-017420-tjwxec77 126 1 Anti anti JJ cord-017420-tjwxec77 126 2 - - JJ cord-017420-tjwxec77 126 3 mold mold JJ cord-017420-tjwxec77 126 4 ( ( -LRB- cord-017420-tjwxec77 126 5 Aspergillus aspergillus NN cord-017420-tjwxec77 126 6 ) ) -RRB- cord-017420-tjwxec77 126 7 prophylaxis prophylaxis NN cord-017420-tjwxec77 126 8 ( ( -LRB- cord-017420-tjwxec77 126 9 with with IN cord-017420-tjwxec77 126 10 voriconazole voriconazole NNP cord-017420-tjwxec77 126 11 or or CC cord-017420-tjwxec77 126 12 posaconazole posaconazole NNP cord-017420-tjwxec77 126 13 ) ) -RRB- cord-017420-tjwxec77 126 14 is be VBZ cord-017420-tjwxec77 126 15 recommended recommend VBN cord-017420-tjwxec77 126 16 in in IN cord-017420-tjwxec77 126 17 patients patient NNS cord-017420-tjwxec77 126 18 undergoing undergo VBG cord-017420-tjwxec77 126 19 chemotherapy chemotherapy NN cord-017420-tjwxec77 126 20 for for IN cord-017420-tjwxec77 126 21 leukemia leukemia NN cord-017420-tjwxec77 126 22 or or CC cord-017420-tjwxec77 126 23 patients patient NNS cord-017420-tjwxec77 126 24 with with IN cord-017420-tjwxec77 126 25 anticipated anticipate VBN cord-017420-tjwxec77 126 26 very very RB cord-017420-tjwxec77 126 27 prolonged prolonged JJ cord-017420-tjwxec77 126 28 neutropenia neutropenia NN cord-017420-tjwxec77 126 29 or or CC cord-017420-tjwxec77 126 30 prior prior JJ cord-017420-tjwxec77 126 31 invasive invasive JJ cord-017420-tjwxec77 126 32 mold mold NN cord-017420-tjwxec77 126 33 infection infection NN cord-017420-tjwxec77 126 34 [ [ -LRB- cord-017420-tjwxec77 126 35 28 28 CD cord-017420-tjwxec77 126 36 ] ] -RRB- cord-017420-tjwxec77 126 37 . . . cord-017420-tjwxec77 127 1 Antiviral antiviral JJ cord-017420-tjwxec77 127 2 prophylaxis prophylaxis NN cord-017420-tjwxec77 127 3 acyclovir acyclovir NNP cord-017420-tjwxec77 127 4 or or CC cord-017420-tjwxec77 127 5 valacyclovir valacyclovir NNP cord-017420-tjwxec77 127 6 is be VBZ cord-017420-tjwxec77 127 7 recommended recommend VBN cord-017420-tjwxec77 127 8 for for IN cord-017420-tjwxec77 127 9 patients patient NNS cord-017420-tjwxec77 127 10 who who WP cord-017420-tjwxec77 127 11 are be VBP cord-017420-tjwxec77 127 12 seropositive seropositive JJ cord-017420-tjwxec77 127 13 for for IN cord-017420-tjwxec77 127 14 herpes herpes NN cord-017420-tjwxec77 127 15 simplex simplex NNP cord-017420-tjwxec77 127 16 virus virus NN cord-017420-tjwxec77 127 17 ( ( -LRB- cord-017420-tjwxec77 127 18 HSV HSV NNP cord-017420-tjwxec77 127 19 ) ) -RRB- cord-017420-tjwxec77 127 20 and and CC cord-017420-tjwxec77 127 21 for for IN cord-017420-tjwxec77 127 22 varicella varicella NN cord-017420-tjwxec77 127 23 zoster zoster NNP cord-017420-tjwxec77 127 24 virus virus NN cord-017420-tjwxec77 127 25 ( ( -LRB- cord-017420-tjwxec77 127 26 VZV)-seropositive vzv)-seropositive IN cord-017420-tjwxec77 127 27 HSCT HSCT NNP cord-017420-tjwxec77 127 28 patients patient NNS cord-017420-tjwxec77 127 29 . . . cord-017420-tjwxec77 128 1 Finally finally RB cord-017420-tjwxec77 128 2 , , , cord-017420-tjwxec77 128 3 leukemia leukemia NN cord-017420-tjwxec77 128 4 and and CC cord-017420-tjwxec77 128 5 HSCT HSCT NNP cord-017420-tjwxec77 128 6 patients patient NNS cord-017420-tjwxec77 128 7 should should MD cord-017420-tjwxec77 128 8 receive receive VB cord-017420-tjwxec77 128 9 prophylaxis prophylaxis NN cord-017420-tjwxec77 128 10 against against IN cord-017420-tjwxec77 128 11 Pneumocystis Pneumocystis NNP cord-017420-tjwxec77 128 12 jirovecii jirovecii NNP cord-017420-tjwxec77 128 13 pneumonia pneumonia NN cord-017420-tjwxec77 128 14 . . . cord-017420-tjwxec77 129 1 These these DT cord-017420-tjwxec77 129 2 prophylactic prophylactic JJ cord-017420-tjwxec77 129 3 antimicrobials antimicrobial NNS cord-017420-tjwxec77 129 4 may may MD cord-017420-tjwxec77 129 5 lessen lessen VB cord-017420-tjwxec77 129 6 , , , cord-017420-tjwxec77 129 7 but but CC cord-017420-tjwxec77 129 8 do do VBP cord-017420-tjwxec77 129 9 not not RB cord-017420-tjwxec77 129 10 eliminate eliminate VB cord-017420-tjwxec77 129 11 the the DT cord-017420-tjwxec77 129 12 risk risk NN cord-017420-tjwxec77 129 13 infections infection NNS cord-017420-tjwxec77 129 14 while while IN cord-017420-tjwxec77 129 15 neutropenic neutropenic JJ cord-017420-tjwxec77 129 16 ; ; : cord-017420-tjwxec77 129 17 thus thus RB cord-017420-tjwxec77 129 18 , , , cord-017420-tjwxec77 129 19 patients patient NNS cord-017420-tjwxec77 129 20 and and CC cord-017420-tjwxec77 129 21 caregivers caregiver NNS cord-017420-tjwxec77 129 22 must must MD cord-017420-tjwxec77 129 23 remain remain VB cord-017420-tjwxec77 129 24 vigilant vigilant JJ cord-017420-tjwxec77 129 25 for for IN cord-017420-tjwxec77 129 26 the the DT cord-017420-tjwxec77 129 27 development development NN cord-017420-tjwxec77 129 28 of of IN cord-017420-tjwxec77 129 29 fever fever NN cord-017420-tjwxec77 129 30 . . . cord-017420-tjwxec77 130 1 Moreover moreover RB cord-017420-tjwxec77 130 2 , , , cord-017420-tjwxec77 130 3 attention attention NN cord-017420-tjwxec77 130 4 must must MD cord-017420-tjwxec77 130 5 be be VB cord-017420-tjwxec77 130 6 paid pay VBN cord-017420-tjwxec77 130 7 to to IN cord-017420-tjwxec77 130 8 the the DT cord-017420-tjwxec77 130 9 prophylactic prophylactic JJ cord-017420-tjwxec77 130 10 regimen regimen NN cord-017420-tjwxec77 130 11 , , , cord-017420-tjwxec77 130 12 as as IN cord-017420-tjwxec77 130 13 it -PRON- PRP cord-017420-tjwxec77 130 14 will will MD cord-017420-tjwxec77 130 15 affect affect VB cord-017420-tjwxec77 130 16 the the DT cord-017420-tjwxec77 130 17 choice choice NN cord-017420-tjwxec77 130 18 of of IN cord-017420-tjwxec77 130 19 empiric empiric JJ cord-017420-tjwxec77 130 20 antibiotics antibiotic NNS cord-017420-tjwxec77 130 21 for for IN cord-017420-tjwxec77 130 22 neutropenic neutropenic JJ cord-017420-tjwxec77 130 23 fever fever NN cord-017420-tjwxec77 130 24 . . . cord-017420-tjwxec77 131 1 Neutropenic neutropenic JJ cord-017420-tjwxec77 131 2 fever fever NN cord-017420-tjwxec77 131 3 is be VBZ cord-017420-tjwxec77 131 4 a a DT cord-017420-tjwxec77 131 5 medical medical JJ cord-017420-tjwxec77 131 6 emergency emergency NN cord-017420-tjwxec77 131 7 , , , cord-017420-tjwxec77 131 8 and and CC cord-017420-tjwxec77 131 9 appropriate appropriate JJ cord-017420-tjwxec77 131 10 empiric empiric JJ cord-017420-tjwxec77 131 11 antibiotics antibiotic NNS cord-017420-tjwxec77 131 12 must must MD cord-017420-tjwxec77 131 13 be be VB cord-017420-tjwxec77 131 14 started start VBN cord-017420-tjwxec77 131 15 without without IN cord-017420-tjwxec77 131 16 delay delay NN cord-017420-tjwxec77 131 17 : : : cord-017420-tjwxec77 131 18 within within IN cord-017420-tjwxec77 131 19 60 60 CD cord-017420-tjwxec77 131 20 min min NN cord-017420-tjwxec77 131 21 of of IN cord-017420-tjwxec77 131 22 presentation presentation NN cord-017420-tjwxec77 131 23 [ [ -LRB- cord-017420-tjwxec77 131 24 28 28 CD cord-017420-tjwxec77 131 25 , , , cord-017420-tjwxec77 131 26 33 33 CD cord-017420-tjwxec77 131 27 , , , cord-017420-tjwxec77 131 28 57 57 CD cord-017420-tjwxec77 131 29 ] ] -RRB- cord-017420-tjwxec77 131 30 . . . cord-017420-tjwxec77 132 1 Some some DT cord-017420-tjwxec77 132 2 data datum NNS cord-017420-tjwxec77 132 3 suggest suggest VBP cord-017420-tjwxec77 132 4 that that IN cord-017420-tjwxec77 132 5 even even RB cord-017420-tjwxec77 132 6 delays delay NNS cord-017420-tjwxec77 132 7 in in IN cord-017420-tjwxec77 132 8 antibiotic antibiotic JJ cord-017420-tjwxec77 132 9 administration administration NN cord-017420-tjwxec77 132 10 beyond beyond IN cord-017420-tjwxec77 132 11 30 30 CD cord-017420-tjwxec77 132 12 min min NN cord-017420-tjwxec77 132 13 are be VBP cord-017420-tjwxec77 132 14 associated associate VBN cord-017420-tjwxec77 132 15 with with IN cord-017420-tjwxec77 132 16 increased increase VBN cord-017420-tjwxec77 132 17 mortality mortality NN cord-017420-tjwxec77 132 18 [ [ -LRB- cord-017420-tjwxec77 132 19 62 62 CD cord-017420-tjwxec77 132 20 ] ] -RRB- cord-017420-tjwxec77 132 21 . . . cord-017420-tjwxec77 133 1 As as IN cord-017420-tjwxec77 133 2 noted note VBN cord-017420-tjwxec77 133 3 above above RB cord-017420-tjwxec77 133 4 , , , cord-017420-tjwxec77 133 5 it -PRON- PRP cord-017420-tjwxec77 133 6 is be VBZ cord-017420-tjwxec77 133 7 desirable desirable JJ cord-017420-tjwxec77 133 8 to to TO cord-017420-tjwxec77 133 9 obtain obtain VB cord-017420-tjwxec77 133 10 blood blood NN cord-017420-tjwxec77 133 11 cultures culture NNS cord-017420-tjwxec77 133 12 if if IN cord-017420-tjwxec77 133 13 possible possible JJ cord-017420-tjwxec77 133 14 before before IN cord-017420-tjwxec77 133 15 antibiotic antibiotic JJ cord-017420-tjwxec77 133 16 initiation initiation NN cord-017420-tjwxec77 133 17 , , , cord-017420-tjwxec77 133 18 so so RB cord-017420-tjwxec77 133 19 long long RB cord-017420-tjwxec77 133 20 as as IN cord-017420-tjwxec77 133 21 this this DT cord-017420-tjwxec77 133 22 does do VBZ cord-017420-tjwxec77 133 23 not not RB cord-017420-tjwxec77 133 24 delay delay VB cord-017420-tjwxec77 133 25 antibiotic antibiotic JJ cord-017420-tjwxec77 133 26 administration administration NN cord-017420-tjwxec77 133 27 . . . cord-017420-tjwxec77 134 1 No no DT cord-017420-tjwxec77 134 2 other other JJ cord-017420-tjwxec77 134 3 diagnostic diagnostic JJ cord-017420-tjwxec77 134 4 maneuvers maneuver NNS cord-017420-tjwxec77 134 5 should should MD cord-017420-tjwxec77 134 6 be be VB cord-017420-tjwxec77 134 7 attempted attempt VBN cord-017420-tjwxec77 134 8 before before IN cord-017420-tjwxec77 134 9 antibiotic antibiotic JJ cord-017420-tjwxec77 134 10 initiation initiation NN cord-017420-tjwxec77 134 11 . . . cord-017420-tjwxec77 135 1 Empiric Empiric NNP cord-017420-tjwxec77 135 2 antibiotics antibiotic NNS cord-017420-tjwxec77 135 3 must must MD cord-017420-tjwxec77 135 4 cover cover VB cord-017420-tjwxec77 135 5 the the DT cord-017420-tjwxec77 135 6 common common JJ cord-017420-tjwxec77 135 7 organisms organism NNS cord-017420-tjwxec77 135 8 discussed discuss VBN cord-017420-tjwxec77 135 9 above above IN cord-017420-tjwxec77 135 10 ( ( -LRB- cord-017420-tjwxec77 135 11 Pseudomonas Pseudomonas NNP cord-017420-tjwxec77 135 12 aeruginosa aeruginosa NN cord-017420-tjwxec77 135 13 , , , cord-017420-tjwxec77 135 14 Staphylococcus Staphylococcus NNP cord-017420-tjwxec77 135 15 aureus aureus NN cord-017420-tjwxec77 135 16 , , , cord-017420-tjwxec77 135 17 Streptococcal Streptococcal NNP cord-017420-tjwxec77 135 18 species specie NNS cord-017420-tjwxec77 135 19 ) ) -RRB- cord-017420-tjwxec77 135 20 and and CC cord-017420-tjwxec77 135 21 should should MD cord-017420-tjwxec77 135 22 also also RB cord-017420-tjwxec77 135 23 be be VB cord-017420-tjwxec77 135 24 tailored tailor VBN cord-017420-tjwxec77 135 25 according accord VBG cord-017420-tjwxec77 135 26 to to IN cord-017420-tjwxec77 135 27 prior prior JJ cord-017420-tjwxec77 135 28 patient patient NN cord-017420-tjwxec77 135 29 - - HYPH cord-017420-tjwxec77 135 30 specific specific JJ cord-017420-tjwxec77 135 31 culture culture NN cord-017420-tjwxec77 135 32 data datum NNS cord-017420-tjwxec77 135 33 and and CC cord-017420-tjwxec77 135 34 institutional institutional JJ cord-017420-tjwxec77 135 35 epidemiology epidemiology NN cord-017420-tjwxec77 135 36 [ [ -LRB- cord-017420-tjwxec77 135 37 28 28 CD cord-017420-tjwxec77 135 38 , , , cord-017420-tjwxec77 135 39 33 33 CD cord-017420-tjwxec77 135 40 ] ] -RRB- cord-017420-tjwxec77 135 41 . . . cord-017420-tjwxec77 136 1 Appropriate appropriate JJ cord-017420-tjwxec77 136 2 empiric empiric JJ cord-017420-tjwxec77 136 3 antibiotics antibiotic NNS cord-017420-tjwxec77 136 4 include include VBP cord-017420-tjwxec77 136 5 an an DT cord-017420-tjwxec77 136 6 antipseudomonal antipseudomonal JJ cord-017420-tjwxec77 136 7 penicillin penicillin NN cord-017420-tjwxec77 136 8 ( ( -LRB- cord-017420-tjwxec77 136 9 e.g. e.g. RB cord-017420-tjwxec77 136 10 , , , cord-017420-tjwxec77 136 11 piperacillin/ piperacillin/ CD cord-017420-tjwxec77 136 12 tazobactam tazobactam NNP cord-017420-tjwxec77 136 13 ) ) -RRB- cord-017420-tjwxec77 136 14 , , , cord-017420-tjwxec77 136 15 or or CC cord-017420-tjwxec77 136 16 antipseudomonal antipseudomonal JJ cord-017420-tjwxec77 136 17 cephalosporin cephalosporin NN cord-017420-tjwxec77 136 18 ( ( -LRB- cord-017420-tjwxec77 136 19 e.g. e.g. RB cord-017420-tjwxec77 136 20 , , , cord-017420-tjwxec77 136 21 cefepime cefepime NNP cord-017420-tjwxec77 136 22 ) ) -RRB- cord-017420-tjwxec77 136 23 , , , cord-017420-tjwxec77 136 24 or or CC cord-017420-tjwxec77 136 25 a a DT cord-017420-tjwxec77 136 26 carbapenem carbapenem NNP cord-017420-tjwxec77 136 27 ( ( -LRB- cord-017420-tjwxec77 136 28 imipenem imipenem NNP cord-017420-tjwxec77 136 29 , , , cord-017420-tjwxec77 136 30 meropenem meropenem NNP cord-017420-tjwxec77 136 31 ) ) -RRB- cord-017420-tjwxec77 136 32 [ [ -LRB- cord-017420-tjwxec77 136 33 28 28 CD cord-017420-tjwxec77 136 34 , , , cord-017420-tjwxec77 136 35 33 33 CD cord-017420-tjwxec77 136 36 ] ] -RRB- cord-017420-tjwxec77 136 37 . . . cord-017420-tjwxec77 137 1 Some some DT cord-017420-tjwxec77 137 2 data datum NNS cord-017420-tjwxec77 137 3 suggest suggest VBP cord-017420-tjwxec77 137 4 improved improve VBN cord-017420-tjwxec77 137 5 outcomes outcome NNS cord-017420-tjwxec77 137 6 with with IN cord-017420-tjwxec77 137 7 prolonged prolong VBN cord-017420-tjwxec77 137 8 antibiotic antibiotic JJ cord-017420-tjwxec77 137 9 infusion infusion NN cord-017420-tjwxec77 137 10 times time NNS cord-017420-tjwxec77 137 11 [ [ -LRB- cord-017420-tjwxec77 137 12 58 58 CD cord-017420-tjwxec77 137 13 ] ] -RRB- cord-017420-tjwxec77 137 14 though though IN cord-017420-tjwxec77 137 15 these these DT cord-017420-tjwxec77 137 16 data datum NNS cord-017420-tjwxec77 137 17 require require VBP cord-017420-tjwxec77 137 18 confirmation confirmation NN cord-017420-tjwxec77 137 19 . . . cord-017420-tjwxec77 138 1 Fluoroquinolones fluoroquinolone NNS cord-017420-tjwxec77 138 2 , , , cord-017420-tjwxec77 138 3 which which WDT cord-017420-tjwxec77 138 4 are be VBP cord-017420-tjwxec77 138 5 frequently frequently RB cord-017420-tjwxec77 138 6 used use VBN cord-017420-tjwxec77 138 7 as as IN cord-017420-tjwxec77 138 8 prophylactic prophylactic JJ cord-017420-tjwxec77 138 9 therapy therapy NN cord-017420-tjwxec77 138 10 in in IN cord-017420-tjwxec77 138 11 neutropenia neutropenia NN cord-017420-tjwxec77 138 12 , , , cord-017420-tjwxec77 138 13 should should MD cord-017420-tjwxec77 138 14 not not RB cord-017420-tjwxec77 138 15 be be VB cord-017420-tjwxec77 138 16 used use VBN cord-017420-tjwxec77 138 17 as as IN cord-017420-tjwxec77 138 18 empiric empiric JJ cord-017420-tjwxec77 138 19 monotherapy monotherapy NN cord-017420-tjwxec77 138 20 in in IN cord-017420-tjwxec77 138 21 neutropenic neutropenic JJ cord-017420-tjwxec77 138 22 fever fever NN cord-017420-tjwxec77 138 23 due due IN cord-017420-tjwxec77 138 24 to to IN cord-017420-tjwxec77 138 25 the the DT cord-017420-tjwxec77 138 26 possibility possibility NN cord-017420-tjwxec77 138 27 of of IN cord-017420-tjwxec77 138 28 resistance resistance NN cord-017420-tjwxec77 138 29 . . . cord-017420-tjwxec77 139 1 Though though IN cord-017420-tjwxec77 139 2 gram gram NN cord-017420-tjwxec77 139 3 - - HYPH cord-017420-tjwxec77 139 4 positive positive JJ cord-017420-tjwxec77 139 5 organisms organism NNS cord-017420-tjwxec77 139 6 are be VBP cord-017420-tjwxec77 139 7 common common JJ cord-017420-tjwxec77 139 8 causes cause NNS cord-017420-tjwxec77 139 9 of of IN cord-017420-tjwxec77 139 10 neutropenic neutropenic JJ cord-017420-tjwxec77 139 11 fever fever NN cord-017420-tjwxec77 139 12 , , , cord-017420-tjwxec77 139 13 vancomycin vancomycin NN cord-017420-tjwxec77 139 14 is be VBZ cord-017420-tjwxec77 139 15 not not RB cord-017420-tjwxec77 139 16 routinely routinely RB cord-017420-tjwxec77 139 17 indicated indicate VBN cord-017420-tjwxec77 139 18 , , , cord-017420-tjwxec77 139 19 but but CC cord-017420-tjwxec77 139 20 should should MD cord-017420-tjwxec77 139 21 be be VB cord-017420-tjwxec77 139 22 added add VBN cord-017420-tjwxec77 139 23 in in IN cord-017420-tjwxec77 139 24 the the DT cord-017420-tjwxec77 139 25 presence presence NN cord-017420-tjwxec77 139 26 of of IN cord-017420-tjwxec77 139 27 suspected suspect VBN cord-017420-tjwxec77 139 28 catheter catheter NN cord-017420-tjwxec77 139 29 - - HYPH cord-017420-tjwxec77 139 30 related relate VBN cord-017420-tjwxec77 139 31 infection infection NN cord-017420-tjwxec77 139 32 , , , cord-017420-tjwxec77 139 33 soft soft JJ cord-017420-tjwxec77 139 34 tissue tissue NN cord-017420-tjwxec77 139 35 infection infection NN cord-017420-tjwxec77 139 36 , , , cord-017420-tjwxec77 139 37 oral oral JJ cord-017420-tjwxec77 139 38 mucositis mucositis NNP cord-017420-tjwxec77 139 39 , , , cord-017420-tjwxec77 139 40 radiographically radiographically RB cord-017420-tjwxec77 139 41 proven prove VBN cord-017420-tjwxec77 139 42 pneumonia pneumonia NN cord-017420-tjwxec77 139 43 , , , cord-017420-tjwxec77 139 44 known know VBN cord-017420-tjwxec77 139 45 colonization colonization NN cord-017420-tjwxec77 139 46 with with IN cord-017420-tjwxec77 139 47 resistant resistant JJ cord-017420-tjwxec77 139 48 gram gram NN cord-017420-tjwxec77 139 49 - - HYPH cord-017420-tjwxec77 139 50 positive positive JJ cord-017420-tjwxec77 139 51 organisms organism NNS cord-017420-tjwxec77 139 52 ( ( -LRB- cord-017420-tjwxec77 139 53 e.g. e.g. RB cord-017420-tjwxec77 139 54 , , , cord-017420-tjwxec77 139 55 methicillin methicillin NN cord-017420-tjwxec77 139 56 - - HYPH cord-017420-tjwxec77 139 57 resistant resistant JJ cord-017420-tjwxec77 139 58 Staphylococcus Staphylococcus NNP cord-017420-tjwxec77 139 59 aureus aureus NN cord-017420-tjwxec77 139 60 , , , cord-017420-tjwxec77 139 61 penicillin penicillin NN cord-017420-tjwxec77 139 62 - - HYPH cord-017420-tjwxec77 139 63 resistant resistant JJ cord-017420-tjwxec77 139 64 Streptococcus Streptococcus NNP cord-017420-tjwxec77 139 65 ) ) -RRB- cord-017420-tjwxec77 139 66 , , , cord-017420-tjwxec77 139 67 or or CC cord-017420-tjwxec77 139 68 hemodynamic hemodynamic JJ cord-017420-tjwxec77 139 69 instability instability NN cord-017420-tjwxec77 139 70 [ [ -LRB- cord-017420-tjwxec77 139 71 28 28 CD cord-017420-tjwxec77 139 72 , , , cord-017420-tjwxec77 139 73 33 33 CD cord-017420-tjwxec77 139 74 , , , cord-017420-tjwxec77 139 75 57 57 CD cord-017420-tjwxec77 139 76 ] ] -RRB- cord-017420-tjwxec77 139 77 . . . cord-017420-tjwxec77 140 1 The the DT cord-017420-tjwxec77 140 2 use use NN cord-017420-tjwxec77 140 3 of of IN cord-017420-tjwxec77 140 4 combination combination NN cord-017420-tjwxec77 140 5 antibiotic antibiotic JJ cord-017420-tjwxec77 140 6 regimens regimen NNS cord-017420-tjwxec77 140 7 ( ( -LRB- cord-017420-tjwxec77 140 8 defined define VBN cord-017420-tjwxec77 140 9 as as IN cord-017420-tjwxec77 140 10 dual dual JJ cord-017420-tjwxec77 140 11 gram gram NN cord-017420-tjwxec77 140 12 - - HYPH cord-017420-tjwxec77 140 13 negative negative JJ cord-017420-tjwxec77 140 14 coverage coverage NN cord-017420-tjwxec77 140 15 with with IN cord-017420-tjwxec77 140 16 an an DT cord-017420-tjwxec77 140 17 antipseudomonal antipseudomonal JJ cord-017420-tjwxec77 140 18 beta beta NN cord-017420-tjwxec77 140 19 - - HYPH cord-017420-tjwxec77 140 20 lactam lactam NNS cord-017420-tjwxec77 140 21 and and CC cord-017420-tjwxec77 140 22 an an DT cord-017420-tjwxec77 140 23 aminoglycoside aminoglycoside NN cord-017420-tjwxec77 140 24 ) ) -RRB- cord-017420-tjwxec77 140 25 in in IN cord-017420-tjwxec77 140 26 neutropenic neutropenic JJ cord-017420-tjwxec77 140 27 fever fever NN cord-017420-tjwxec77 140 28 is be VBZ cord-017420-tjwxec77 140 29 controversial controversial JJ cord-017420-tjwxec77 140 30 . . . cord-017420-tjwxec77 141 1 Though though IN cord-017420-tjwxec77 141 2 some some DT cord-017420-tjwxec77 141 3 studies study NNS cord-017420-tjwxec77 141 4 have have VBP cord-017420-tjwxec77 141 5 suggested suggest VBN cord-017420-tjwxec77 141 6 a a DT cord-017420-tjwxec77 141 7 mortality mortality NN cord-017420-tjwxec77 141 8 benefit benefit NN cord-017420-tjwxec77 141 9 to to IN cord-017420-tjwxec77 141 10 combination combination NN cord-017420-tjwxec77 141 11 antibiotics antibiotic NNS cord-017420-tjwxec77 141 12 [ [ -LRB- cord-017420-tjwxec77 141 13 39 39 CD cord-017420-tjwxec77 141 14 ] ] -RRB- cord-017420-tjwxec77 141 15 , , , cord-017420-tjwxec77 141 16 this this DT cord-017420-tjwxec77 141 17 has have VBZ cord-017420-tjwxec77 141 18 not not RB cord-017420-tjwxec77 141 19 been be VBN cord-017420-tjwxec77 141 20 a a DT cord-017420-tjwxec77 141 21 consistent consistent JJ cord-017420-tjwxec77 141 22 finding finding NN cord-017420-tjwxec77 141 23 , , , cord-017420-tjwxec77 141 24 and and CC cord-017420-tjwxec77 141 25 2 2 CD cord-017420-tjwxec77 141 26 metaanalyses metaanalyse NNS cord-017420-tjwxec77 141 27 have have VBP cord-017420-tjwxec77 141 28 shown show VBN cord-017420-tjwxec77 141 29 no no DT cord-017420-tjwxec77 141 30 benefit benefit NN cord-017420-tjwxec77 141 31 to to IN cord-017420-tjwxec77 141 32 the the DT cord-017420-tjwxec77 141 33 addition addition NN cord-017420-tjwxec77 141 34 of of IN cord-017420-tjwxec77 141 35 an an DT cord-017420-tjwxec77 141 36 aminoglycoside aminoglycoside NN cord-017420-tjwxec77 141 37 to to IN cord-017420-tjwxec77 141 38 a a DT cord-017420-tjwxec77 141 39 beta beta NN cord-017420-tjwxec77 141 40 - - HYPH cord-017420-tjwxec77 141 41 lactam lactam NNS cord-017420-tjwxec77 141 42 and and CC cord-017420-tjwxec77 141 43 a a DT cord-017420-tjwxec77 141 44 higher high JJR cord-017420-tjwxec77 141 45 risk risk NN cord-017420-tjwxec77 141 46 of of IN cord-017420-tjwxec77 141 47 renal renal JJ cord-017420-tjwxec77 141 48 failure failure NN cord-017420-tjwxec77 141 49 with with IN cord-017420-tjwxec77 141 50 combination combination NN cord-017420-tjwxec77 141 51 therapy therapy NN cord-017420-tjwxec77 141 52 [ [ -LRB- cord-017420-tjwxec77 141 53 55 55 CD cord-017420-tjwxec77 141 54 , , , cord-017420-tjwxec77 141 55 56 56 CD cord-017420-tjwxec77 141 56 ] ] -RRB- cord-017420-tjwxec77 141 57 . . . cord-017420-tjwxec77 142 1 Accordingly accordingly RB cord-017420-tjwxec77 142 2 , , , cord-017420-tjwxec77 142 3 current current JJ cord-017420-tjwxec77 142 4 guidelines guideline NNS cord-017420-tjwxec77 142 5 for for IN cord-017420-tjwxec77 142 6 the the DT cord-017420-tjwxec77 142 7 management management NN cord-017420-tjwxec77 142 8 of of IN cord-017420-tjwxec77 142 9 neutropenic neutropenic JJ cord-017420-tjwxec77 142 10 fever fever NN cord-017420-tjwxec77 142 11 and and CC cord-017420-tjwxec77 142 12 sepsis sepsis NN cord-017420-tjwxec77 142 13 recommend recommend VBP cord-017420-tjwxec77 142 14 monotherapy monotherapy NN cord-017420-tjwxec77 142 15 with with IN cord-017420-tjwxec77 142 16 an an DT cord-017420-tjwxec77 142 17 antipseudomonal antipseudomonal JJ cord-017420-tjwxec77 142 18 beta beta NN cord-017420-tjwxec77 142 19 - - HYPH cord-017420-tjwxec77 142 20 lactam lactam NNS cord-017420-tjwxec77 142 21 unless unless IN cord-017420-tjwxec77 142 22 otherwise otherwise RB cord-017420-tjwxec77 142 23 dictated dictate VBN cord-017420-tjwxec77 142 24 by by IN cord-017420-tjwxec77 142 25 circumstances circumstance NNS cord-017420-tjwxec77 142 26 such such JJ cord-017420-tjwxec77 142 27 as as IN cord-017420-tjwxec77 142 28 patient patient JJ cord-017420-tjwxec77 142 29 allergies allergy NNS cord-017420-tjwxec77 142 30 , , , cord-017420-tjwxec77 142 31 the the DT cord-017420-tjwxec77 142 32 presence presence NN cord-017420-tjwxec77 142 33 of of IN cord-017420-tjwxec77 142 34 resistant resistant JJ cord-017420-tjwxec77 142 35 organisms organism NNS cord-017420-tjwxec77 142 36 , , , cord-017420-tjwxec77 142 37 or or CC cord-017420-tjwxec77 142 38 refractory refractory JJ cord-017420-tjwxec77 142 39 hemodynamic hemodynamic JJ cord-017420-tjwxec77 142 40 instability instability NN cord-017420-tjwxec77 142 41 [ [ -LRB- cord-017420-tjwxec77 142 42 28 28 CD cord-017420-tjwxec77 142 43 , , , cord-017420-tjwxec77 142 44 57 57 CD cord-017420-tjwxec77 142 45 , , , cord-017420-tjwxec77 142 46 61 61 CD cord-017420-tjwxec77 142 47 ] ] -RRB- cord-017420-tjwxec77 142 48 . . . cord-017420-tjwxec77 143 1 It -PRON- PRP cord-017420-tjwxec77 143 2 should should MD cord-017420-tjwxec77 143 3 be be VB cord-017420-tjwxec77 143 4 noted note VBN cord-017420-tjwxec77 143 5 , , , cord-017420-tjwxec77 143 6 however however RB cord-017420-tjwxec77 143 7 , , , cord-017420-tjwxec77 143 8 that that IN cord-017420-tjwxec77 143 9 this this DT cord-017420-tjwxec77 143 10 recommendation recommendation NN cord-017420-tjwxec77 143 11 does do VBZ cord-017420-tjwxec77 143 12 not not RB cord-017420-tjwxec77 143 13 preclude preclude VB cord-017420-tjwxec77 143 14 the the DT cord-017420-tjwxec77 143 15 use use NN cord-017420-tjwxec77 143 16 of of IN cord-017420-tjwxec77 143 17 vancomycin vancomycin NNS cord-017420-tjwxec77 143 18 or or CC cord-017420-tjwxec77 143 19 antifungals antifungal NNS cord-017420-tjwxec77 143 20 ; ; : cord-017420-tjwxec77 143 21 it -PRON- PRP cord-017420-tjwxec77 143 22 is be VBZ cord-017420-tjwxec77 143 23 only only RB cord-017420-tjwxec77 143 24 directed direct VBN cord-017420-tjwxec77 143 25 at at IN cord-017420-tjwxec77 143 26 combination combination NN cord-017420-tjwxec77 143 27 therapy therapy NN cord-017420-tjwxec77 143 28 targeted target VBN cord-017420-tjwxec77 143 29 against against IN cord-017420-tjwxec77 143 30 gram gram NN cord-017420-tjwxec77 143 31 - - HYPH cord-017420-tjwxec77 143 32 negative negative JJ cord-017420-tjwxec77 143 33 bacteria bacteria NNS cord-017420-tjwxec77 143 34 . . . cord-017420-tjwxec77 144 1 Even even RB cord-017420-tjwxec77 144 2 with with IN cord-017420-tjwxec77 144 3 appropriate appropriate JJ cord-017420-tjwxec77 144 4 antibiotics antibiotic NNS cord-017420-tjwxec77 144 5 , , , cord-017420-tjwxec77 144 6 fever fever NN cord-017420-tjwxec77 144 7 in in IN cord-017420-tjwxec77 144 8 neutropenic neutropenic JJ cord-017420-tjwxec77 144 9 patients patient NNS cord-017420-tjwxec77 144 10 typically typically RB cord-017420-tjwxec77 144 11 persists persist VBZ cord-017420-tjwxec77 144 12 for for IN cord-017420-tjwxec77 144 13 a a DT cord-017420-tjwxec77 144 14 median median NN cord-017420-tjwxec77 144 15 of of IN cord-017420-tjwxec77 144 16 5 5 CD cord-017420-tjwxec77 144 17 days day NNS cord-017420-tjwxec77 144 18 ; ; : cord-017420-tjwxec77 144 19 thus thus RB cord-017420-tjwxec77 144 20 , , , cord-017420-tjwxec77 144 21 ongoing ongoing JJ cord-017420-tjwxec77 144 22 fevers fever NNS cord-017420-tjwxec77 144 23 , , , cord-017420-tjwxec77 144 24 unless unless IN cord-017420-tjwxec77 144 25 accompanied accompany VBN cord-017420-tjwxec77 144 26 by by IN cord-017420-tjwxec77 144 27 clinical clinical JJ cord-017420-tjwxec77 144 28 instability instability NN cord-017420-tjwxec77 144 29 , , , cord-017420-tjwxec77 144 30 should should MD cord-017420-tjwxec77 144 31 not not RB cord-017420-tjwxec77 144 32 necessarily necessarily RB cord-017420-tjwxec77 144 33 be be VB cord-017420-tjwxec77 144 34 viewed view VBN cord-017420-tjwxec77 144 35 as as IN cord-017420-tjwxec77 144 36 evidence evidence NN cord-017420-tjwxec77 144 37 of of IN cord-017420-tjwxec77 144 38 failure failure NN cord-017420-tjwxec77 144 39 of of IN cord-017420-tjwxec77 144 40 antibiotic antibiotic JJ cord-017420-tjwxec77 144 41 therapy therapy NN cord-017420-tjwxec77 144 42 [ [ -LRB- cord-017420-tjwxec77 144 43 73 73 CD cord-017420-tjwxec77 144 44 ] ] -RRB- cord-017420-tjwxec77 144 45 . . . cord-017420-tjwxec77 145 1 In in IN cord-017420-tjwxec77 145 2 patients patient NNS cord-017420-tjwxec77 145 3 with with IN cord-017420-tjwxec77 145 4 persistent persistent JJ cord-017420-tjwxec77 145 5 or or CC cord-017420-tjwxec77 145 6 recurrent recurrent JJ cord-017420-tjwxec77 145 7 fevers fever NNS cord-017420-tjwxec77 145 8 after after IN cord-017420-tjwxec77 145 9 3 3 CD cord-017420-tjwxec77 145 10 - - SYM cord-017420-tjwxec77 145 11 5 5 CD cord-017420-tjwxec77 145 12 days day NNS cord-017420-tjwxec77 145 13 , , , cord-017420-tjwxec77 145 14 a a DT cord-017420-tjwxec77 145 15 modification modification NN cord-017420-tjwxec77 145 16 of of IN cord-017420-tjwxec77 145 17 antibiotic antibiotic JJ cord-017420-tjwxec77 145 18 regimen regimen NN cord-017420-tjwxec77 145 19 is be VBZ cord-017420-tjwxec77 145 20 reasonable reasonable JJ cord-017420-tjwxec77 145 21 , , , cord-017420-tjwxec77 145 22 especially especially RB cord-017420-tjwxec77 145 23 if if IN cord-017420-tjwxec77 145 24 guided guide VBN cord-017420-tjwxec77 145 25 by by IN cord-017420-tjwxec77 145 26 new new JJ cord-017420-tjwxec77 145 27 or or CC cord-017420-tjwxec77 145 28 changing change VBG cord-017420-tjwxec77 145 29 clinical clinical JJ cord-017420-tjwxec77 145 30 data datum NNS cord-017420-tjwxec77 145 31 . . . cord-017420-tjwxec77 146 1 Earlier early JJR cord-017420-tjwxec77 146 2 antibiotic antibiotic JJ cord-017420-tjwxec77 146 3 escalation escalation NN cord-017420-tjwxec77 146 4 is be VBZ cord-017420-tjwxec77 146 5 necessary necessary JJ cord-017420-tjwxec77 146 6 in in IN cord-017420-tjwxec77 146 7 some some DT cord-017420-tjwxec77 146 8 patients patient NNS cord-017420-tjwxec77 146 9 , , , cord-017420-tjwxec77 146 10 most most RBS cord-017420-tjwxec77 146 11 commonly commonly RB cord-017420-tjwxec77 146 12 in in IN cord-017420-tjwxec77 146 13 patients patient NNS cord-017420-tjwxec77 146 14 with with IN cord-017420-tjwxec77 146 15 hemodynamic hemodynamic JJ cord-017420-tjwxec77 146 16 instability instability NN cord-017420-tjwxec77 146 17 . . . cord-017420-tjwxec77 147 1 In in IN cord-017420-tjwxec77 147 2 the the DT cord-017420-tjwxec77 147 3 face face NN cord-017420-tjwxec77 147 4 of of IN cord-017420-tjwxec77 147 5 hemodynamic hemodynamic JJ cord-017420-tjwxec77 147 6 instability instability NN cord-017420-tjwxec77 147 7 , , , cord-017420-tjwxec77 147 8 vancomycin vancomycin NN cord-017420-tjwxec77 147 9 should should MD cord-017420-tjwxec77 147 10 be be VB cord-017420-tjwxec77 147 11 added add VBN cord-017420-tjwxec77 147 12 if if IN cord-017420-tjwxec77 147 13 not not RB cord-017420-tjwxec77 147 14 already already RB cord-017420-tjwxec77 147 15 part part NN cord-017420-tjwxec77 147 16 of of IN cord-017420-tjwxec77 147 17 the the DT cord-017420-tjwxec77 147 18 regimen regimen NN cord-017420-tjwxec77 147 19 . . . cord-017420-tjwxec77 148 1 Additionally additionally RB cord-017420-tjwxec77 148 2 , , , cord-017420-tjwxec77 148 3 antipseudomonal antipseudomonal JJ cord-017420-tjwxec77 148 4 cephalosporins cephalosporin NNS cord-017420-tjwxec77 148 5 or or CC cord-017420-tjwxec77 148 6 penicillins penicillin NNS cord-017420-tjwxec77 148 7 should should MD cord-017420-tjwxec77 148 8 be be VB cord-017420-tjwxec77 148 9 escalated escalate VBN cord-017420-tjwxec77 148 10 to to IN cord-017420-tjwxec77 148 11 a a DT cord-017420-tjwxec77 148 12 carbapenem carbapenem NN cord-017420-tjwxec77 148 13 ( ( -LRB- cord-017420-tjwxec77 148 14 e.g. e.g. RB cord-017420-tjwxec77 148 15 , , , cord-017420-tjwxec77 148 16 meropenem meropenem NNP cord-017420-tjwxec77 148 17 ) ) -RRB- cord-017420-tjwxec77 148 18 , , , cord-017420-tjwxec77 148 19 and and CC cord-017420-tjwxec77 148 20 strong strong JJ cord-017420-tjwxec77 148 21 consideration consideration NN cord-017420-tjwxec77 148 22 should should MD cord-017420-tjwxec77 148 23 be be VB cord-017420-tjwxec77 148 24 given give VBN cord-017420-tjwxec77 148 25 to to IN cord-017420-tjwxec77 148 26 the the DT cord-017420-tjwxec77 148 27 addition addition NN cord-017420-tjwxec77 148 28 of of IN cord-017420-tjwxec77 148 29 an an DT cord-017420-tjwxec77 148 30 aminoglycoside aminoglycoside NN cord-017420-tjwxec77 148 31 , , , cord-017420-tjwxec77 148 32 fluoroquinolone fluoroquinolone NN cord-017420-tjwxec77 148 33 , , , cord-017420-tjwxec77 148 34 or or CC cord-017420-tjwxec77 148 35 aztreonam aztreonam NNP cord-017420-tjwxec77 148 36 [ [ -LRB- cord-017420-tjwxec77 148 37 28 28 CD cord-017420-tjwxec77 148 38 , , , cord-017420-tjwxec77 148 39 33 33 CD cord-017420-tjwxec77 148 40 , , , cord-017420-tjwxec77 148 41 57 57 CD cord-017420-tjwxec77 148 42 , , , cord-017420-tjwxec77 148 43 61 61 CD cord-017420-tjwxec77 148 44 ] ] -RRB- cord-017420-tjwxec77 148 45 . . . cord-017420-tjwxec77 149 1 Drug drug NN cord-017420-tjwxec77 149 2 - - HYPH cord-017420-tjwxec77 149 3 resistant resistant JJ cord-017420-tjwxec77 149 4 and and CC cord-017420-tjwxec77 149 5 multidrug multidrug NN cord-017420-tjwxec77 149 6 - - HYPH cord-017420-tjwxec77 149 7 resistant resistant JJ cord-017420-tjwxec77 149 8 ( ( -LRB- cord-017420-tjwxec77 149 9 MDR MDR NNP cord-017420-tjwxec77 149 10 ) ) -RRB- cord-017420-tjwxec77 149 11 organisms organism NNS cord-017420-tjwxec77 149 12 are be VBP cord-017420-tjwxec77 149 13 an an DT cord-017420-tjwxec77 149 14 increasing increase VBG cord-017420-tjwxec77 149 15 problem problem NN cord-017420-tjwxec77 149 16 in in IN cord-017420-tjwxec77 149 17 neutropenic neutropenic JJ cord-017420-tjwxec77 149 18 infections infection NNS cord-017420-tjwxec77 149 19 [ [ -LRB- cord-017420-tjwxec77 149 20 26 26 CD cord-017420-tjwxec77 149 21 , , , cord-017420-tjwxec77 149 22 29 29 CD cord-017420-tjwxec77 149 23 , , , cord-017420-tjwxec77 149 24 50 50 CD cord-017420-tjwxec77 149 25 ] ] -RRB- cord-017420-tjwxec77 149 26 . . . cord-017420-tjwxec77 150 1 Vancomycin vancomycin NN cord-017420-tjwxec77 150 2 - - HYPH cord-017420-tjwxec77 150 3 resistant resistant JJ cord-017420-tjwxec77 150 4 enterococcus enterococcus NN cord-017420-tjwxec77 150 5 ( ( -LRB- cord-017420-tjwxec77 150 6 VRE VRE NNP cord-017420-tjwxec77 150 7 ) ) -RRB- cord-017420-tjwxec77 150 8 bacteremia bacteremia NN cord-017420-tjwxec77 150 9 affects affect VBZ cord-017420-tjwxec77 150 10 a a DT cord-017420-tjwxec77 150 11 substantial substantial JJ cord-017420-tjwxec77 150 12 portion portion NN cord-017420-tjwxec77 150 13 ( ( -LRB- cord-017420-tjwxec77 150 14 10 10 CD cord-017420-tjwxec77 150 15 - - SYM cord-017420-tjwxec77 150 16 35 35 CD cord-017420-tjwxec77 150 17 % % NN cord-017420-tjwxec77 150 18 ) ) -RRB- cord-017420-tjwxec77 150 19 of of IN cord-017420-tjwxec77 150 20 patients patient NNS cord-017420-tjwxec77 150 21 during during IN cord-017420-tjwxec77 150 22 induction induction NN cord-017420-tjwxec77 150 23 therapy therapy NN cord-017420-tjwxec77 150 24 for for IN cord-017420-tjwxec77 150 25 leukemia leukemia NN cord-017420-tjwxec77 150 26 or or CC cord-017420-tjwxec77 150 27 after after IN cord-017420-tjwxec77 150 28 HSCT HSCT NNP cord-017420-tjwxec77 150 29 and and CC cord-017420-tjwxec77 150 30 is be VBZ cord-017420-tjwxec77 150 31 associated associate VBN cord-017420-tjwxec77 150 32 with with IN cord-017420-tjwxec77 150 33 significantly significantly RB cord-017420-tjwxec77 150 34 worse bad JJR cord-017420-tjwxec77 150 35 outcomes outcome NNS cord-017420-tjwxec77 150 36 [ [ -LRB- cord-017420-tjwxec77 150 37 3 3 CD cord-017420-tjwxec77 150 38 , , , cord-017420-tjwxec77 150 39 53 53 CD cord-017420-tjwxec77 150 40 , , , cord-017420-tjwxec77 150 41 85 85 CD cord-017420-tjwxec77 150 42 ] ] -RRB- cord-017420-tjwxec77 150 43 . . . cord-017420-tjwxec77 151 1 Early early JJ cord-017420-tjwxec77 151 2 treatment treatment NN cord-017420-tjwxec77 151 3 with with IN cord-017420-tjwxec77 151 4 agents agent NNS cord-017420-tjwxec77 151 5 active active JJ cord-017420-tjwxec77 151 6 against against IN cord-017420-tjwxec77 151 7 VRE VRE NNP cord-017420-tjwxec77 151 8 such such JJ cord-017420-tjwxec77 151 9 as as IN cord-017420-tjwxec77 151 10 linezolid linezolid NNP cord-017420-tjwxec77 151 11 or or CC cord-017420-tjwxec77 151 12 daptomycin daptomycin NNS cord-017420-tjwxec77 151 13 may may MD cord-017420-tjwxec77 151 14 improve improve VB cord-017420-tjwxec77 151 15 outcomes outcome NNS cord-017420-tjwxec77 151 16 . . . cord-017420-tjwxec77 152 1 Predictive predictive JJ cord-017420-tjwxec77 152 2 models model NNS cord-017420-tjwxec77 152 3 are be VBP cord-017420-tjwxec77 152 4 being be VBG cord-017420-tjwxec77 152 5 developed develop VBN cord-017420-tjwxec77 152 6 to to TO cord-017420-tjwxec77 152 7 assist assist VB cord-017420-tjwxec77 152 8 with with IN cord-017420-tjwxec77 152 9 early early JJ cord-017420-tjwxec77 152 10 identification identification NN cord-017420-tjwxec77 152 11 of of IN cord-017420-tjwxec77 152 12 patients patient NNS cord-017420-tjwxec77 152 13 who who WP cord-017420-tjwxec77 152 14 might may MD cord-017420-tjwxec77 152 15 benefit benefit VB cord-017420-tjwxec77 152 16 from from IN cord-017420-tjwxec77 152 17 early early JJ cord-017420-tjwxec77 152 18 initiation initiation NN cord-017420-tjwxec77 152 19 of of IN cord-017420-tjwxec77 152 20 antibiotics antibiotic NNS cord-017420-tjwxec77 152 21 active active JJ cord-017420-tjwxec77 152 22 against against IN cord-017420-tjwxec77 152 23 VRE VRE NNP cord-017420-tjwxec77 152 24 [ [ -LRB- cord-017420-tjwxec77 152 25 83 83 CD cord-017420-tjwxec77 152 26 ] ] -RRB- cord-017420-tjwxec77 152 27 . . . cord-017420-tjwxec77 153 1 Similarly similarly RB cord-017420-tjwxec77 153 2 , , , cord-017420-tjwxec77 153 3 MDR MDR NNP cord-017420-tjwxec77 153 4 gram gram NN cord-017420-tjwxec77 153 5 - - HYPH cord-017420-tjwxec77 153 6 negative negative JJ cord-017420-tjwxec77 153 7 infections infection NNS cord-017420-tjwxec77 153 8 , , , cord-017420-tjwxec77 153 9 particularly particularly RB cord-017420-tjwxec77 153 10 carbapenem carbapenem NN cord-017420-tjwxec77 153 11 - - HYPH cord-017420-tjwxec77 153 12 resistant resistant JJ cord-017420-tjwxec77 153 13 Enterobacteriaceae Enterobacteriaceae NNP cord-017420-tjwxec77 153 14 , , , cord-017420-tjwxec77 153 15 are be VBP cord-017420-tjwxec77 153 16 associated associate VBN cord-017420-tjwxec77 153 17 with with IN cord-017420-tjwxec77 153 18 high high JJ cord-017420-tjwxec77 153 19 mortality mortality NN cord-017420-tjwxec77 153 20 rates rate NNS cord-017420-tjwxec77 153 21 , , , cord-017420-tjwxec77 153 22 especially especially RB cord-017420-tjwxec77 153 23 among among IN cord-017420-tjwxec77 153 24 allogeneic allogeneic IN cord-017420-tjwxec77 153 25 HSCT HSCT NNP cord-017420-tjwxec77 153 26 patients patient NNS cord-017420-tjwxec77 153 27 [ [ -LRB- cord-017420-tjwxec77 153 28 66 66 CD cord-017420-tjwxec77 153 29 ] ] -RRB- cord-017420-tjwxec77 153 30 . . . cord-017420-tjwxec77 154 1 Successful successful JJ cord-017420-tjwxec77 154 2 treatment treatment NN cord-017420-tjwxec77 154 3 of of IN cord-017420-tjwxec77 154 4 these these DT cord-017420-tjwxec77 154 5 infections infection NNS cord-017420-tjwxec77 154 6 requires require VBZ cord-017420-tjwxec77 154 7 early early JJ cord-017420-tjwxec77 154 8 use use NN cord-017420-tjwxec77 154 9 of of IN cord-017420-tjwxec77 154 10 multidrug multidrug NN cord-017420-tjwxec77 154 11 antibiotic antibiotic JJ cord-017420-tjwxec77 154 12 regimens regimen NNS cord-017420-tjwxec77 154 13 , , , cord-017420-tjwxec77 154 14 typically typically RB cord-017420-tjwxec77 154 15 including include VBG cord-017420-tjwxec77 154 16 aminoglycosides aminoglycoside NNS cord-017420-tjwxec77 154 17 , , , cord-017420-tjwxec77 154 18 carbapenems carbapenem NNS cord-017420-tjwxec77 154 19 , , , cord-017420-tjwxec77 154 20 and and CC cord-017420-tjwxec77 154 21 polymyxins polymyxin NNS cord-017420-tjwxec77 154 22 . . . cord-017420-tjwxec77 155 1 The the DT cord-017420-tjwxec77 155 2 use use NN cord-017420-tjwxec77 155 3 of of IN cord-017420-tjwxec77 155 4 surveillance surveillance NN cord-017420-tjwxec77 155 5 rectal rectal JJ cord-017420-tjwxec77 155 6 cultures culture NNS cord-017420-tjwxec77 155 7 , , , cord-017420-tjwxec77 155 8 performed perform VBN cord-017420-tjwxec77 155 9 pre pre NN cord-017420-tjwxec77 155 10 - - NN cord-017420-tjwxec77 155 11 transplant transplant NN cord-017420-tjwxec77 155 12 and and CC cord-017420-tjwxec77 155 13 then then RB cord-017420-tjwxec77 155 14 weekly weekly RB cord-017420-tjwxec77 155 15 after after IN cord-017420-tjwxec77 155 16 HSCT HSCT NNP cord-017420-tjwxec77 155 17 , , , cord-017420-tjwxec77 155 18 to to TO cord-017420-tjwxec77 155 19 identify identify VB cord-017420-tjwxec77 155 20 patients patient NNS cord-017420-tjwxec77 155 21 with with IN cord-017420-tjwxec77 155 22 MDR MDR NNP cord-017420-tjwxec77 155 23 infections infection NNS cord-017420-tjwxec77 155 24 and and CC cord-017420-tjwxec77 155 25 allow allow VB cord-017420-tjwxec77 155 26 immediate immediate JJ cord-017420-tjwxec77 155 27 initiation initiation NN cord-017420-tjwxec77 155 28 of of IN cord-017420-tjwxec77 155 29 antibiotic antibiotic JJ cord-017420-tjwxec77 155 30 therapy therapy NN cord-017420-tjwxec77 155 31 targeted target VBN cord-017420-tjwxec77 155 32 against against IN cord-017420-tjwxec77 155 33 MDR MDR NNP cord-017420-tjwxec77 155 34 organisms organism NNS cord-017420-tjwxec77 155 35 may may MD cord-017420-tjwxec77 155 36 result result VB cord-017420-tjwxec77 155 37 in in IN cord-017420-tjwxec77 155 38 better well JJR cord-017420-tjwxec77 155 39 outcomes outcome NNS cord-017420-tjwxec77 155 40 [ [ -LRB- cord-017420-tjwxec77 155 41 26 26 CD cord-017420-tjwxec77 155 42 ] ] -RRB- cord-017420-tjwxec77 155 43 . . . cord-017420-tjwxec77 156 1 Fungal fungal JJ cord-017420-tjwxec77 156 2 pathogens pathogen NNS cord-017420-tjwxec77 156 3 are be VBP cord-017420-tjwxec77 156 4 a a DT cord-017420-tjwxec77 156 5 constant constant JJ cord-017420-tjwxec77 156 6 threat threat NN cord-017420-tjwxec77 156 7 in in IN cord-017420-tjwxec77 156 8 neutropenic neutropenic JJ cord-017420-tjwxec77 156 9 patients patient NNS cord-017420-tjwxec77 156 10 , , , cord-017420-tjwxec77 156 11 and and CC cord-017420-tjwxec77 156 12 consideration consideration NN cord-017420-tjwxec77 156 13 must must MD cord-017420-tjwxec77 156 14 be be VB cord-017420-tjwxec77 156 15 given give VBN cord-017420-tjwxec77 156 16 to to IN cord-017420-tjwxec77 156 17 the the DT cord-017420-tjwxec77 156 18 use use NN cord-017420-tjwxec77 156 19 of of IN cord-017420-tjwxec77 156 20 antifungal antifungal JJ cord-017420-tjwxec77 156 21 agents agent NNS cord-017420-tjwxec77 156 22 in in IN cord-017420-tjwxec77 156 23 all all DT cord-017420-tjwxec77 156 24 patients patient NNS cord-017420-tjwxec77 156 25 with with IN cord-017420-tjwxec77 156 26 neutropenic neutropenic JJ cord-017420-tjwxec77 156 27 fever fever NN cord-017420-tjwxec77 156 28 . . . cord-017420-tjwxec77 157 1 In in IN cord-017420-tjwxec77 157 2 general general JJ cord-017420-tjwxec77 157 3 , , , cord-017420-tjwxec77 157 4 antifungal antifungal JJ cord-017420-tjwxec77 157 5 therapy therapy NN cord-017420-tjwxec77 157 6 should should MD cord-017420-tjwxec77 157 7 be be VB cord-017420-tjwxec77 157 8 initiated initiate VBN cord-017420-tjwxec77 157 9 in in IN cord-017420-tjwxec77 157 10 the the DT cord-017420-tjwxec77 157 11 setting setting NN cord-017420-tjwxec77 157 12 of of IN cord-017420-tjwxec77 157 13 persistent persistent JJ cord-017420-tjwxec77 157 14 fever fever NN cord-017420-tjwxec77 157 15 after after IN cord-017420-tjwxec77 157 16 5 5 CD cord-017420-tjwxec77 157 17 - - SYM cord-017420-tjwxec77 157 18 7 7 CD cord-017420-tjwxec77 157 19 days day NNS cord-017420-tjwxec77 157 20 of of IN cord-017420-tjwxec77 157 21 appropriate appropriate JJ cord-017420-tjwxec77 157 22 antibacterials antibacterial NNS cord-017420-tjwxec77 157 23 [ [ -LRB- cord-017420-tjwxec77 157 24 28 28 CD cord-017420-tjwxec77 157 25 , , , cord-017420-tjwxec77 157 26 33 33 CD cord-017420-tjwxec77 157 27 ] ] -RRB- cord-017420-tjwxec77 157 28 . . . cord-017420-tjwxec77 158 1 Appropriate appropriate JJ cord-017420-tjwxec77 158 2 antifungals antifungal NNS cord-017420-tjwxec77 158 3 should should MD cord-017420-tjwxec77 158 4 have have VB cord-017420-tjwxec77 158 5 activity activity NN cord-017420-tjwxec77 158 6 against against IN cord-017420-tjwxec77 158 7 molds mold NNS cord-017420-tjwxec77 158 8 , , , cord-017420-tjwxec77 158 9 especially especially RB cord-017420-tjwxec77 158 10 aspergillosis aspergillosis NN cord-017420-tjwxec77 158 11 ; ; : cord-017420-tjwxec77 158 12 examples example NNS cord-017420-tjwxec77 158 13 include include VBP cord-017420-tjwxec77 158 14 liposomal liposomal IN cord-017420-tjwxec77 158 15 amphotericin amphotericin NNS cord-017420-tjwxec77 158 16 , , , cord-017420-tjwxec77 158 17 caspofungin caspofungin NNP cord-017420-tjwxec77 158 18 , , , cord-017420-tjwxec77 158 19 and and CC cord-017420-tjwxec77 158 20 voriconazole voriconazole NNP cord-017420-tjwxec77 158 21 , , , cord-017420-tjwxec77 158 22 though though IN cord-017420-tjwxec77 158 23 the the DT cord-017420-tjwxec77 158 24 data datum NNS cord-017420-tjwxec77 158 25 are be VBP cord-017420-tjwxec77 158 26 more more RBR cord-017420-tjwxec77 158 27 robust robust JJ cord-017420-tjwxec77 158 28 in in IN cord-017420-tjwxec77 158 29 favor favor NN cord-017420-tjwxec77 158 30 of of IN cord-017420-tjwxec77 158 31 the the DT cord-017420-tjwxec77 158 32 former former JJ cord-017420-tjwxec77 158 33 two two CD cord-017420-tjwxec77 158 34 [ [ -LRB- cord-017420-tjwxec77 158 35 33 33 CD cord-017420-tjwxec77 158 36 , , , cord-017420-tjwxec77 158 37 81 81 CD cord-017420-tjwxec77 158 38 , , , cord-017420-tjwxec77 158 39 82 82 CD cord-017420-tjwxec77 158 40 ] ] -RRB- cord-017420-tjwxec77 158 41 . . . cord-017420-tjwxec77 159 1 Fluconazole fluconazole NN cord-017420-tjwxec77 159 2 should should MD cord-017420-tjwxec77 159 3 not not RB cord-017420-tjwxec77 159 4 be be VB cord-017420-tjwxec77 159 5 used use VBN cord-017420-tjwxec77 159 6 as as IN cord-017420-tjwxec77 159 7 empiric empiric JJ cord-017420-tjwxec77 159 8 therapy therapy NN cord-017420-tjwxec77 159 9 . . . cord-017420-tjwxec77 160 1 An an DT cord-017420-tjwxec77 160 2 increasing increase VBG cord-017420-tjwxec77 160 3 number number NN cord-017420-tjwxec77 160 4 of of IN cord-017420-tjwxec77 160 5 neutropenic neutropenic JJ cord-017420-tjwxec77 160 6 patients patient NNS cord-017420-tjwxec77 160 7 are be VBP cord-017420-tjwxec77 160 8 on on IN cord-017420-tjwxec77 160 9 antifungal antifungal JJ cord-017420-tjwxec77 160 10 prophylaxis prophylaxis NN cord-017420-tjwxec77 160 11 with with IN cord-017420-tjwxec77 160 12 voriconazole voriconazole NN cord-017420-tjwxec77 160 13 prior prior RB cord-017420-tjwxec77 160 14 to to IN cord-017420-tjwxec77 160 15 developing develop VBG cord-017420-tjwxec77 160 16 fever fever NN cord-017420-tjwxec77 160 17 ; ; : cord-017420-tjwxec77 160 18 the the DT cord-017420-tjwxec77 160 19 utility utility NN cord-017420-tjwxec77 160 20 of of IN cord-017420-tjwxec77 160 21 changing change VBG cord-017420-tjwxec77 160 22 antifungal antifungal JJ cord-017420-tjwxec77 160 23 agents agent NNS cord-017420-tjwxec77 160 24 upon upon IN cord-017420-tjwxec77 160 25 fever fever NN cord-017420-tjwxec77 160 26 development development NN cord-017420-tjwxec77 160 27 in in IN cord-017420-tjwxec77 160 28 this this DT cord-017420-tjwxec77 160 29 setting setting NN cord-017420-tjwxec77 160 30 is be VBZ cord-017420-tjwxec77 160 31 unclear unclear JJ cord-017420-tjwxec77 160 32 . . . cord-017420-tjwxec77 161 1 Antifungals antifungal NNS cord-017420-tjwxec77 161 2 should should MD cord-017420-tjwxec77 161 3 be be VB cord-017420-tjwxec77 161 4 strongly strongly RB cord-017420-tjwxec77 161 5 considered consider VBN cord-017420-tjwxec77 161 6 as as IN cord-017420-tjwxec77 161 7 early early JJ cord-017420-tjwxec77 161 8 therapy therapy NN cord-017420-tjwxec77 161 9 in in IN cord-017420-tjwxec77 161 10 all all DT cord-017420-tjwxec77 161 11 patients patient NNS cord-017420-tjwxec77 161 12 who who WP cord-017420-tjwxec77 161 13 are be VBP cord-017420-tjwxec77 161 14 hemodynamically hemodynamically RB cord-017420-tjwxec77 161 15 unstable unstable JJ cord-017420-tjwxec77 161 16 [ [ -LRB- cord-017420-tjwxec77 161 17 28 28 CD cord-017420-tjwxec77 161 18 , , , cord-017420-tjwxec77 161 19 33 33 CD cord-017420-tjwxec77 161 20 ] ] -RRB- cord-017420-tjwxec77 161 21 . . . cord-017420-tjwxec77 162 1 With with IN cord-017420-tjwxec77 162 2 the the DT cord-017420-tjwxec77 162 3 advent advent NN cord-017420-tjwxec77 162 4 of of IN cord-017420-tjwxec77 162 5 multidrug multidrug NN cord-017420-tjwxec77 162 6 - - HYPH cord-017420-tjwxec77 162 7 resistant resistant JJ cord-017420-tjwxec77 162 8 organisms organism NNS cord-017420-tjwxec77 162 9 , , , cord-017420-tjwxec77 162 10 antibiotic antibiotic JJ cord-017420-tjwxec77 162 11 stewardship stewardship NN cord-017420-tjwxec77 162 12 is be VBZ cord-017420-tjwxec77 162 13 increasingly increasingly RB cord-017420-tjwxec77 162 14 important important JJ cord-017420-tjwxec77 162 15 , , , cord-017420-tjwxec77 162 16 even even RB cord-017420-tjwxec77 162 17 in in IN cord-017420-tjwxec77 162 18 neutropenic neutropenic JJ cord-017420-tjwxec77 162 19 patients patient NNS cord-017420-tjwxec77 162 20 . . . cord-017420-tjwxec77 163 1 The the DT cord-017420-tjwxec77 163 2 optimum optimum JJ cord-017420-tjwxec77 163 3 duration duration NN cord-017420-tjwxec77 163 4 of of IN cord-017420-tjwxec77 163 5 antimicrobial antimicrobial JJ cord-017420-tjwxec77 163 6 therapy therapy NN cord-017420-tjwxec77 163 7 in in IN cord-017420-tjwxec77 163 8 the the DT cord-017420-tjwxec77 163 9 neutropenic neutropenic JJ cord-017420-tjwxec77 163 10 patient patient NN cord-017420-tjwxec77 163 11 and and CC cord-017420-tjwxec77 163 12 whether whether IN cord-017420-tjwxec77 163 13 antimicrobials antimicrobial NNS cord-017420-tjwxec77 163 14 may may MD cord-017420-tjwxec77 163 15 be be VB cord-017420-tjwxec77 163 16 safely safely RB cord-017420-tjwxec77 163 17 de de VBN cord-017420-tjwxec77 163 18 - - VBN cord-017420-tjwxec77 163 19 escalated escalate VBN cord-017420-tjwxec77 163 20 in in IN cord-017420-tjwxec77 163 21 the the DT cord-017420-tjwxec77 163 22 face face NN cord-017420-tjwxec77 163 23 of of IN cord-017420-tjwxec77 163 24 clinical clinical JJ cord-017420-tjwxec77 163 25 stability stability NN cord-017420-tjwxec77 163 26 are be VBP cord-017420-tjwxec77 163 27 ongoing ongoing JJ cord-017420-tjwxec77 163 28 areas area NNS cord-017420-tjwxec77 163 29 of of IN cord-017420-tjwxec77 163 30 investigation investigation NN cord-017420-tjwxec77 163 31 . . . cord-017420-tjwxec77 164 1 One one CD cord-017420-tjwxec77 164 2 randomized randomize VBN cord-017420-tjwxec77 164 3 controlled control VBN cord-017420-tjwxec77 164 4 trial trial NN cord-017420-tjwxec77 164 5 suggests suggest VBZ cord-017420-tjwxec77 164 6 that that IN cord-017420-tjwxec77 164 7 empiric empiric JJ cord-017420-tjwxec77 164 8 antibiotics antibiotic NNS cord-017420-tjwxec77 164 9 may may MD cord-017420-tjwxec77 164 10 be be VB cord-017420-tjwxec77 164 11 safely safely RB cord-017420-tjwxec77 164 12 discontinued discontinue VBN cord-017420-tjwxec77 164 13 after after IN cord-017420-tjwxec77 164 14 a a DT cord-017420-tjwxec77 164 15 patient patient NN cord-017420-tjwxec77 164 16 has have VBZ cord-017420-tjwxec77 164 17 defervesced defervesce VBN cord-017420-tjwxec77 164 18 and and CC cord-017420-tjwxec77 164 19 remained remain VBD cord-017420-tjwxec77 164 20 afebrile afebrile JJ cord-017420-tjwxec77 164 21 for for IN cord-017420-tjwxec77 164 22 72 72 CD cord-017420-tjwxec77 164 23 h h NN cord-017420-tjwxec77 164 24 , , , cord-017420-tjwxec77 164 25 regardless regardless RB cord-017420-tjwxec77 164 26 of of IN cord-017420-tjwxec77 164 27 whether whether IN cord-017420-tjwxec77 164 28 neutrophil neutrophil NN cord-017420-tjwxec77 164 29 recovery recovery NN cord-017420-tjwxec77 164 30 has have VBZ cord-017420-tjwxec77 164 31 occurred occur VBN cord-017420-tjwxec77 164 32 [ [ -LRB- cord-017420-tjwxec77 164 33 2 2 CD cord-017420-tjwxec77 164 34 ] ] -RRB- cord-017420-tjwxec77 164 35 . . . cord-017420-tjwxec77 165 1 Another another DT cord-017420-tjwxec77 165 2 recent recent JJ cord-017420-tjwxec77 165 3 paper paper NN cord-017420-tjwxec77 165 4 suggested suggest VBD cord-017420-tjwxec77 165 5 that that IN cord-017420-tjwxec77 165 6 it -PRON- PRP cord-017420-tjwxec77 165 7 is be VBZ cord-017420-tjwxec77 165 8 safe safe JJ cord-017420-tjwxec77 165 9 to to TO cord-017420-tjwxec77 165 10 withhold withhold VB cord-017420-tjwxec77 165 11 antibacterial antibacterial JJ cord-017420-tjwxec77 165 12 therapy therapy NN cord-017420-tjwxec77 165 13 in in IN cord-017420-tjwxec77 165 14 children child NNS cord-017420-tjwxec77 165 15 with with IN cord-017420-tjwxec77 165 16 neutropenic neutropenic JJ cord-017420-tjwxec77 165 17 fever fever NN cord-017420-tjwxec77 165 18 in in IN cord-017420-tjwxec77 165 19 whom whom WP cord-017420-tjwxec77 165 20 infection infection NN cord-017420-tjwxec77 165 21 with with IN cord-017420-tjwxec77 165 22 a a DT cord-017420-tjwxec77 165 23 respiratory respiratory JJ cord-017420-tjwxec77 165 24 virus virus NN cord-017420-tjwxec77 165 25 has have VBZ cord-017420-tjwxec77 165 26 been be VBN cord-017420-tjwxec77 165 27 proven prove VBN cord-017420-tjwxec77 165 28 [ [ -LRB- cord-017420-tjwxec77 165 29 65 65 CD cord-017420-tjwxec77 165 30 ] ] -RRB- cord-017420-tjwxec77 165 31 . . . cord-017420-tjwxec77 166 1 Neither neither DT cord-017420-tjwxec77 166 2 of of IN cord-017420-tjwxec77 166 3 these these DT cord-017420-tjwxec77 166 4 tactics tactic NNS cord-017420-tjwxec77 166 5 has have VBZ cord-017420-tjwxec77 166 6 become become VBN cord-017420-tjwxec77 166 7 standard standard NN cord-017420-tjwxec77 166 8 of of IN cord-017420-tjwxec77 166 9 care care NN cord-017420-tjwxec77 166 10 , , , cord-017420-tjwxec77 166 11 but but CC cord-017420-tjwxec77 166 12 both both DT cord-017420-tjwxec77 166 13 highlight highlight VBP cord-017420-tjwxec77 166 14 the the DT cord-017420-tjwxec77 166 15 increasingly increasingly RB cord-017420-tjwxec77 166 16 realized realize VBN cord-017420-tjwxec77 166 17 importance importance NN cord-017420-tjwxec77 166 18 of of IN cord-017420-tjwxec77 166 19 antibiotic antibiotic JJ cord-017420-tjwxec77 166 20 stewardship stewardship NN cord-017420-tjwxec77 166 21 , , , cord-017420-tjwxec77 166 22 even even RB cord-017420-tjwxec77 166 23 in in IN cord-017420-tjwxec77 166 24 neutropenic neutropenic JJ cord-017420-tjwxec77 166 25 patients patient NNS cord-017420-tjwxec77 166 26 . . . cord-017420-tjwxec77 167 1 Hematopoietic hematopoietic JJ cord-017420-tjwxec77 167 2 growth growth NN cord-017420-tjwxec77 167 3 factors factor NNS cord-017420-tjwxec77 167 4 may may MD cord-017420-tjwxec77 167 5 be be VB cord-017420-tjwxec77 167 6 considered consider VBN cord-017420-tjwxec77 167 7 in in IN cord-017420-tjwxec77 167 8 select select JJ cord-017420-tjwxec77 167 9 cases case NNS cord-017420-tjwxec77 167 10 of of IN cord-017420-tjwxec77 167 11 neutropenic neutropenic JJ cord-017420-tjwxec77 167 12 fever fever NN cord-017420-tjwxec77 167 13 , , , cord-017420-tjwxec77 167 14 as as IN cord-017420-tjwxec77 167 15 they -PRON- PRP cord-017420-tjwxec77 167 16 have have VBP cord-017420-tjwxec77 167 17 been be VBN cord-017420-tjwxec77 167 18 shown show VBN cord-017420-tjwxec77 167 19 to to TO cord-017420-tjwxec77 167 20 shorten shorten VB cord-017420-tjwxec77 167 21 the the DT cord-017420-tjwxec77 167 22 duration duration NN cord-017420-tjwxec77 167 23 of of IN cord-017420-tjwxec77 167 24 neutropenia neutropenia NN cord-017420-tjwxec77 167 25 , , , cord-017420-tjwxec77 167 26 but but CC cord-017420-tjwxec77 167 27 do do VBP cord-017420-tjwxec77 167 28 not not RB cord-017420-tjwxec77 167 29 impact impact VB cord-017420-tjwxec77 167 30 mortality mortality NN cord-017420-tjwxec77 167 31 [ [ -LRB- cord-017420-tjwxec77 167 32 22 22 CD cord-017420-tjwxec77 167 33 ] ] -RRB- cord-017420-tjwxec77 167 34 . . . cord-017420-tjwxec77 168 1 According accord VBG cord-017420-tjwxec77 168 2 , , , cord-017420-tjwxec77 168 3 due due IN cord-017420-tjwxec77 168 4 to to IN cord-017420-tjwxec77 168 5 a a DT cord-017420-tjwxec77 168 6 lack lack NN cord-017420-tjwxec77 168 7 of of IN cord-017420-tjwxec77 168 8 proven prove VBN cord-017420-tjwxec77 168 9 mortality mortality NN cord-017420-tjwxec77 168 10 benefit benefit NN cord-017420-tjwxec77 168 11 , , , cord-017420-tjwxec77 168 12 current current JJ cord-017420-tjwxec77 168 13 guidelines guideline NNS cord-017420-tjwxec77 168 14 recommend recommend VBP cord-017420-tjwxec77 168 15 against against IN cord-017420-tjwxec77 168 16 the the DT cord-017420-tjwxec77 168 17 routine routine JJ cord-017420-tjwxec77 168 18 use use NN cord-017420-tjwxec77 168 19 of of IN cord-017420-tjwxec77 168 20 hematopoietic hematopoietic JJ cord-017420-tjwxec77 168 21 growth growth NN cord-017420-tjwxec77 168 22 factors factor NNS cord-017420-tjwxec77 168 23 in in IN cord-017420-tjwxec77 168 24 neutropenic neutropenic JJ cord-017420-tjwxec77 168 25 fever fever NN cord-017420-tjwxec77 168 26 or or CC cord-017420-tjwxec77 168 27 neutropenic neutropenic JJ cord-017420-tjwxec77 168 28 sepsis sepsis NN cord-017420-tjwxec77 168 29 [ [ -LRB- cord-017420-tjwxec77 168 30 29 29 CD cord-017420-tjwxec77 168 31 , , , cord-017420-tjwxec77 168 32 72 72 CD cord-017420-tjwxec77 168 33 ] ] -RRB- cord-017420-tjwxec77 168 34 . . . cord-017420-tjwxec77 169 1 Granulocyte granulocyte NN cord-017420-tjwxec77 169 2 transfusions transfusion NNS cord-017420-tjwxec77 169 3 have have VBP cord-017420-tjwxec77 169 4 been be VBN cord-017420-tjwxec77 169 5 used use VBN cord-017420-tjwxec77 169 6 to to TO cord-017420-tjwxec77 169 7 support support VB cord-017420-tjwxec77 169 8 patients patient NNS cord-017420-tjwxec77 169 9 with with IN cord-017420-tjwxec77 169 10 neutropenia neutropenia NN cord-017420-tjwxec77 169 11 , , , cord-017420-tjwxec77 169 12 both both DT cord-017420-tjwxec77 169 13 to to TO cord-017420-tjwxec77 169 14 prevent prevent VB cord-017420-tjwxec77 169 15 infections infection NNS cord-017420-tjwxec77 169 16 and and CC cord-017420-tjwxec77 169 17 to to TO cord-017420-tjwxec77 169 18 help help VB cord-017420-tjwxec77 169 19 treat treat VB cord-017420-tjwxec77 169 20 established established JJ cord-017420-tjwxec77 169 21 infections infection NNS cord-017420-tjwxec77 169 22 . . . cord-017420-tjwxec77 170 1 Very very RB cord-017420-tjwxec77 170 2 few few JJ cord-017420-tjwxec77 170 3 studies study NNS cord-017420-tjwxec77 170 4 have have VBP cord-017420-tjwxec77 170 5 been be VBN cord-017420-tjwxec77 170 6 performed perform VBN cord-017420-tjwxec77 170 7 to to TO cord-017420-tjwxec77 170 8 evaluate evaluate VB cord-017420-tjwxec77 170 9 this this DT cord-017420-tjwxec77 170 10 intervention intervention NN cord-017420-tjwxec77 170 11 , , , cord-017420-tjwxec77 170 12 and and CC cord-017420-tjwxec77 170 13 those those DT cord-017420-tjwxec77 170 14 studies study NNS cord-017420-tjwxec77 170 15 that that WDT cord-017420-tjwxec77 170 16 are be VBP cord-017420-tjwxec77 170 17 available available JJ cord-017420-tjwxec77 170 18 are be VBP cord-017420-tjwxec77 170 19 small small JJ cord-017420-tjwxec77 170 20 . . . cord-017420-tjwxec77 171 1 Two two CD cord-017420-tjwxec77 171 2 recent recent JJ cord-017420-tjwxec77 171 3 Cochrane Cochrane NNP cord-017420-tjwxec77 171 4 metaanalyses metaanalyse NNS cord-017420-tjwxec77 171 5 have have VBP cord-017420-tjwxec77 171 6 examined examine VBN cord-017420-tjwxec77 171 7 the the DT cord-017420-tjwxec77 171 8 use use NN cord-017420-tjwxec77 171 9 of of IN cord-017420-tjwxec77 171 10 granulocyte granulocyte NN cord-017420-tjwxec77 171 11 transfusions transfusion NNS cord-017420-tjwxec77 171 12 in in IN cord-017420-tjwxec77 171 13 neutropenic neutropenic JJ cord-017420-tjwxec77 171 14 patients patient NNS cord-017420-tjwxec77 171 15 to to TO cord-017420-tjwxec77 171 16 prevent prevent VB cord-017420-tjwxec77 171 17 and and CC cord-017420-tjwxec77 171 18 treat treat VB cord-017420-tjwxec77 171 19 infections infection NNS cord-017420-tjwxec77 171 20 , , , cord-017420-tjwxec77 171 21 respectively respectively RB cord-017420-tjwxec77 171 22 . . . cord-017420-tjwxec77 172 1 Both both DT cord-017420-tjwxec77 172 2 concluded conclude VBD cord-017420-tjwxec77 172 3 that that IN cord-017420-tjwxec77 172 4 there there EX cord-017420-tjwxec77 172 5 was be VBD cord-017420-tjwxec77 172 6 insufficient insufficient JJ cord-017420-tjwxec77 172 7 evidence evidence NN cord-017420-tjwxec77 172 8 to to TO cord-017420-tjwxec77 172 9 determine determine VB cord-017420-tjwxec77 172 10 whether whether IN cord-017420-tjwxec77 172 11 granulocyte granulocyte NN cord-017420-tjwxec77 172 12 transfusions transfusion NNS cord-017420-tjwxec77 172 13 conferred confer VBD cord-017420-tjwxec77 172 14 any any DT cord-017420-tjwxec77 172 15 mortality mortality NN cord-017420-tjwxec77 172 16 benefit benefit NN cord-017420-tjwxec77 172 17 [ [ -LRB- cord-017420-tjwxec77 172 18 24 24 CD cord-017420-tjwxec77 172 19 , , , cord-017420-tjwxec77 172 20 25 25 CD cord-017420-tjwxec77 172 21 ] ] -RRB- cord-017420-tjwxec77 172 22 . . . cord-017420-tjwxec77 173 1 Early early JJ cord-017420-tjwxec77 173 2 and and CC cord-017420-tjwxec77 173 3 appropriate appropriate JJ cord-017420-tjwxec77 173 4 administration administration NN cord-017420-tjwxec77 173 5 of of IN cord-017420-tjwxec77 173 6 antimicrobials antimicrobial NNS cord-017420-tjwxec77 173 7 is be VBZ cord-017420-tjwxec77 173 8 essential essential JJ cord-017420-tjwxec77 173 9 to to IN cord-017420-tjwxec77 173 10 preventing prevent VBG cord-017420-tjwxec77 173 11 death death NN cord-017420-tjwxec77 173 12 from from IN cord-017420-tjwxec77 173 13 neutropenic neutropenic JJ cord-017420-tjwxec77 173 14 fever fever NN cord-017420-tjwxec77 173 15 and and CC cord-017420-tjwxec77 173 16 neutropenic neutropenic JJ cord-017420-tjwxec77 173 17 sepsis sepsis NN cord-017420-tjwxec77 173 18 . . . cord-017420-tjwxec77 174 1 Good good JJ cord-017420-tjwxec77 174 2 outcomes outcome NNS cord-017420-tjwxec77 174 3 also also RB cord-017420-tjwxec77 174 4 depend depend VBP cord-017420-tjwxec77 174 5 on on IN cord-017420-tjwxec77 174 6 successfully successfully RB cord-017420-tjwxec77 174 7 managing manage VBG cord-017420-tjwxec77 174 8 the the DT cord-017420-tjwxec77 174 9 hemodynamic hemodynamic JJ cord-017420-tjwxec77 174 10 derangements derangement NNS cord-017420-tjwxec77 174 11 and and CC cord-017420-tjwxec77 174 12 organ organ NN cord-017420-tjwxec77 174 13 failure failure NN cord-017420-tjwxec77 174 14 of of IN cord-017420-tjwxec77 174 15 sepsis sepsis NN cord-017420-tjwxec77 174 16 . . . cord-017420-tjwxec77 175 1 The the DT cord-017420-tjwxec77 175 2 intensive intensive JJ cord-017420-tjwxec77 175 3 care care NN cord-017420-tjwxec77 175 4 unit unit NN cord-017420-tjwxec77 175 5 ( ( -LRB- cord-017420-tjwxec77 175 6 ICU ICU NNP cord-017420-tjwxec77 175 7 ) ) -RRB- cord-017420-tjwxec77 175 8 is be VBZ cord-017420-tjwxec77 175 9 the the DT cord-017420-tjwxec77 175 10 bestsuited bestsuited JJ cord-017420-tjwxec77 175 11 location location NN cord-017420-tjwxec77 175 12 to to TO cord-017420-tjwxec77 175 13 care care VB cord-017420-tjwxec77 175 14 for for IN cord-017420-tjwxec77 175 15 neutropenic neutropenic JJ cord-017420-tjwxec77 175 16 patients patient NNS cord-017420-tjwxec77 175 17 with with IN cord-017420-tjwxec77 175 18 sepsis sepsis NN cord-017420-tjwxec77 175 19 and and CC cord-017420-tjwxec77 175 20 septic septic JJ cord-017420-tjwxec77 175 21 shock shock NN cord-017420-tjwxec77 175 22 , , , cord-017420-tjwxec77 175 23 and and CC cord-017420-tjwxec77 175 24 earlier early JJR cord-017420-tjwxec77 175 25 ICU ICU NNP cord-017420-tjwxec77 175 26 admission admission NN cord-017420-tjwxec77 175 27 has have VBZ cord-017420-tjwxec77 175 28 been be VBN cord-017420-tjwxec77 175 29 associated associate VBN cord-017420-tjwxec77 175 30 with with IN cord-017420-tjwxec77 175 31 improved improved JJ cord-017420-tjwxec77 175 32 survival survival NN cord-017420-tjwxec77 175 33 rates rate NNS cord-017420-tjwxec77 175 34 [ [ -LRB- cord-017420-tjwxec77 175 35 7 7 CD cord-017420-tjwxec77 175 36 , , , cord-017420-tjwxec77 175 37 9 9 CD cord-017420-tjwxec77 175 38 ] ] -RRB- cord-017420-tjwxec77 175 39 . . . cord-017420-tjwxec77 176 1 Recent recent JJ cord-017420-tjwxec77 176 2 guidelines guideline NNS cord-017420-tjwxec77 176 3 have have VBP cord-017420-tjwxec77 176 4 been be VBN cord-017420-tjwxec77 176 5 published publish VBN cord-017420-tjwxec77 176 6 for for IN cord-017420-tjwxec77 176 7 the the DT cord-017420-tjwxec77 176 8 management management NN cord-017420-tjwxec77 176 9 of of IN cord-017420-tjwxec77 176 10 sepsis sepsis NN cord-017420-tjwxec77 176 11 and and CC cord-017420-tjwxec77 176 12 septic septic JJ cord-017420-tjwxec77 176 13 shock shock NN cord-017420-tjwxec77 176 14 [ [ -LRB- cord-017420-tjwxec77 176 15 61 61 CD cord-017420-tjwxec77 176 16 ] ] -RRB- cord-017420-tjwxec77 176 17 ; ; : cord-017420-tjwxec77 176 18 these these DT cord-017420-tjwxec77 176 19 guidelines guideline NNS cord-017420-tjwxec77 176 20 are be VBP cord-017420-tjwxec77 176 21 also also RB cord-017420-tjwxec77 176 22 applicable applicable JJ cord-017420-tjwxec77 176 23 to to IN cord-017420-tjwxec77 176 24 the the DT cord-017420-tjwxec77 176 25 management management NN cord-017420-tjwxec77 176 26 of of IN cord-017420-tjwxec77 176 27 neutropenic neutropenic JJ cord-017420-tjwxec77 176 28 sepsis sepsis NN cord-017420-tjwxec77 176 29 . . . cord-017420-tjwxec77 177 1 Key key JJ cord-017420-tjwxec77 177 2 points point NNS cord-017420-tjwxec77 177 3 include include VBP cord-017420-tjwxec77 177 4 initial initial JJ cord-017420-tjwxec77 177 5 resuscitation resuscitation NN cord-017420-tjwxec77 177 6 with with IN cord-017420-tjwxec77 177 7 at at RB cord-017420-tjwxec77 177 8 least least RBS cord-017420-tjwxec77 177 9 30 30 CD cord-017420-tjwxec77 177 10 ml ml NN cord-017420-tjwxec77 177 11 / / SYM cord-017420-tjwxec77 177 12 kg kg NNS cord-017420-tjwxec77 177 13 of of IN cord-017420-tjwxec77 177 14 intravenous intravenous JJ cord-017420-tjwxec77 177 15 crystalloid crystalloid NN cord-017420-tjwxec77 177 16 with with IN cord-017420-tjwxec77 177 17 additional additional JJ cord-017420-tjwxec77 177 18 fluid fluid JJ cord-017420-tjwxec77 177 19 resuscitation resuscitation NN cord-017420-tjwxec77 177 20 as as IN cord-017420-tjwxec77 177 21 indicated indicate VBN cord-017420-tjwxec77 177 22 and and CC cord-017420-tjwxec77 177 23 using use VBG cord-017420-tjwxec77 177 24 norepinephrine norepinephrine NN cord-017420-tjwxec77 177 25 as as IN cord-017420-tjwxec77 177 26 a a DT cord-017420-tjwxec77 177 27 first first JJ cord-017420-tjwxec77 177 28 - - HYPH cord-017420-tjwxec77 177 29 line line NN cord-017420-tjwxec77 177 30 vasopressor vasopressor NN cord-017420-tjwxec77 177 31 to to TO cord-017420-tjwxec77 177 32 target target VB cord-017420-tjwxec77 177 33 a a DT cord-017420-tjwxec77 177 34 mean mean JJ cord-017420-tjwxec77 177 35 arterial arterial JJ cord-017420-tjwxec77 177 36 pressure pressure NN cord-017420-tjwxec77 177 37 ! ! . cord-017420-tjwxec77 178 1 65 65 CD cord-017420-tjwxec77 178 2 mm mm CD cord-017420-tjwxec77 178 3 Hg Hg NNS cord-017420-tjwxec77 178 4 . . . cord-017420-tjwxec77 179 1 Either either CC cord-017420-tjwxec77 179 2 vasopressin vasopressin NN cord-017420-tjwxec77 179 3 or or CC cord-017420-tjwxec77 179 4 epinephrine epinephrine NN cord-017420-tjwxec77 179 5 may may MD cord-017420-tjwxec77 179 6 be be VB cord-017420-tjwxec77 179 7 added add VBN cord-017420-tjwxec77 179 8 if if IN cord-017420-tjwxec77 179 9 the the DT cord-017420-tjwxec77 179 10 response response NN cord-017420-tjwxec77 179 11 to to IN cord-017420-tjwxec77 179 12 norepinephrine norepinephrine NN cord-017420-tjwxec77 179 13 is be VBZ cord-017420-tjwxec77 179 14 inadequate inadequate JJ cord-017420-tjwxec77 179 15 . . . cord-017420-tjwxec77 180 1 There there EX cord-017420-tjwxec77 180 2 may may MD cord-017420-tjwxec77 180 3 be be VB cord-017420-tjwxec77 180 4 benefit benefit NN cord-017420-tjwxec77 180 5 to to IN cord-017420-tjwxec77 180 6 using use VBG cord-017420-tjwxec77 180 7 balanced balanced JJ cord-017420-tjwxec77 180 8 crystalloid crystalloid NN cord-017420-tjwxec77 180 9 solutions solution NNS cord-017420-tjwxec77 180 10 such such JJ cord-017420-tjwxec77 180 11 as as IN cord-017420-tjwxec77 180 12 lactated lactate VBN cord-017420-tjwxec77 180 13 Ringer Ringer NNP cord-017420-tjwxec77 180 14 's 's POS cord-017420-tjwxec77 180 15 or or CC cord-017420-tjwxec77 180 16 PlasmaLyte PlasmaLyte NNP cord-017420-tjwxec77 180 17 rather rather RB cord-017420-tjwxec77 180 18 than than IN cord-017420-tjwxec77 180 19 normal normal JJ cord-017420-tjwxec77 180 20 saline saline NN cord-017420-tjwxec77 180 21 [ [ -LRB- cord-017420-tjwxec77 180 22 68 68 CD cord-017420-tjwxec77 180 23 , , , cord-017420-tjwxec77 180 24 69 69 CD cord-017420-tjwxec77 180 25 ] ] -RRB- cord-017420-tjwxec77 180 26 . . . cord-017420-tjwxec77 181 1 Source source NN cord-017420-tjwxec77 181 2 control control NN cord-017420-tjwxec77 181 3 should should MD cord-017420-tjwxec77 181 4 be be VB cord-017420-tjwxec77 181 5 obtained obtain VBN cord-017420-tjwxec77 181 6 if if IN cord-017420-tjwxec77 181 7 possible possible JJ cord-017420-tjwxec77 181 8 . . . cord-017420-tjwxec77 182 1 Though though IN cord-017420-tjwxec77 182 2 occasionally occasionally RB cord-017420-tjwxec77 182 3 an an DT cord-017420-tjwxec77 182 4 abscess abscess NN cord-017420-tjwxec77 182 5 may may MD cord-017420-tjwxec77 182 6 be be VB cord-017420-tjwxec77 182 7 present present JJ cord-017420-tjwxec77 182 8 and and CC cord-017420-tjwxec77 182 9 feasible feasible JJ cord-017420-tjwxec77 182 10 to to TO cord-017420-tjwxec77 182 11 drain drain VB cord-017420-tjwxec77 182 12 , , , cord-017420-tjwxec77 182 13 most most RBS cord-017420-tjwxec77 182 14 commonly commonly RB cord-017420-tjwxec77 182 15 , , , cord-017420-tjwxec77 182 16 an an DT cord-017420-tjwxec77 182 17 indwelling indwell VBG cord-017420-tjwxec77 182 18 central central JJ cord-017420-tjwxec77 182 19 venous venous JJ cord-017420-tjwxec77 182 20 catheter catheter NN cord-017420-tjwxec77 182 21 is be VBZ cord-017420-tjwxec77 182 22 the the DT cord-017420-tjwxec77 182 23 only only JJ cord-017420-tjwxec77 182 24 addressable addressable JJ cord-017420-tjwxec77 182 25 source source NN cord-017420-tjwxec77 182 26 of of IN cord-017420-tjwxec77 182 27 infection infection NN cord-017420-tjwxec77 182 28 . . . cord-017420-tjwxec77 183 1 In in IN cord-017420-tjwxec77 183 2 the the DT cord-017420-tjwxec77 183 3 hemodynamically hemodynamically RB cord-017420-tjwxec77 183 4 unstable unstable JJ cord-017420-tjwxec77 183 5 patient patient NN cord-017420-tjwxec77 183 6 with with IN cord-017420-tjwxec77 183 7 a a DT cord-017420-tjwxec77 183 8 suspected suspect VBN cord-017420-tjwxec77 183 9 catheter catheter NN cord-017420-tjwxec77 183 10 infection infection NN cord-017420-tjwxec77 183 11 , , , cord-017420-tjwxec77 183 12 early early JJ cord-017420-tjwxec77 183 13 catheter catheter NN cord-017420-tjwxec77 183 14 removal removal NN cord-017420-tjwxec77 183 15 is be VBZ cord-017420-tjwxec77 183 16 associated associate VBN cord-017420-tjwxec77 183 17 with with IN cord-017420-tjwxec77 183 18 improved improved JJ cord-017420-tjwxec77 183 19 survival survival NN cord-017420-tjwxec77 183 20 [ [ -LRB- cord-017420-tjwxec77 183 21 39 39 CD cord-017420-tjwxec77 183 22 ] ] -RRB- cord-017420-tjwxec77 183 23 ; ; : cord-017420-tjwxec77 183 24 accordingly accordingly RB cord-017420-tjwxec77 183 25 , , , cord-017420-tjwxec77 183 26 infected infected JJ cord-017420-tjwxec77 183 27 or or CC cord-017420-tjwxec77 183 28 potentially potentially RB cord-017420-tjwxec77 183 29 infected infected JJ cord-017420-tjwxec77 183 30 catheters catheter NNS cord-017420-tjwxec77 183 31 should should MD cord-017420-tjwxec77 183 32 be be VB cord-017420-tjwxec77 183 33 removed remove VBN cord-017420-tjwxec77 183 34 without without IN cord-017420-tjwxec77 183 35 delay delay NN cord-017420-tjwxec77 183 36 . . . cord-017420-tjwxec77 184 1 Patients patient NNS cord-017420-tjwxec77 184 2 with with IN cord-017420-tjwxec77 184 3 neutropenia neutropenia NN cord-017420-tjwxec77 184 4 and and CC cord-017420-tjwxec77 184 5 sepsis sepsis NN cord-017420-tjwxec77 184 6 are be VBP cord-017420-tjwxec77 184 7 at at IN cord-017420-tjwxec77 184 8 high high JJ cord-017420-tjwxec77 184 9 risk risk NN cord-017420-tjwxec77 184 10 of of IN cord-017420-tjwxec77 184 11 developing develop VBG cord-017420-tjwxec77 184 12 multi multi JJ cord-017420-tjwxec77 184 13 - - JJ cord-017420-tjwxec77 184 14 organ organ JJ cord-017420-tjwxec77 184 15 failure failure NN cord-017420-tjwxec77 184 16 , , , cord-017420-tjwxec77 184 17 particularly particularly RB cord-017420-tjwxec77 184 18 the the DT cord-017420-tjwxec77 184 19 acute acute JJ cord-017420-tjwxec77 184 20 respiratory respiratory JJ cord-017420-tjwxec77 184 21 distress distress NN cord-017420-tjwxec77 184 22 syndrome syndrome NN cord-017420-tjwxec77 184 23 ( ( -LRB- cord-017420-tjwxec77 184 24 ARDS ARDS NNP cord-017420-tjwxec77 184 25 ) ) -RRB- cord-017420-tjwxec77 184 26 [ [ -LRB- cord-017420-tjwxec77 184 27 4 4 CD cord-017420-tjwxec77 184 28 , , , cord-017420-tjwxec77 184 29 5 5 CD cord-017420-tjwxec77 184 30 ] ] -RRB- cord-017420-tjwxec77 184 31 . . . cord-017420-tjwxec77 185 1 The the DT cord-017420-tjwxec77 185 2 use use NN cord-017420-tjwxec77 185 3 of of IN cord-017420-tjwxec77 185 4 noninvasive noninvasive JJ cord-017420-tjwxec77 185 5 ventilation ventilation NN cord-017420-tjwxec77 185 6 in in IN cord-017420-tjwxec77 185 7 immunosuppressed immunosuppressed JJ cord-017420-tjwxec77 185 8 patients patient NNS cord-017420-tjwxec77 185 9 with with IN cord-017420-tjwxec77 185 10 hypoxemic hypoxemic JJ cord-017420-tjwxec77 185 11 respiratory respiratory JJ cord-017420-tjwxec77 185 12 failure failure NN cord-017420-tjwxec77 185 13 is be VBZ cord-017420-tjwxec77 185 14 increasingly increasingly RB cord-017420-tjwxec77 185 15 controversial controversial JJ cord-017420-tjwxec77 185 16 , , , cord-017420-tjwxec77 185 17 and and CC cord-017420-tjwxec77 185 18 heated heat VBN cord-017420-tjwxec77 185 19 humidified humidified JJ cord-017420-tjwxec77 185 20 high high JJ cord-017420-tjwxec77 185 21 - - HYPH cord-017420-tjwxec77 185 22 flow flow NN cord-017420-tjwxec77 185 23 oxygen oxygen NN cord-017420-tjwxec77 185 24 may may MD cord-017420-tjwxec77 185 25 be be VB cord-017420-tjwxec77 185 26 a a DT cord-017420-tjwxec77 185 27 better well JJR cord-017420-tjwxec77 185 28 option option NN cord-017420-tjwxec77 185 29 [ [ -LRB- cord-017420-tjwxec77 185 30 5 5 CD cord-017420-tjwxec77 185 31 , , , cord-017420-tjwxec77 185 32 15 15 CD cord-017420-tjwxec77 185 33 , , , cord-017420-tjwxec77 185 34 27 27 CD cord-017420-tjwxec77 185 35 , , , cord-017420-tjwxec77 185 36 41 41 CD cord-017420-tjwxec77 185 37 , , , cord-017420-tjwxec77 185 38 42 42 CD cord-017420-tjwxec77 185 39 , , , cord-017420-tjwxec77 185 40 52 52 CD cord-017420-tjwxec77 185 41 ] ] -RRB- cord-017420-tjwxec77 185 42 . . . cord-017420-tjwxec77 186 1 Once once IN cord-017420-tjwxec77 186 2 patients patient NNS cord-017420-tjwxec77 186 3 are be VBP cord-017420-tjwxec77 186 4 intubated intubate VBN cord-017420-tjwxec77 186 5 , , , cord-017420-tjwxec77 186 6 low low JJ cord-017420-tjwxec77 186 7 tidal tidal JJ cord-017420-tjwxec77 186 8 volume volume NN cord-017420-tjwxec77 186 9 ventilation ventilation NN cord-017420-tjwxec77 186 10 should should MD cord-017420-tjwxec77 186 11 be be VB cord-017420-tjwxec77 186 12 used use VBN cord-017420-tjwxec77 186 13 to to TO cord-017420-tjwxec77 186 14 maximize maximize VB cord-017420-tjwxec77 186 15 lung lung NN cord-017420-tjwxec77 186 16 protection protection NN cord-017420-tjwxec77 186 17 and and CC cord-017420-tjwxec77 186 18 minimize minimize VB cord-017420-tjwxec77 186 19 ventilator ventilator NN cord-017420-tjwxec77 186 20 - - HYPH cord-017420-tjwxec77 186 21 induced induce VBN cord-017420-tjwxec77 186 22 lung lung NN cord-017420-tjwxec77 186 23 injury injury NN cord-017420-tjwxec77 186 24 [ [ -LRB- cord-017420-tjwxec77 186 25 1 1 CD cord-017420-tjwxec77 186 26 ] ] -RRB- cord-017420-tjwxec77 186 27 . . . cord-017420-tjwxec77 187 1 Adjuncts adjunct NNS cord-017420-tjwxec77 187 2 such such JJ cord-017420-tjwxec77 187 3 as as IN cord-017420-tjwxec77 187 4 neuromuscular neuromuscular JJ cord-017420-tjwxec77 187 5 blockade blockade NN cord-017420-tjwxec77 187 6 and and CC cord-017420-tjwxec77 187 7 prone prone JJ cord-017420-tjwxec77 187 8 positioning positioning NN cord-017420-tjwxec77 187 9 should should MD cord-017420-tjwxec77 187 10 be be VB cord-017420-tjwxec77 187 11 used use VBN cord-017420-tjwxec77 187 12 in in IN cord-017420-tjwxec77 187 13 patients patient NNS cord-017420-tjwxec77 187 14 with with IN cord-017420-tjwxec77 187 15 moderate moderate JJ cord-017420-tjwxec77 187 16 to to IN cord-017420-tjwxec77 187 17 severe severe JJ cord-017420-tjwxec77 187 18 ARDS ARDS NNP cord-017420-tjwxec77 187 19 ( ( -LRB- cord-017420-tjwxec77 187 20 PaO2 pao2 NN cord-017420-tjwxec77 187 21 : : : cord-017420-tjwxec77 188 1 FiO2 FiO2 NNS cord-017420-tjwxec77 188 2 < < XX cord-017420-tjwxec77 188 3 150 150 CD cord-017420-tjwxec77 188 4 ) ) -RRB- cord-017420-tjwxec77 189 1 [ [ -LRB- cord-017420-tjwxec77 189 2 32 32 CD cord-017420-tjwxec77 189 3 , , , cord-017420-tjwxec77 189 4 54 54 CD cord-017420-tjwxec77 189 5 ] ] -RRB- cord-017420-tjwxec77 189 6 . . . cord-017420-tjwxec77 190 1 Mortality mortality NN cord-017420-tjwxec77 190 2 for for IN cord-017420-tjwxec77 190 3 patients patient NNS cord-017420-tjwxec77 190 4 who who WP cord-017420-tjwxec77 190 5 develop develop VBP cord-017420-tjwxec77 190 6 ARDS ARDS NNP cord-017420-tjwxec77 190 7 in in IN cord-017420-tjwxec77 190 8 this this DT cord-017420-tjwxec77 190 9 context context NN cord-017420-tjwxec77 190 10 remains remain VBZ cord-017420-tjwxec77 190 11 high high JJ cord-017420-tjwxec77 190 12 , , , cord-017420-tjwxec77 190 13 but but CC cord-017420-tjwxec77 190 14 outcomes outcome NNS cord-017420-tjwxec77 190 15 are be VBP cord-017420-tjwxec77 190 16 improving improve VBG cord-017420-tjwxec77 190 17 . . . cord-017420-tjwxec77 191 1 Attention attention NN cord-017420-tjwxec77 191 2 to to IN cord-017420-tjwxec77 191 3 best good JJS cord-017420-tjwxec77 191 4 practices practice NNS cord-017420-tjwxec77 191 5 for for IN cord-017420-tjwxec77 191 6 mechanical mechanical JJ cord-017420-tjwxec77 191 7 ventilation ventilation NN cord-017420-tjwxec77 191 8 is be VBZ cord-017420-tjwxec77 191 9 essential essential JJ cord-017420-tjwxec77 191 10 . . . cord-017420-tjwxec77 192 1 An an DT cord-017420-tjwxec77 192 2 algorithm algorithm NN cord-017420-tjwxec77 192 3 for for IN cord-017420-tjwxec77 192 4 the the DT cord-017420-tjwxec77 192 5 empiric empiric JJ cord-017420-tjwxec77 192 6 management management NN cord-017420-tjwxec77 192 7 of of IN cord-017420-tjwxec77 192 8 neutropenic neutropenic JJ cord-017420-tjwxec77 192 9 fever fever NN cord-017420-tjwxec77 192 10 can can MD cord-017420-tjwxec77 192 11 be be VB cord-017420-tjwxec77 192 12 found find VBN cord-017420-tjwxec77 192 13 in in IN cord-017420-tjwxec77 192 14 Fig Fig NNP cord-017420-tjwxec77 192 15 . . . cord-017420-tjwxec77 193 1 1 1 LS cord-017420-tjwxec77 193 2 . . . cord-017420-tjwxec77 194 1 The the DT cord-017420-tjwxec77 194 2 risk risk NN cord-017420-tjwxec77 194 3 of of IN cord-017420-tjwxec77 194 4 neutropenic neutropenic JJ cord-017420-tjwxec77 194 5 fever fever NN cord-017420-tjwxec77 194 6 and and CC cord-017420-tjwxec77 194 7 neutropenic neutropenic JJ cord-017420-tjwxec77 194 8 sepsis sepsis NN cord-017420-tjwxec77 194 9 resolves resolve VBZ cord-017420-tjwxec77 194 10 once once IN cord-017420-tjwxec77 194 11 the the DT cord-017420-tjwxec77 194 12 bone bone NN cord-017420-tjwxec77 194 13 marrow marrow NN cord-017420-tjwxec77 194 14 recovers recover VBZ cord-017420-tjwxec77 194 15 and and CC cord-017420-tjwxec77 194 16 neutrophil neutrophil NN cord-017420-tjwxec77 194 17 counts count VBZ cord-017420-tjwxec77 194 18 return return VBP cord-017420-tjwxec77 194 19 to to IN cord-017420-tjwxec77 194 20 normal normal JJ cord-017420-tjwxec77 194 21 . . . cord-017420-tjwxec77 195 1 If if IN cord-017420-tjwxec77 195 2 treated treat VBN cord-017420-tjwxec77 195 3 appropriately appropriately RB cord-017420-tjwxec77 195 4 , , , cord-017420-tjwxec77 195 5 neutropenic neutropenic JJ cord-017420-tjwxec77 195 6 fever fever NN cord-017420-tjwxec77 195 7 is be VBZ cord-017420-tjwxec77 195 8 a a DT cord-017420-tjwxec77 195 9 common common JJ cord-017420-tjwxec77 195 10 , , , cord-017420-tjwxec77 195 11 predictable predictable JJ cord-017420-tjwxec77 195 12 , , , cord-017420-tjwxec77 195 13 and and CC cord-017420-tjwxec77 195 14 manageable manageable JJ cord-017420-tjwxec77 195 15 complication complication NN cord-017420-tjwxec77 195 16 of of IN cord-017420-tjwxec77 195 17 cytotoxic cytotoxic JJ cord-017420-tjwxec77 195 18 therapy therapy NN cord-017420-tjwxec77 195 19 or or CC cord-017420-tjwxec77 195 20 HSCT HSCT NNP cord-017420-tjwxec77 195 21 . . . cord-017420-tjwxec77 196 1 Neutropenic neutropenic JJ cord-017420-tjwxec77 196 2 sepsis sepsis NN cord-017420-tjwxec77 196 3 continues continue VBZ cord-017420-tjwxec77 196 4 to to TO cord-017420-tjwxec77 196 5 confer confer VB cord-017420-tjwxec77 196 6 a a DT cord-017420-tjwxec77 196 7 poor poor JJ cord-017420-tjwxec77 196 8 prognosis prognosis NN cord-017420-tjwxec77 196 9 , , , cord-017420-tjwxec77 196 10 with with IN cord-017420-tjwxec77 196 11 recent recent JJ cord-017420-tjwxec77 196 12 data datum NNS cord-017420-tjwxec77 196 13 suggesting suggest VBG cord-017420-tjwxec77 196 14 an an DT cord-017420-tjwxec77 196 15 approximate approximate JJ cord-017420-tjwxec77 196 16 46 46 CD cord-017420-tjwxec77 196 17 % % NN cord-017420-tjwxec77 196 18 mortality mortality NN cord-017420-tjwxec77 196 19 rate rate NN cord-017420-tjwxec77 196 20 in in IN cord-017420-tjwxec77 196 21 patients patient NNS cord-017420-tjwxec77 196 22 with with IN cord-017420-tjwxec77 196 23 hematologic hematologic JJ cord-017420-tjwxec77 196 24 malignancies malignancy NNS cord-017420-tjwxec77 196 25 who who WP cord-017420-tjwxec77 196 26 develop develop VBP cord-017420-tjwxec77 196 27 septic septic JJ cord-017420-tjwxec77 196 28 shock shock NN cord-017420-tjwxec77 196 29 [ [ -LRB- cord-017420-tjwxec77 196 30 7 7 CD cord-017420-tjwxec77 196 31 , , , cord-017420-tjwxec77 196 32 39 39 CD cord-017420-tjwxec77 196 33 , , , cord-017420-tjwxec77 196 34 47 47 CD cord-017420-tjwxec77 196 35 ] ] -RRB- cord-017420-tjwxec77 196 36 . . . cord-017420-tjwxec77 197 1 Predictors predictor NNS cord-017420-tjwxec77 197 2 of of IN cord-017420-tjwxec77 197 3 mortality mortality NN cord-017420-tjwxec77 197 4 include include VBP cord-017420-tjwxec77 197 5 sepsis sepsis NN cord-017420-tjwxec77 197 6 after after IN cord-017420-tjwxec77 197 7 allogeneic allogeneic NN cord-017420-tjwxec77 197 8 HSCT HSCT NNP cord-017420-tjwxec77 197 9 , , , cord-017420-tjwxec77 197 10 the the DT cord-017420-tjwxec77 197 11 presence presence NN cord-017420-tjwxec77 197 12 of of IN cord-017420-tjwxec77 197 13 graft graft NN cord-017420-tjwxec77 197 14 vs vs IN cord-017420-tjwxec77 197 15 host host NN cord-017420-tjwxec77 197 16 disease disease NN cord-017420-tjwxec77 197 17 , , , cord-017420-tjwxec77 197 18 respiratory respiratory JJ cord-017420-tjwxec77 197 19 failure failure NN cord-017420-tjwxec77 197 20 requiring require VBG cord-017420-tjwxec77 197 21 mechanical mechanical JJ cord-017420-tjwxec77 197 22 ventilation ventilation NN cord-017420-tjwxec77 197 23 , , , cord-017420-tjwxec77 197 24 positive positive JJ cord-017420-tjwxec77 197 25 blood blood NN cord-017420-tjwxec77 197 26 cultures culture NNS cord-017420-tjwxec77 197 27 , , , cord-017420-tjwxec77 197 28 cardiac cardiac JJ cord-017420-tjwxec77 197 29 failure failure NN cord-017420-tjwxec77 197 30 , , , cord-017420-tjwxec77 197 31 renal renal JJ cord-017420-tjwxec77 197 32 failure failure NN cord-017420-tjwxec77 197 33 , , , cord-017420-tjwxec77 197 34 and and CC cord-017420-tjwxec77 197 35 hepatic hepatic JJ cord-017420-tjwxec77 197 36 failure failure NN cord-017420-tjwxec77 197 37 [ [ -LRB- cord-017420-tjwxec77 197 38 38 38 CD cord-017420-tjwxec77 197 39 , , , cord-017420-tjwxec77 197 40 47 47 CD cord-017420-tjwxec77 197 41 ] ] -RRB- cord-017420-tjwxec77 197 42 . . . cord-017420-tjwxec77 198 1 Younger young JJR cord-017420-tjwxec77 198 2 age age NN cord-017420-tjwxec77 198 3 ( ( -LRB- cord-017420-tjwxec77 198 4 < < XX cord-017420-tjwxec77 198 5 70 70 CD cord-017420-tjwxec77 198 6 years year NNS cord-017420-tjwxec77 198 7 ) ) -RRB- cord-017420-tjwxec77 198 8 and and CC cord-017420-tjwxec77 198 9 the the DT cord-017420-tjwxec77 198 10 presence presence NN cord-017420-tjwxec77 198 11 of of IN cord-017420-tjwxec77 198 12 neutropenic neutropenic JJ cord-017420-tjwxec77 198 13 enterocolitis enterocolitis NN cord-017420-tjwxec77 198 14 are be VBP cord-017420-tjwxec77 198 15 associated associate VBN cord-017420-tjwxec77 198 16 with with IN cord-017420-tjwxec77 198 17 improved improved JJ cord-017420-tjwxec77 198 18 survival survival NN cord-017420-tjwxec77 198 19 [ [ -LRB- cord-017420-tjwxec77 198 20 47 47 CD cord-017420-tjwxec77 198 21 ] ] -RRB- cord-017420-tjwxec77 198 22 . . . cord-017420-tjwxec77 199 1 Encouragingly encouragingly RB cord-017420-tjwxec77 199 2 , , , cord-017420-tjwxec77 199 3 survival survival NN cord-017420-tjwxec77 199 4 in in IN cord-017420-tjwxec77 199 5 neutropenic neutropenic JJ cord-017420-tjwxec77 199 6 sepsis sepsis NN cord-017420-tjwxec77 199 7 and and CC cord-017420-tjwxec77 199 8 septic septic JJ cord-017420-tjwxec77 199 9 shock shock NN cord-017420-tjwxec77 199 10 appears appear VBZ cord-017420-tjwxec77 199 11 to to TO cord-017420-tjwxec77 199 12 be be VB cord-017420-tjwxec77 199 13 improving improve VBG cord-017420-tjwxec77 199 14 but but CC cord-017420-tjwxec77 199 15 is be VBZ cord-017420-tjwxec77 199 16 still still RB cord-017420-tjwxec77 199 17 worse bad JJR cord-017420-tjwxec77 199 18 than than IN cord-017420-tjwxec77 199 19 in in IN cord-017420-tjwxec77 199 20 non non JJ cord-017420-tjwxec77 199 21 - - JJ cord-017420-tjwxec77 199 22 neutropenic neutropenic JJ cord-017420-tjwxec77 199 23 septic septic JJ cord-017420-tjwxec77 199 24 patients patient NNS cord-017420-tjwxec77 199 25 [ [ -LRB- cord-017420-tjwxec77 199 26 9 9 CD cord-017420-tjwxec77 199 27 , , , cord-017420-tjwxec77 199 28 10 10 CD cord-017420-tjwxec77 199 29 , , , cord-017420-tjwxec77 199 30 39 39 CD cord-017420-tjwxec77 199 31 ] ] -RRB- cord-017420-tjwxec77 199 32 . . . cord-017420-tjwxec77 200 1 The the DT cord-017420-tjwxec77 200 2 emergence emergence NN cord-017420-tjwxec77 200 3 of of IN cord-017420-tjwxec77 200 4 multidrug multidrug NN cord-017420-tjwxec77 200 5 - - HYPH cord-017420-tjwxec77 200 6 resistant resistant JJ cord-017420-tjwxec77 200 7 organisms organism NNS cord-017420-tjwxec77 200 8 is be VBZ cord-017420-tjwxec77 200 9 a a DT cord-017420-tjwxec77 200 10 major major JJ cord-017420-tjwxec77 200 11 concern concern NN cord-017420-tjwxec77 200 12 , , , cord-017420-tjwxec77 200 13 and and CC cord-017420-tjwxec77 200 14 there there EX cord-017420-tjwxec77 200 15 is be VBZ cord-017420-tjwxec77 200 16 an an DT cord-017420-tjwxec77 200 17 urgent urgent JJ cord-017420-tjwxec77 200 18 need need NN cord-017420-tjwxec77 200 19 for for IN cord-017420-tjwxec77 200 20 novel novel JJ cord-017420-tjwxec77 200 21 antibiotics antibiotic NNS cord-017420-tjwxec77 200 22 to to TO cord-017420-tjwxec77 200 23 address address VB cord-017420-tjwxec77 200 24 this this DT cord-017420-tjwxec77 200 25 threat threat NN cord-017420-tjwxec77 200 26 . . . cord-017420-tjwxec77 201 1 Along along IN cord-017420-tjwxec77 201 2 these these DT cord-017420-tjwxec77 201 3 lines line NNS cord-017420-tjwxec77 201 4 , , , cord-017420-tjwxec77 201 5 additional additional JJ cord-017420-tjwxec77 201 6 work work NN cord-017420-tjwxec77 201 7 needs need VBZ cord-017420-tjwxec77 201 8 to to TO cord-017420-tjwxec77 201 9 be be VB cord-017420-tjwxec77 201 10 done do VBN cord-017420-tjwxec77 201 11 to to TO cord-017420-tjwxec77 201 12 identify identify VB cord-017420-tjwxec77 201 13 patients patient NNS cord-017420-tjwxec77 201 14 in in IN cord-017420-tjwxec77 201 15 whom whom WP cord-017420-tjwxec77 201 16 antibiotic antibiotic JJ cord-017420-tjwxec77 201 17 therapy therapy NN cord-017420-tjwxec77 201 18 can can MD cord-017420-tjwxec77 201 19 be be VB cord-017420-tjwxec77 201 20 safely safely RB cord-017420-tjwxec77 201 21 de de VBN cord-017420-tjwxec77 201 22 - - VBN cord-017420-tjwxec77 201 23 escalated escalate VBN cord-017420-tjwxec77 201 24 . . . cord-017420-tjwxec77 202 1 The the DT cord-017420-tjwxec77 202 2 pathophysiology pathophysiology NN cord-017420-tjwxec77 202 3 of of IN cord-017420-tjwxec77 202 4 neutropenic neutropenic JJ cord-017420-tjwxec77 202 5 sepsis sepsis NN cord-017420-tjwxec77 202 6 requires require VBZ cord-017420-tjwxec77 202 7 further further JJ cord-017420-tjwxec77 202 8 study study NN cord-017420-tjwxec77 202 9 and and CC cord-017420-tjwxec77 202 10 efforts effort NNS cord-017420-tjwxec77 202 11 made make VBN cord-017420-tjwxec77 202 12 to to TO cord-017420-tjwxec77 202 13 facilitate facilitate VB cord-017420-tjwxec77 202 14 earlier early JJR cord-017420-tjwxec77 202 15 diagnosis diagnosis NN cord-017420-tjwxec77 202 16 and and CC cord-017420-tjwxec77 202 17 identification identification NN cord-017420-tjwxec77 202 18 of of IN cord-017420-tjwxec77 202 19 pathogens pathogen NNS cord-017420-tjwxec77 202 20 in in IN cord-017420-tjwxec77 202 21 neutropenic neutropenic JJ cord-017420-tjwxec77 202 22 patients patient NNS cord-017420-tjwxec77 202 23 . . . cord-017420-tjwxec77 203 1 Finally finally RB cord-017420-tjwxec77 203 2 , , , cord-017420-tjwxec77 203 3 neutropenic neutropenic JJ cord-017420-tjwxec77 203 4 sepsis sepsis NN cord-017420-tjwxec77 203 5 should should MD cord-017420-tjwxec77 203 6 be be VB cord-017420-tjwxec77 203 7 studied study VBN cord-017420-tjwxec77 203 8 as as IN cord-017420-tjwxec77 203 9 a a DT cord-017420-tjwxec77 203 10 specific specific JJ cord-017420-tjwxec77 203 11 and and CC cord-017420-tjwxec77 203 12 separate separate JJ cord-017420-tjwxec77 203 13 entity entity NN cord-017420-tjwxec77 203 14 from from IN cord-017420-tjwxec77 203 15 " " `` cord-017420-tjwxec77 203 16 normal normal JJ cord-017420-tjwxec77 203 17 " " '' cord-017420-tjwxec77 203 18 sepsis sepsis NN cord-017420-tjwxec77 203 19 , , , cord-017420-tjwxec77 203 20 and and CC cord-017420-tjwxec77 203 21 efficacy efficacy NN cord-017420-tjwxec77 203 22 of of IN cord-017420-tjwxec77 203 23 interventions intervention NNS cord-017420-tjwxec77 203 24 confirmed confirm VBN cord-017420-tjwxec77 203 25 in in IN cord-017420-tjwxec77 203 26 this this DT cord-017420-tjwxec77 203 27 specific specific JJ cord-017420-tjwxec77 203 28 population population NN cord-017420-tjwxec77 203 29 . . . cord-017420-tjwxec77 203 30 _SP cord-017420-tjwxec77 204 1 Ventilation ventilation NN cord-017420-tjwxec77 204 2 with with IN cord-017420-tjwxec77 204 3 lower low JJR cord-017420-tjwxec77 204 4 tidal tidal JJ cord-017420-tjwxec77 204 5 volumes volume NNS cord-017420-tjwxec77 204 6 as as IN cord-017420-tjwxec77 204 7 compared compare VBN cord-017420-tjwxec77 204 8 with with IN cord-017420-tjwxec77 204 9 traditional traditional JJ cord-017420-tjwxec77 204 10 tidal tidal JJ cord-017420-tjwxec77 204 11 volumes volume NNS cord-017420-tjwxec77 204 12 for for IN cord-017420-tjwxec77 204 13 acute acute JJ cord-017420-tjwxec77 204 14 lung lung NN cord-017420-tjwxec77 204 15 injury injury NN cord-017420-tjwxec77 204 16 and and CC cord-017420-tjwxec77 204 17 the the DT cord-017420-tjwxec77 204 18 acute acute JJ cord-017420-tjwxec77 204 19 respiratory respiratory JJ cord-017420-tjwxec77 204 20 distress distress NN cord-017420-tjwxec77 204 21 syndrome syndrome NN cord-017420-tjwxec77 204 22 Optimisation Optimisation NNP cord-017420-tjwxec77 204 23 of of IN cord-017420-tjwxec77 204 24 empirical empirical JJ cord-017420-tjwxec77 204 25 antimicrobial antimicrobial JJ cord-017420-tjwxec77 204 26 therapy therapy NN cord-017420-tjwxec77 204 27 in in IN cord-017420-tjwxec77 204 28 patients patient NNS cord-017420-tjwxec77 204 29 with with IN cord-017420-tjwxec77 204 30 haematological haematological JJ cord-017420-tjwxec77 204 31 malignancies malignancy NNS cord-017420-tjwxec77 204 32 and and CC cord-017420-tjwxec77 204 33 febrile febrile JJ cord-017420-tjwxec77 204 34 neutropenia neutropenia NN cord-017420-tjwxec77 204 35 ( ( -LRB- cord-017420-tjwxec77 204 36 how how WRB cord-017420-tjwxec77 204 37 long long JJ cord-017420-tjwxec77 204 38 study study NN cord-017420-tjwxec77 204 39 ) ) -RRB- cord-017420-tjwxec77 204 40 : : : cord-017420-tjwxec77 204 41 an an DT cord-017420-tjwxec77 204 42 open open JJ cord-017420-tjwxec77 204 43 - - HYPH cord-017420-tjwxec77 204 44 label label NN cord-017420-tjwxec77 204 45 , , , cord-017420-tjwxec77 204 46 randomised randomised JJ cord-017420-tjwxec77 204 47 , , , cord-017420-tjwxec77 204 48 controlled control VBN cord-017420-tjwxec77 204 49 phase phase NN cord-017420-tjwxec77 204 50 4 4 CD cord-017420-tjwxec77 204 51 trial trial NN cord-017420-tjwxec77 204 52 Early early JJ cord-017420-tjwxec77 204 53 vancomycin vancomycin NN cord-017420-tjwxec77 204 54 - - HYPH cord-017420-tjwxec77 204 55 resistant resistant JJ cord-017420-tjwxec77 204 56 enterococcus enterococcus NN cord-017420-tjwxec77 204 57 ( ( -LRB- cord-017420-tjwxec77 204 58 VRE VRE NNP cord-017420-tjwxec77 204 59 ) ) -RRB- cord-017420-tjwxec77 204 60 bacteremia bacteremia NN cord-017420-tjwxec77 204 61 after after IN cord-017420-tjwxec77 204 62 allogeneic allogeneic NN cord-017420-tjwxec77 204 63 bone bone NN cord-017420-tjwxec77 204 64 marrow marrow NN cord-017420-tjwxec77 204 65 transplantation transplantation NN cord-017420-tjwxec77 204 66 is be VBZ cord-017420-tjwxec77 204 67 associated associate VBN cord-017420-tjwxec77 204 68 with with IN cord-017420-tjwxec77 204 69 a a DT cord-017420-tjwxec77 204 70 rapidly rapidly RB cord-017420-tjwxec77 204 71 deteriorating deteriorate VBG cord-017420-tjwxec77 204 72 clinical clinical JJ cord-017420-tjwxec77 204 73 course course NN cord-017420-tjwxec77 204 74 Acute acute JJ cord-017420-tjwxec77 204 75 respiratory respiratory JJ cord-017420-tjwxec77 204 76 distress distress NN cord-017420-tjwxec77 204 77 syndrome syndrome NN cord-017420-tjwxec77 204 78 during during IN cord-017420-tjwxec77 204 79 neutropenia neutropenia NN cord-017420-tjwxec77 204 80 recovery recovery NN cord-017420-tjwxec77 204 81 Acute acute JJ cord-017420-tjwxec77 204 82 respiratory respiratory JJ cord-017420-tjwxec77 204 83 distress distress NN cord-017420-tjwxec77 204 84 syndrome syndrome NN cord-017420-tjwxec77 204 85 in in IN cord-017420-tjwxec77 204 86 patients patient NNS cord-017420-tjwxec77 204 87 with with IN cord-017420-tjwxec77 204 88 malignancies malignancy NNS cord-017420-tjwxec77 204 89 Diagnostic diagnostic JJ cord-017420-tjwxec77 204 90 strategy strategy NN cord-017420-tjwxec77 204 91 for for IN cord-017420-tjwxec77 204 92 hematology hematology NN cord-017420-tjwxec77 204 93 and and CC cord-017420-tjwxec77 204 94 oncology oncology NN cord-017420-tjwxec77 204 95 patients patient NNS cord-017420-tjwxec77 204 96 with with IN cord-017420-tjwxec77 204 97 acute acute JJ cord-017420-tjwxec77 204 98 respiratory respiratory JJ cord-017420-tjwxec77 204 99 failure failure NN cord-017420-tjwxec77 204 100 : : : cord-017420-tjwxec77 204 101 randomized randomize VBN cord-017420-tjwxec77 204 102 controlled control VBN cord-017420-tjwxec77 204 103 trial trial NN cord-017420-tjwxec77 204 104 Outcomes outcome NNS cord-017420-tjwxec77 204 105 of of IN cord-017420-tjwxec77 204 106 critically critically RB cord-017420-tjwxec77 204 107 ill ill JJ cord-017420-tjwxec77 204 108 patients patient NNS cord-017420-tjwxec77 204 109 with with IN cord-017420-tjwxec77 204 110 hematologic hematologic JJ cord-017420-tjwxec77 204 111 malignancies malignancy NNS cord-017420-tjwxec77 204 112 : : : cord-017420-tjwxec77 204 113 prospective prospective JJ cord-017420-tjwxec77 204 114 multicenter multicenter JJ cord-017420-tjwxec77 204 115 data datum NNS cord-017420-tjwxec77 204 116 from from IN cord-017420-tjwxec77 204 117 France France NNP cord-017420-tjwxec77 204 118 and and CC cord-017420-tjwxec77 204 119 Belgium Belgium NNP cord-017420-tjwxec77 205 1 -a -a : cord-017420-tjwxec77 206 1 groupe groupe NNP cord-017420-tjwxec77 206 2 de de FW cord-017420-tjwxec77 206 3 recherche recherche FW cord-017420-tjwxec77 206 4 respiratoire respiratoire NNP cord-017420-tjwxec77 206 5 en en NNP cord-017420-tjwxec77 207 1 reanimation reanimation NNP cord-017420-tjwxec77 207 2 onco onco NNP cord-017420-tjwxec77 207 3 - - HYPH cord-017420-tjwxec77 207 4 hematologique hematologique NN cord-017420-tjwxec77 207 5 study study NN cord-017420-tjwxec77 207 6 Diagnostic diagnostic JJ cord-017420-tjwxec77 207 7 bronchoscopy bronchoscopy NN cord-017420-tjwxec77 207 8 in in IN cord-017420-tjwxec77 207 9 hematology hematology NN cord-017420-tjwxec77 207 10 and and CC cord-017420-tjwxec77 207 11 oncology oncology NN cord-017420-tjwxec77 207 12 patients patient NNS cord-017420-tjwxec77 207 13 with with IN cord-017420-tjwxec77 207 14 acute acute JJ cord-017420-tjwxec77 207 15 respiratory respiratory JJ cord-017420-tjwxec77 207 16 failure failure NN cord-017420-tjwxec77 207 17 : : : cord-017420-tjwxec77 208 1 prospective prospective JJ cord-017420-tjwxec77 208 2 multicenter multicenter JJ cord-017420-tjwxec77 208 3 data datum NNS cord-017420-tjwxec77 208 4 Groupe Groupe NNP cord-017420-tjwxec77 208 5 de de FW cord-017420-tjwxec77 208 6 Recherche Recherche NNP cord-017420-tjwxec77 208 7 Respiratoire Respiratoire NNP cord-017420-tjwxec77 208 8 en en IN cord-017420-tjwxec77 208 9 Reanimation Reanimation NNP cord-017420-tjwxec77 208 10 , , , cord-017420-tjwxec77 208 11 O.-H. O.-H. NNP cord-017420-tjwxec77 209 1 Managing manage VBG cord-017420-tjwxec77 209 2 critically critically RB cord-017420-tjwxec77 209 3 ill ill JJ cord-017420-tjwxec77 209 4 hematology hematology NN cord-017420-tjwxec77 209 5 patients patient NNS cord-017420-tjwxec77 209 6 : : : cord-017420-tjwxec77 209 7 time time NN cord-017420-tjwxec77 209 8 to to TO cord-017420-tjwxec77 209 9 think think VB cord-017420-tjwxec77 209 10 differently differently RB cord-017420-tjwxec77 209 11 The the DT cord-017420-tjwxec77 209 12 intensive intensive JJ cord-017420-tjwxec77 209 13 care care NN cord-017420-tjwxec77 209 14 medicine medicine NN cord-017420-tjwxec77 209 15 research research NN cord-017420-tjwxec77 209 16 agenda agenda NN cord-017420-tjwxec77 209 17 on on IN cord-017420-tjwxec77 209 18 critically critically RB cord-017420-tjwxec77 209 19 ill ill JJ cord-017420-tjwxec77 209 20 oncology oncology NN cord-017420-tjwxec77 209 21 and and CC cord-017420-tjwxec77 209 22 hematology hematology NN cord-017420-tjwxec77 209 23 patients patient NNS cord-017420-tjwxec77 209 24 Kinetics Kinetics NNP cord-017420-tjwxec77 209 25 of of IN cord-017420-tjwxec77 209 26 engraftment engraftment NN cord-017420-tjwxec77 209 27 following follow VBG cord-017420-tjwxec77 209 28 allogeneic allogeneic IN cord-017420-tjwxec77 209 29 hematopoietic hematopoietic JJ cord-017420-tjwxec77 209 30 cell cell NN cord-017420-tjwxec77 209 31 transplantation transplantation NN cord-017420-tjwxec77 209 32 with with IN cord-017420-tjwxec77 209 33 reduced reduce VBN cord-017420-tjwxec77 209 34 - - HYPH cord-017420-tjwxec77 209 35 intensity intensity NN cord-017420-tjwxec77 209 36 or or CC cord-017420-tjwxec77 209 37 nonmyeloablative nonmyeloablative JJ cord-017420-tjwxec77 209 38 conditioning conditioning NN cord-017420-tjwxec77 209 39 Impaired impair VBN cord-017420-tjwxec77 209 40 lung lung NN cord-017420-tjwxec77 209 41 repair repair NN cord-017420-tjwxec77 209 42 during during IN cord-017420-tjwxec77 209 43 neutropenia neutropenia NN cord-017420-tjwxec77 209 44 can can MD cord-017420-tjwxec77 209 45 be be VB cord-017420-tjwxec77 209 46 reverted revert VBN cord-017420-tjwxec77 209 47 by by IN cord-017420-tjwxec77 209 48 matrix matrix NN cord-017420-tjwxec77 209 49 metalloproteinase-9 metalloproteinase-9 NNP cord-017420-tjwxec77 209 50 Mucosal Mucosal NNP cord-017420-tjwxec77 209 51 barrier barrier NN cord-017420-tjwxec77 209 52 injury injury NN cord-017420-tjwxec77 209 53 : : : cord-017420-tjwxec77 209 54 biology biology NN cord-017420-tjwxec77 209 55 , , , cord-017420-tjwxec77 209 56 pathology pathology NN cord-017420-tjwxec77 209 57 , , , cord-017420-tjwxec77 209 58 clinical clinical JJ cord-017420-tjwxec77 209 59 counterparts counterpart NNS cord-017420-tjwxec77 209 60 and and CC cord-017420-tjwxec77 209 61 consequences consequence NNS cord-017420-tjwxec77 209 62 of of IN cord-017420-tjwxec77 209 63 intensive intensive JJ cord-017420-tjwxec77 209 64 treatment treatment NN cord-017420-tjwxec77 209 65 for for IN cord-017420-tjwxec77 209 66 haematological haematological JJ cord-017420-tjwxec77 209 67 malignancy malignancy NN cord-017420-tjwxec77 209 68 : : : cord-017420-tjwxec77 209 69 an an DT cord-017420-tjwxec77 209 70 overview overview NN cord-017420-tjwxec77 209 71 Inflammatory inflammatory JJ cord-017420-tjwxec77 209 72 response response NN cord-017420-tjwxec77 209 73 to to IN cord-017420-tjwxec77 209 74 mucosal mucosal JJ cord-017420-tjwxec77 209 75 barrier barrier NN cord-017420-tjwxec77 209 76 injury injury NN cord-017420-tjwxec77 209 77 after after IN cord-017420-tjwxec77 209 78 myeloablative myeloablative NNP cord-017420-tjwxec77 209 79 therapy therapy NN cord-017420-tjwxec77 209 80 in in IN cord-017420-tjwxec77 209 81 allogeneic allogeneic NN cord-017420-tjwxec77 209 82 stem stem NN cord-017420-tjwxec77 209 83 cell cell NN cord-017420-tjwxec77 209 84 transplant transplant NN cord-017420-tjwxec77 209 85 recipients recipient NNS cord-017420-tjwxec77 209 86 Failure failure NN cord-017420-tjwxec77 209 87 of of IN cord-017420-tjwxec77 209 88 noninvasive noninvasive JJ cord-017420-tjwxec77 209 89 ventilation ventilation NN cord-017420-tjwxec77 209 90 for for IN cord-017420-tjwxec77 209 91 de de NNP cord-017420-tjwxec77 209 92 novo novo NNP cord-017420-tjwxec77 209 93 acute acute JJ cord-017420-tjwxec77 209 94 hypoxemic hypoxemic JJ cord-017420-tjwxec77 209 95 respiratory respiratory JJ cord-017420-tjwxec77 209 96 failure failure NN cord-017420-tjwxec77 209 97 : : : cord-017420-tjwxec77 209 98 role role NN cord-017420-tjwxec77 209 99 of of IN cord-017420-tjwxec77 209 100 tidal tidal JJ cord-017420-tjwxec77 209 101 volume volume NN cord-017420-tjwxec77 209 102 Platelet platelet NN cord-017420-tjwxec77 209 103 TLR4 TLR4 NNP cord-017420-tjwxec77 209 104 activates activate VBZ cord-017420-tjwxec77 209 105 neutrophil neutrophil NN cord-017420-tjwxec77 209 106 extracellular extracellular JJ cord-017420-tjwxec77 209 107 traps trap NNS cord-017420-tjwxec77 209 108 to to TO cord-017420-tjwxec77 209 109 ensnare ensnare VB cord-017420-tjwxec77 209 110 bacteria bacteria NNS cord-017420-tjwxec77 209 111 in in IN cord-017420-tjwxec77 209 112 septic septic JJ cord-017420-tjwxec77 209 113 blood blood NN cord-017420-tjwxec77 210 1 The the DT cord-017420-tjwxec77 210 2 signs sign NNS cord-017420-tjwxec77 210 3 , , , cord-017420-tjwxec77 210 4 symptoms symptom NNS cord-017420-tjwxec77 210 5 and and CC cord-017420-tjwxec77 210 6 helpseeking helpseeke VBG cord-017420-tjwxec77 210 7 experiences experience NNS cord-017420-tjwxec77 210 8 of of IN cord-017420-tjwxec77 210 9 neutropenic neutropenic JJ cord-017420-tjwxec77 210 10 sepsis sepsis NN cord-017420-tjwxec77 210 11 patients patient NNS cord-017420-tjwxec77 210 12 before before IN cord-017420-tjwxec77 210 13 they -PRON- PRP cord-017420-tjwxec77 210 14 reach reach VBP cord-017420-tjwxec77 210 15 hospital hospital NN cord-017420-tjwxec77 210 16 : : : cord-017420-tjwxec77 210 17 a a DT cord-017420-tjwxec77 210 18 qualitative qualitative JJ cord-017420-tjwxec77 210 19 study study NN cord-017420-tjwxec77 210 20 Risk risk NN cord-017420-tjwxec77 210 21 Stratification stratification NN cord-017420-tjwxec77 210 22 of of IN cord-017420-tjwxec77 210 23 Sepsis Sepsis NNP cord-017420-tjwxec77 210 24 , , , cord-017420-tjwxec77 210 25 C. C. NNP cord-017420-tjwxec77 210 26 Thrombocytopenia Thrombocytopenia NNP cord-017420-tjwxec77 210 27 is be VBZ cord-017420-tjwxec77 210 28 associated associate VBN cord-017420-tjwxec77 210 29 with with IN cord-017420-tjwxec77 210 30 a a DT cord-017420-tjwxec77 210 31 dysregulated dysregulate VBN cord-017420-tjwxec77 210 32 host host NN cord-017420-tjwxec77 210 33 response response NN cord-017420-tjwxec77 210 34 in in IN cord-017420-tjwxec77 210 35 critically critically RB cord-017420-tjwxec77 210 36 ill ill JJ cord-017420-tjwxec77 210 37 sepsis sepsis NN cord-017420-tjwxec77 210 38 patients patient NNS cord-017420-tjwxec77 210 39 Bronchoalveolar Bronchoalveolar NNP cord-017420-tjwxec77 210 40 lavage lavage NN cord-017420-tjwxec77 210 41 during during IN cord-017420-tjwxec77 210 42 neutropenic neutropenic JJ cord-017420-tjwxec77 210 43 episodes episode NNS cord-017420-tjwxec77 210 44 : : : cord-017420-tjwxec77 210 45 diagnostic diagnostic JJ cord-017420-tjwxec77 210 46 yield yield NN cord-017420-tjwxec77 210 47 and and CC cord-017420-tjwxec77 210 48 cellular cellular JJ cord-017420-tjwxec77 210 49 pattern pattern NN cord-017420-tjwxec77 210 50 Role role NN cord-017420-tjwxec77 210 51 of of IN cord-017420-tjwxec77 210 52 circulating circulate VBG cord-017420-tjwxec77 210 53 lymphocytes lymphocyte NNS cord-017420-tjwxec77 210 54 in in IN cord-017420-tjwxec77 210 55 patients patient NNS cord-017420-tjwxec77 210 56 with with IN cord-017420-tjwxec77 210 57 sepsis sepsis NN cord-017420-tjwxec77 210 58 Thrombocytopenia Thrombocytopenia NNP cord-017420-tjwxec77 210 59 impairs impair VBZ cord-017420-tjwxec77 210 60 host host NN cord-017420-tjwxec77 210 61 defense defense NN cord-017420-tjwxec77 210 62 in in IN cord-017420-tjwxec77 210 63 gramnegative gramnegative NNP cord-017420-tjwxec77 210 64 pneumonia pneumonia NN cord-017420-tjwxec77 210 65 - - HYPH cord-017420-tjwxec77 210 66 derived derive VBN cord-017420-tjwxec77 210 67 sepsis sepsis NN cord-017420-tjwxec77 210 68 in in IN cord-017420-tjwxec77 210 69 mice mouse NNS cord-017420-tjwxec77 211 1 Meta Meta NNP cord-017420-tjwxec77 211 2 - - HYPH cord-017420-tjwxec77 211 3 analysis analysis NN cord-017420-tjwxec77 211 4 of of IN cord-017420-tjwxec77 211 5 randomized randomized JJ cord-017420-tjwxec77 211 6 controlled control VBN cord-017420-tjwxec77 211 7 trials trial NNS cord-017420-tjwxec77 211 8 of of IN cord-017420-tjwxec77 211 9 prophylactic prophylactic JJ cord-017420-tjwxec77 211 10 granulocyte granulocyte NN cord-017420-tjwxec77 211 11 colony colony NN cord-017420-tjwxec77 211 12 - - HYPH cord-017420-tjwxec77 211 13 stimulating stimulate VBG cord-017420-tjwxec77 211 14 factor factor NN cord-017420-tjwxec77 211 15 and and CC cord-017420-tjwxec77 211 16 granulocyte granulocyte NN cord-017420-tjwxec77 211 17 - - HYPH cord-017420-tjwxec77 211 18 macrophage macrophage NN cord-017420-tjwxec77 211 19 colony colony NN cord-017420-tjwxec77 211 20 - - HYPH cord-017420-tjwxec77 211 21 stimulating stimulate VBG cord-017420-tjwxec77 211 22 factor factor NN cord-017420-tjwxec77 211 23 after after IN cord-017420-tjwxec77 211 24 autologous autologous JJ cord-017420-tjwxec77 211 25 and and CC cord-017420-tjwxec77 211 26 allogeneic allogeneic IN cord-017420-tjwxec77 211 27 stem stem NN cord-017420-tjwxec77 211 28 cell cell NN cord-017420-tjwxec77 211 29 transplantation transplantation NN cord-017420-tjwxec77 211 30 Blood blood NN cord-017420-tjwxec77 211 31 platelets platelet NNS cord-017420-tjwxec77 211 32 and and CC cord-017420-tjwxec77 211 33 sepsis sepsis NN cord-017420-tjwxec77 211 34 pathophysiology pathophysiology NN cord-017420-tjwxec77 211 35 : : : cord-017420-tjwxec77 211 36 a a DT cord-017420-tjwxec77 211 37 new new JJ cord-017420-tjwxec77 211 38 therapeutic therapeutic JJ cord-017420-tjwxec77 211 39 prospect prospect NN cord-017420-tjwxec77 211 40 in in IN cord-017420-tjwxec77 211 41 critical critical JJ cord-017420-tjwxec77 211 42 ill ill JJ cord-017420-tjwxec77 211 43 patients patient NNS cord-017420-tjwxec77 211 44 ? ? . cord-017420-tjwxec77 212 1 Ann Ann NNP cord-017420-tjwxec77 212 2 Intensive Intensive NNP cord-017420-tjwxec77 212 3 Care Care NNP cord-017420-tjwxec77 212 4 Granulocyte Granulocyte NNP cord-017420-tjwxec77 212 5 transfusions transfusion NNS cord-017420-tjwxec77 212 6 for for IN cord-017420-tjwxec77 212 7 preventing prevent VBG cord-017420-tjwxec77 212 8 infections infection NNS cord-017420-tjwxec77 212 9 in in IN cord-017420-tjwxec77 212 10 people people NNS cord-017420-tjwxec77 212 11 with with IN cord-017420-tjwxec77 212 12 neutropenia neutropenia NN cord-017420-tjwxec77 212 13 or or CC cord-017420-tjwxec77 212 14 neutrophil neutrophil NN cord-017420-tjwxec77 212 15 dysfunction dysfunction NN cord-017420-tjwxec77 212 16 Granulocyte Granulocyte NNP cord-017420-tjwxec77 212 17 transfusions transfusion NNS cord-017420-tjwxec77 212 18 for for IN cord-017420-tjwxec77 212 19 treating treat VBG cord-017420-tjwxec77 212 20 infections infection NNS cord-017420-tjwxec77 212 21 in in IN cord-017420-tjwxec77 212 22 people people NNS cord-017420-tjwxec77 212 23 with with IN cord-017420-tjwxec77 212 24 neutropenia neutropenia NN cord-017420-tjwxec77 212 25 or or CC cord-017420-tjwxec77 212 26 neutrophil neutrophil NN cord-017420-tjwxec77 212 27 dysfunction dysfunction NN cord-017420-tjwxec77 212 28 Clinical clinical JJ cord-017420-tjwxec77 212 29 impact impact NN cord-017420-tjwxec77 212 30 of of IN cord-017420-tjwxec77 212 31 pretransplant pretransplant JJ cord-017420-tjwxec77 212 32 multidrug multidrug NN cord-017420-tjwxec77 212 33 - - HYPH cord-017420-tjwxec77 212 34 resistant resistant JJ cord-017420-tjwxec77 212 35 gram gram NN cord-017420-tjwxec77 212 36 - - HYPH cord-017420-tjwxec77 212 37 negative negative JJ cord-017420-tjwxec77 212 38 colonization colonization NN cord-017420-tjwxec77 212 39 in in IN cord-017420-tjwxec77 212 40 autologous autologous JJ cord-017420-tjwxec77 212 41 and and CC cord-017420-tjwxec77 212 42 allogeneic allogeneic IN cord-017420-tjwxec77 212 43 hematopoietic hematopoietic JJ cord-017420-tjwxec77 212 44 stem stem NN cord-017420-tjwxec77 212 45 cell cell NN cord-017420-tjwxec77 212 46 transplantation transplantation NN cord-017420-tjwxec77 213 1 Highflow Highflow NNP cord-017420-tjwxec77 213 2 oxygen oxygen NN cord-017420-tjwxec77 213 3 through through IN cord-017420-tjwxec77 213 4 nasal nasal NN cord-017420-tjwxec77 213 5 cannula cannula NN cord-017420-tjwxec77 213 6 in in IN cord-017420-tjwxec77 213 7 acute acute JJ cord-017420-tjwxec77 213 8 hypoxemic hypoxemic JJ cord-017420-tjwxec77 213 9 respiratory respiratory JJ cord-017420-tjwxec77 213 10 failure failure NN cord-017420-tjwxec77 213 11 Infectious Infectious NNP cord-017420-tjwxec77 213 12 Diseases Diseases NNPS cord-017420-tjwxec77 213 13 Society Society NNP cord-017420-tjwxec77 213 14 of of IN cord-017420-tjwxec77 213 15 , , , cord-017420-tjwxec77 213 16 A. A. NNP cord-017420-tjwxec77 213 17 Clinical clinical JJ cord-017420-tjwxec77 213 18 practice practice NN cord-017420-tjwxec77 213 19 guideline guideline NN cord-017420-tjwxec77 213 20 for for IN cord-017420-tjwxec77 213 21 the the DT cord-017420-tjwxec77 213 22 use use NN cord-017420-tjwxec77 213 23 of of IN cord-017420-tjwxec77 213 24 antimicrobial antimicrobial JJ cord-017420-tjwxec77 213 25 agents agent NNS cord-017420-tjwxec77 213 26 in in IN cord-017420-tjwxec77 213 27 neutropenic neutropenic JJ cord-017420-tjwxec77 213 28 patients patient NNS cord-017420-tjwxec77 213 29 with with IN cord-017420-tjwxec77 213 30 cancer cancer NN cord-017420-tjwxec77 213 31 : : : cord-017420-tjwxec77 214 1 2010 2010 CD cord-017420-tjwxec77 214 2 update update NN cord-017420-tjwxec77 214 3 by by IN cord-017420-tjwxec77 214 4 the the DT cord-017420-tjwxec77 214 5 Infectious Infectious NNP cord-017420-tjwxec77 214 6 Diseases Diseases NNPS cord-017420-tjwxec77 214 7 Society Society NNP cord-017420-tjwxec77 214 8 of of IN cord-017420-tjwxec77 214 9 America America NNP cord-017420-tjwxec77 214 10 Infectious Infectious NNP cord-017420-tjwxec77 214 11 Diseases Diseases NNPS cord-017420-tjwxec77 214 12 Society Society NNP cord-017420-tjwxec77 214 13 of of IN cord-017420-tjwxec77 214 14 , , , cord-017420-tjwxec77 214 15 A. A. NNP cord-017420-tjwxec77 214 16 Clinical clinical JJ cord-017420-tjwxec77 214 17 practice practice NN cord-017420-tjwxec77 214 18 guideline guideline NN cord-017420-tjwxec77 214 19 for for IN cord-017420-tjwxec77 214 20 the the DT cord-017420-tjwxec77 214 21 use use NN cord-017420-tjwxec77 214 22 of of IN cord-017420-tjwxec77 214 23 antimicrobial antimicrobial JJ cord-017420-tjwxec77 214 24 agents agent NNS cord-017420-tjwxec77 214 25 in in IN cord-017420-tjwxec77 214 26 neutropenic neutropenic JJ cord-017420-tjwxec77 214 27 patients patient NNS cord-017420-tjwxec77 214 28 with with IN cord-017420-tjwxec77 214 29 cancer cancer NN cord-017420-tjwxec77 214 30 : : : cord-017420-tjwxec77 215 1 2010 2010 CD cord-017420-tjwxec77 215 2 update update NN cord-017420-tjwxec77 215 3 by by IN cord-017420-tjwxec77 215 4 the the DT cord-017420-tjwxec77 215 5 Infectious Infectious NNP cord-017420-tjwxec77 215 6 Diseases Diseases NNPS cord-017420-tjwxec77 215 7 Society Society NNP cord-017420-tjwxec77 215 8 of of IN cord-017420-tjwxec77 215 9 America America NNP cord-017420-tjwxec77 215 10 Antibiotic antibiotic JJ cord-017420-tjwxec77 215 11 prophylaxis prophylaxis NN cord-017420-tjwxec77 215 12 for for IN cord-017420-tjwxec77 215 13 bacterial bacterial JJ cord-017420-tjwxec77 215 14 infections infection NNS cord-017420-tjwxec77 215 15 in in IN cord-017420-tjwxec77 215 16 afebrile afebrile JJ cord-017420-tjwxec77 215 17 neutropenic neutropenic JJ cord-017420-tjwxec77 215 18 patients patient NNS cord-017420-tjwxec77 215 19 following follow VBG cord-017420-tjwxec77 215 20 chemotherapy chemotherapy NN cord-017420-tjwxec77 215 21 Neutropenic Neutropenic NNP cord-017420-tjwxec77 215 22 enterocolitis enterocolitis NN cord-017420-tjwxec77 215 23 in in IN cord-017420-tjwxec77 215 24 adults adult NNS cord-017420-tjwxec77 215 25 : : : cord-017420-tjwxec77 215 26 systematic systematic JJ cord-017420-tjwxec77 215 27 analysis analysis NN cord-017420-tjwxec77 215 28 of of IN cord-017420-tjwxec77 215 29 evidence evidence NN cord-017420-tjwxec77 215 30 quality quality NN cord-017420-tjwxec77 215 31 Prone prone JJ cord-017420-tjwxec77 215 32 positioning positioning NN cord-017420-tjwxec77 215 33 in in IN cord-017420-tjwxec77 215 34 severe severe JJ cord-017420-tjwxec77 215 35 acute acute JJ cord-017420-tjwxec77 215 36 respiratory respiratory JJ cord-017420-tjwxec77 215 37 distress distress NN cord-017420-tjwxec77 215 38 syndrome syndrome NN cord-017420-tjwxec77 215 39 Diagnosis diagnosis NN cord-017420-tjwxec77 215 40 and and CC cord-017420-tjwxec77 215 41 empirical empirical JJ cord-017420-tjwxec77 215 42 treatment treatment NN cord-017420-tjwxec77 215 43 of of IN cord-017420-tjwxec77 215 44 fever fever NN cord-017420-tjwxec77 215 45 of of IN cord-017420-tjwxec77 215 46 unknown unknown JJ cord-017420-tjwxec77 215 47 origin origin NN cord-017420-tjwxec77 215 48 ( ( -LRB- cord-017420-tjwxec77 215 49 FUO fuo NN cord-017420-tjwxec77 215 50 ) ) -RRB- cord-017420-tjwxec77 215 51 in in IN cord-017420-tjwxec77 215 52 adult adult NN cord-017420-tjwxec77 215 53 neutropenic neutropenic JJ cord-017420-tjwxec77 215 54 patients patient NNS cord-017420-tjwxec77 215 55 : : : cord-017420-tjwxec77 215 56 guidelines guideline NNS cord-017420-tjwxec77 215 57 of of IN cord-017420-tjwxec77 215 58 the the DT cord-017420-tjwxec77 215 59 Infectious Infectious NNP cord-017420-tjwxec77 215 60 Diseases Diseases NNPS cord-017420-tjwxec77 215 61 Working Working NNP cord-017420-tjwxec77 215 62 Party Party NNP cord-017420-tjwxec77 215 63 ( ( -LRB- cord-017420-tjwxec77 215 64 AGIHO AGIHO NNP cord-017420-tjwxec77 215 65 ) ) -RRB- cord-017420-tjwxec77 215 66 of of IN cord-017420-tjwxec77 215 67 the the DT cord-017420-tjwxec77 215 68 German German NNP cord-017420-tjwxec77 215 69 Society Society NNP cord-017420-tjwxec77 215 70 of of IN cord-017420-tjwxec77 215 71 Hematology Hematology NNP cord-017420-tjwxec77 215 72 and and CC cord-017420-tjwxec77 215 73 Medical Medical NNP cord-017420-tjwxec77 215 74 Oncology Oncology NNP cord-017420-tjwxec77 216 1 ( ( -LRB- cord-017420-tjwxec77 216 2 DGHO DGHO NNP cord-017420-tjwxec77 216 3 ) ) -RRB- cord-017420-tjwxec77 217 1 Febrile febrile JJ cord-017420-tjwxec77 217 2 neutropenia neutropenia NN cord-017420-tjwxec77 217 3 : : : cord-017420-tjwxec77 218 1 significance significance NN cord-017420-tjwxec77 218 2 of of IN cord-017420-tjwxec77 218 3 elaborated elaborate VBN cord-017420-tjwxec77 218 4 screening screening NN cord-017420-tjwxec77 218 5 for for IN cord-017420-tjwxec77 218 6 respiratory respiratory JJ cord-017420-tjwxec77 218 7 viruses virus NNS cord-017420-tjwxec77 218 8 , , , cord-017420-tjwxec77 218 9 and and CC cord-017420-tjwxec77 218 10 the the DT cord-017420-tjwxec77 218 11 comparison comparison NN cord-017420-tjwxec77 218 12 of of IN cord-017420-tjwxec77 218 13 different different JJ cord-017420-tjwxec77 218 14 sampling sampling NN cord-017420-tjwxec77 218 15 methods method NNS cord-017420-tjwxec77 218 16 , , , cord-017420-tjwxec77 218 17 in in IN cord-017420-tjwxec77 218 18 neutropenic neutropenic JJ cord-017420-tjwxec77 218 19 patients patient NNS cord-017420-tjwxec77 218 20 with with IN cord-017420-tjwxec77 218 21 hematological hematological JJ cord-017420-tjwxec77 218 22 malignancies malignancy NNS cord-017420-tjwxec77 219 1 The the DT cord-017420-tjwxec77 219 2 Multinational Multinational NNP cord-017420-tjwxec77 219 3 Association Association NNP cord-017420-tjwxec77 219 4 for for IN cord-017420-tjwxec77 219 5 Supportive Supportive NNP cord-017420-tjwxec77 219 6 Care Care NNP cord-017420-tjwxec77 219 7 in in IN cord-017420-tjwxec77 219 8 Cancer Cancer NNP cord-017420-tjwxec77 219 9 risk risk NN cord-017420-tjwxec77 219 10 index index NN cord-017420-tjwxec77 219 11 : : : cord-017420-tjwxec77 219 12 a a DT cord-017420-tjwxec77 219 13 multinational multinational JJ cord-017420-tjwxec77 219 14 scoring scoring NN cord-017420-tjwxec77 219 15 system system NN cord-017420-tjwxec77 219 16 for for IN cord-017420-tjwxec77 219 17 identifying identify VBG cord-017420-tjwxec77 219 18 low low JJ cord-017420-tjwxec77 219 19 - - HYPH cord-017420-tjwxec77 219 20 risk risk NN cord-017420-tjwxec77 219 21 febrile febrile JJ cord-017420-tjwxec77 219 22 neutropenic neutropenic JJ cord-017420-tjwxec77 219 23 cancer cancer NN cord-017420-tjwxec77 219 24 patients patient NNS cord-017420-tjwxec77 219 25 Neutrophil Neutrophil NNP cord-017420-tjwxec77 219 26 recruitment recruitment NN cord-017420-tjwxec77 219 27 and and CC cord-017420-tjwxec77 219 28 function function NN cord-017420-tjwxec77 219 29 in in IN cord-017420-tjwxec77 219 30 health health NN cord-017420-tjwxec77 219 31 and and CC cord-017420-tjwxec77 219 32 inflammation inflammation NN cord-017420-tjwxec77 219 33 Mortality mortality NN cord-017420-tjwxec77 219 34 , , , cord-017420-tjwxec77 219 35 morbidity morbidity NN cord-017420-tjwxec77 219 36 , , , cord-017420-tjwxec77 219 37 and and CC cord-017420-tjwxec77 219 38 cost cost NN cord-017420-tjwxec77 219 39 associated associate VBN cord-017420-tjwxec77 219 40 with with IN cord-017420-tjwxec77 219 41 febrile febrile JJ cord-017420-tjwxec77 219 42 neutropenia neutropenia NN cord-017420-tjwxec77 219 43 in in IN cord-017420-tjwxec77 219 44 adult adult NN cord-017420-tjwxec77 219 45 cancer cancer NN cord-017420-tjwxec77 219 46 patients patient NNS cord-017420-tjwxec77 219 47 Milwaukee Milwaukee NNP cord-017420-tjwxec77 219 48 Initiative Initiative NNP cord-017420-tjwxec77 219 49 in in IN cord-017420-tjwxec77 219 50 Critical Critical NNP cord-017420-tjwxec77 219 51 Care Care NNP cord-017420-tjwxec77 219 52 Outcomes Outcomes NNPS cord-017420-tjwxec77 219 53 Research Research NNP cord-017420-tjwxec77 219 54 Group Group NNP cord-017420-tjwxec77 219 55 of of IN cord-017420-tjwxec77 219 56 , , , cord-017420-tjwxec77 219 57 I. I. NNP cord-017420-tjwxec77 219 58 Severe severe JJ cord-017420-tjwxec77 219 59 sepsis sepsis NN cord-017420-tjwxec77 219 60 in in IN cord-017420-tjwxec77 219 61 hematopoietic hematopoietic JJ cord-017420-tjwxec77 219 62 stem stem NN cord-017420-tjwxec77 219 63 cell cell NN cord-017420-tjwxec77 219 64 transplant transplant NN cord-017420-tjwxec77 219 65 recipients recipient NNS cord-017420-tjwxec77 219 66 * * NFP cord-017420-tjwxec77 219 67 Survival survival NN cord-017420-tjwxec77 219 68 in in IN cord-017420-tjwxec77 219 69 neutropenic neutropenic JJ cord-017420-tjwxec77 219 70 patients patient NNS cord-017420-tjwxec77 219 71 with with IN cord-017420-tjwxec77 219 72 severe severe JJ cord-017420-tjwxec77 219 73 sepsis sepsis NN cord-017420-tjwxec77 219 74 or or CC cord-017420-tjwxec77 219 75 septic septic JJ cord-017420-tjwxec77 219 76 shock shock NN cord-017420-tjwxec77 220 1 The the DT cord-017420-tjwxec77 220 2 role role NN cord-017420-tjwxec77 220 3 of of IN cord-017420-tjwxec77 220 4 neutrophils neutrophil NNS cord-017420-tjwxec77 220 5 in in IN cord-017420-tjwxec77 220 6 immune immune JJ cord-017420-tjwxec77 220 7 dysfunction dysfunction NN cord-017420-tjwxec77 220 8 during during IN cord-017420-tjwxec77 220 9 severe severe JJ cord-017420-tjwxec77 220 10 inflammation inflammation NN cord-017420-tjwxec77 220 11 Groupe Groupe NNP cord-017420-tjwxec77 220 12 de de FW cord-017420-tjwxec77 220 13 Recherche recherche FW cord-017420-tjwxec77 220 14 en en NNP cord-017420-tjwxec77 220 15 Reanimation Reanimation NNP cord-017420-tjwxec77 220 16 Respiratoire Respiratoire NNP cord-017420-tjwxec77 220 17 du du NNP cord-017420-tjwxec77 220 18 Patient Patient NNP cord-017420-tjwxec77 220 19 , , , cord-017420-tjwxec77 220 20 D. D. NNP cord-017420-tjwxec77 220 21 O.-H. O.-H. NNP cord-017420-tjwxec77 220 22 Effect Effect NNP cord-017420-tjwxec77 220 23 of of IN cord-017420-tjwxec77 220 24 noninvasive noninvasive JJ cord-017420-tjwxec77 220 25 ventilation ventilation NN cord-017420-tjwxec77 220 26 vs vs IN cord-017420-tjwxec77 220 27 oxygen oxygen NN cord-017420-tjwxec77 220 28 therapy therapy NN cord-017420-tjwxec77 220 29 on on IN cord-017420-tjwxec77 220 30 mortality mortality NN cord-017420-tjwxec77 220 31 among among IN cord-017420-tjwxec77 220 32 immunocompromised immunocompromised JJ cord-017420-tjwxec77 220 33 patients patient NNS cord-017420-tjwxec77 220 34 with with IN cord-017420-tjwxec77 220 35 acute acute JJ cord-017420-tjwxec77 220 36 respiratory respiratory JJ cord-017420-tjwxec77 220 37 failure failure NN cord-017420-tjwxec77 220 38 : : : cord-017420-tjwxec77 220 39 a a DT cord-017420-tjwxec77 220 40 randomized randomized JJ cord-017420-tjwxec77 220 41 clinical clinical JJ cord-017420-tjwxec77 220 42 trial trial NN cord-017420-tjwxec77 220 43 Acute acute JJ cord-017420-tjwxec77 220 44 respiratory respiratory JJ cord-017420-tjwxec77 220 45 failure failure NN cord-017420-tjwxec77 220 46 in in IN cord-017420-tjwxec77 220 47 patients patient NNS cord-017420-tjwxec77 220 48 with with IN cord-017420-tjwxec77 220 49 hematological hematological JJ cord-017420-tjwxec77 220 50 malignancies malignancy NNS cord-017420-tjwxec77 220 51 : : : cord-017420-tjwxec77 220 52 outcomes outcome NNS cord-017420-tjwxec77 220 53 according accord VBG cord-017420-tjwxec77 220 54 to to IN cord-017420-tjwxec77 220 55 initial initial JJ cord-017420-tjwxec77 220 56 ventilation ventilation NN cord-017420-tjwxec77 220 57 strategy strategy NN cord-017420-tjwxec77 220 58 . . . cord-017420-tjwxec77 221 1 A a DT cord-017420-tjwxec77 221 2 groupe groupe FW cord-017420-tjwxec77 221 3 de de FW cord-017420-tjwxec77 221 4 recherche recherche FW cord-017420-tjwxec77 221 5 respiratoire respiratoire NNP cord-017420-tjwxec77 221 6 en en IN cord-017420-tjwxec77 221 7 reanimation reanimation NNP cord-017420-tjwxec77 221 8 oncohematologique oncohematologique NNP cord-017420-tjwxec77 222 1 ( ( -LRB- cord-017420-tjwxec77 222 2 Grrr grrr UH cord-017420-tjwxec77 222 3 - - HYPH cord-017420-tjwxec77 222 4 OH OH NNP cord-017420-tjwxec77 222 5 ) ) -RRB- cord-017420-tjwxec77 222 6 study study VB cord-017420-tjwxec77 222 7 The the DT cord-017420-tjwxec77 222 8 significance significance NN cord-017420-tjwxec77 222 9 and and CC cord-017420-tjwxec77 222 10 regulatory regulatory JJ cord-017420-tjwxec77 222 11 mechanisms mechanism NNS cord-017420-tjwxec77 222 12 of of IN cord-017420-tjwxec77 222 13 innate innate JJ cord-017420-tjwxec77 222 14 immune immune JJ cord-017420-tjwxec77 222 15 cells cell NNS cord-017420-tjwxec77 222 16 in in IN cord-017420-tjwxec77 222 17 the the DT cord-017420-tjwxec77 222 18 development development NN cord-017420-tjwxec77 222 19 of of IN cord-017420-tjwxec77 222 20 sepsis sepsis NN cord-017420-tjwxec77 222 21 Hematopoietic Hematopoietic NNP cord-017420-tjwxec77 222 22 stem stem NN cord-017420-tjwxec77 222 23 cell cell NN cord-017420-tjwxec77 222 24 compartment compartment NN cord-017420-tjwxec77 222 25 : : : cord-017420-tjwxec77 222 26 acute acute JJ cord-017420-tjwxec77 222 27 and and CC cord-017420-tjwxec77 222 28 late late JJ cord-017420-tjwxec77 222 29 effects effect NNS cord-017420-tjwxec77 222 30 of of IN cord-017420-tjwxec77 222 31 radiation radiation NN cord-017420-tjwxec77 222 32 therapy therapy NN cord-017420-tjwxec77 222 33 and and CC cord-017420-tjwxec77 222 34 chemotherapy chemotherapy NN cord-017420-tjwxec77 222 35 Neutrophils Neutrophils NNP cord-017420-tjwxec77 222 36 in in IN cord-017420-tjwxec77 222 37 critical critical JJ cord-017420-tjwxec77 222 38 illness illness NN cord-017420-tjwxec77 222 39 Platelets platelet NNS cord-017420-tjwxec77 222 40 in in IN cord-017420-tjwxec77 222 41 pulmonary pulmonary JJ cord-017420-tjwxec77 222 42 immune immune JJ cord-017420-tjwxec77 222 43 responses response NNS cord-017420-tjwxec77 222 44 and and CC cord-017420-tjwxec77 222 45 inflammatory inflammatory JJ cord-017420-tjwxec77 222 46 lung lung NN cord-017420-tjwxec77 222 47 diseases disease NNS cord-017420-tjwxec77 223 1 Prognosis prognosis NN cord-017420-tjwxec77 223 2 of of IN cord-017420-tjwxec77 223 3 neutropenic neutropenic JJ cord-017420-tjwxec77 223 4 patients patient NNS cord-017420-tjwxec77 223 5 admitted admit VBN cord-017420-tjwxec77 223 6 to to IN cord-017420-tjwxec77 223 7 the the DT cord-017420-tjwxec77 223 8 intensive intensive JJ cord-017420-tjwxec77 223 9 care care NN cord-017420-tjwxec77 223 10 unit unit NN cord-017420-tjwxec77 223 11 Deactivation deactivation NN cord-017420-tjwxec77 223 12 of of IN cord-017420-tjwxec77 223 13 alveolar alveolar JJ cord-017420-tjwxec77 223 14 macrophages macrophage NNS cord-017420-tjwxec77 223 15 in in IN cord-017420-tjwxec77 223 16 septic septic JJ cord-017420-tjwxec77 223 17 neutropenic neutropenic JJ cord-017420-tjwxec77 223 18 ARDS ARDS NNP cord-017420-tjwxec77 223 19 Monocyte Monocyte NNP cord-017420-tjwxec77 223 20 deactivation deactivation NN cord-017420-tjwxec77 223 21 in in IN cord-017420-tjwxec77 223 22 neutropenic neutropenic JJ cord-017420-tjwxec77 223 23 acute acute JJ cord-017420-tjwxec77 223 24 respiratory respiratory JJ cord-017420-tjwxec77 223 25 distress distress NN cord-017420-tjwxec77 223 26 syndrome syndrome NN cord-017420-tjwxec77 223 27 patients patient NNS cord-017420-tjwxec77 223 28 treated treat VBN cord-017420-tjwxec77 223 29 with with IN cord-017420-tjwxec77 223 30 granulocyte granulocyte NN cord-017420-tjwxec77 223 31 colony colony NN cord-017420-tjwxec77 223 32 - - HYPH cord-017420-tjwxec77 223 33 stimulating stimulate VBG cord-017420-tjwxec77 223 34 factor factor NN cord-017420-tjwxec77 224 1 Recent recent JJ cord-017420-tjwxec77 224 2 changes change NNS cord-017420-tjwxec77 224 3 in in IN cord-017420-tjwxec77 224 4 bacteremia bacteremia NN cord-017420-tjwxec77 224 5 in in IN cord-017420-tjwxec77 224 6 patients patient NNS cord-017420-tjwxec77 224 7 with with IN cord-017420-tjwxec77 224 8 cancer cancer NN cord-017420-tjwxec77 224 9 : : : cord-017420-tjwxec77 224 10 a a DT cord-017420-tjwxec77 224 11 systematic systematic JJ cord-017420-tjwxec77 224 12 review review NN cord-017420-tjwxec77 224 13 of of IN cord-017420-tjwxec77 224 14 epidemiology epidemiology NN cord-017420-tjwxec77 224 15 and and CC cord-017420-tjwxec77 224 16 antibiotic antibiotic JJ cord-017420-tjwxec77 224 17 resistance resistance NN cord-017420-tjwxec77 224 18 Neutropenic Neutropenic NNP cord-017420-tjwxec77 224 19 enterocolitis enterocolitis NN cord-017420-tjwxec77 224 20 , , , cord-017420-tjwxec77 224 21 a a DT cord-017420-tjwxec77 224 22 growing grow VBG cord-017420-tjwxec77 224 23 concern concern NN cord-017420-tjwxec77 224 24 in in IN cord-017420-tjwxec77 224 25 the the DT cord-017420-tjwxec77 224 26 era era NN cord-017420-tjwxec77 224 27 of of IN cord-017420-tjwxec77 224 28 widespread widespread JJ cord-017420-tjwxec77 224 29 use use NN cord-017420-tjwxec77 224 30 of of IN cord-017420-tjwxec77 224 31 aggressive aggressive JJ cord-017420-tjwxec77 224 32 chemotherapy chemotherapy NN cord-017420-tjwxec77 224 33 Noninvasive noninvasive JJ cord-017420-tjwxec77 224 34 ventilation ventilation NN cord-017420-tjwxec77 224 35 during during IN cord-017420-tjwxec77 224 36 acute acute JJ cord-017420-tjwxec77 224 37 respiratory respiratory JJ cord-017420-tjwxec77 224 38 distress distress NN cord-017420-tjwxec77 224 39 syndrome syndrome NN cord-017420-tjwxec77 224 40 in in IN cord-017420-tjwxec77 224 41 patients patient NNS cord-017420-tjwxec77 224 42 with with IN cord-017420-tjwxec77 224 43 cancer cancer NN cord-017420-tjwxec77 224 44 : : : cord-017420-tjwxec77 224 45 trends trend NNS cord-017420-tjwxec77 224 46 in in IN cord-017420-tjwxec77 224 47 use use NN cord-017420-tjwxec77 224 48 and and CC cord-017420-tjwxec77 224 49 outcome outcome NN cord-017420-tjwxec77 224 50 Impact impact NN cord-017420-tjwxec77 224 51 of of IN cord-017420-tjwxec77 224 52 vancomycin vancomycin NN cord-017420-tjwxec77 224 53 - - HYPH cord-017420-tjwxec77 224 54 resistant resistant JJ cord-017420-tjwxec77 224 55 enterococcal enterococcal JJ cord-017420-tjwxec77 224 56 bacteremia bacteremia NN cord-017420-tjwxec77 224 57 on on IN cord-017420-tjwxec77 224 58 outcome outcome NN cord-017420-tjwxec77 224 59 during during IN cord-017420-tjwxec77 224 60 acute acute JJ cord-017420-tjwxec77 224 61 myeloid myeloid JJ cord-017420-tjwxec77 224 62 leukemia leukemia NN cord-017420-tjwxec77 224 63 induction induction NN cord-017420-tjwxec77 224 64 therapy therapy NN cord-017420-tjwxec77 224 65 Neuromuscular neuromuscular JJ cord-017420-tjwxec77 224 66 blockers blocker NNS cord-017420-tjwxec77 224 67 in in IN cord-017420-tjwxec77 224 68 early early JJ cord-017420-tjwxec77 224 69 acute acute JJ cord-017420-tjwxec77 224 70 respiratory respiratory JJ cord-017420-tjwxec77 224 71 distress distress NN cord-017420-tjwxec77 224 72 syndrome syndrome NN cord-017420-tjwxec77 224 73 Beta beta NN cord-017420-tjwxec77 224 74 - - HYPH cord-017420-tjwxec77 224 75 lactam lactam NN cord-017420-tjwxec77 224 76 versus versus IN cord-017420-tjwxec77 224 77 beta beta NN cord-017420-tjwxec77 224 78 - - HYPH cord-017420-tjwxec77 224 79 lactam lactam NN cord-017420-tjwxec77 224 80 - - HYPH cord-017420-tjwxec77 224 81 aminoglycoside aminoglycoside NN cord-017420-tjwxec77 224 82 combination combination NN cord-017420-tjwxec77 224 83 therapy therapy NN cord-017420-tjwxec77 224 84 in in IN cord-017420-tjwxec77 224 85 cancer cancer NN cord-017420-tjwxec77 224 86 patients patient NNS cord-017420-tjwxec77 224 87 with with IN cord-017420-tjwxec77 224 88 neutropenia neutropenia NN cord-017420-tjwxec77 224 89 Beta Beta NNP cord-017420-tjwxec77 224 90 lactam lactam NN cord-017420-tjwxec77 224 91 monotherapy monotherapy NN cord-017420-tjwxec77 224 92 versus versus IN cord-017420-tjwxec77 224 93 beta beta JJ cord-017420-tjwxec77 224 94 lactam lactam NN cord-017420-tjwxec77 224 95 - - HYPH cord-017420-tjwxec77 224 96 aminoglycoside aminoglycoside NN cord-017420-tjwxec77 224 97 combination combination NN cord-017420-tjwxec77 224 98 therapy therapy NN cord-017420-tjwxec77 224 99 for for IN cord-017420-tjwxec77 224 100 fever fever NN cord-017420-tjwxec77 224 101 with with IN cord-017420-tjwxec77 224 102 neutropenia neutropenia NN cord-017420-tjwxec77 224 103 : : : cord-017420-tjwxec77 225 1 systematic systematic JJ cord-017420-tjwxec77 225 2 review review NN cord-017420-tjwxec77 225 3 and and CC cord-017420-tjwxec77 225 4 meta meta NNP cord-017420-tjwxec77 225 5 - - HYPH cord-017420-tjwxec77 225 6 analysis analysis NN cord-017420-tjwxec77 225 7 Management Management NNP cord-017420-tjwxec77 225 8 of of IN cord-017420-tjwxec77 225 9 sepsis sepsis NN cord-017420-tjwxec77 225 10 in in IN cord-017420-tjwxec77 225 11 neutropenic neutropenic JJ cord-017420-tjwxec77 225 12 patients patient NNS cord-017420-tjwxec77 225 13 : : : cord-017420-tjwxec77 226 1 2014 2014 CD cord-017420-tjwxec77 226 2 updated update VBN cord-017420-tjwxec77 226 3 guidelines guideline NNS cord-017420-tjwxec77 226 4 from from IN cord-017420-tjwxec77 226 5 the the DT cord-017420-tjwxec77 226 6 Infectious Infectious NNP cord-017420-tjwxec77 226 7 Diseases Diseases NNPS cord-017420-tjwxec77 226 8 Working Working NNP cord-017420-tjwxec77 226 9 Party Party NNP cord-017420-tjwxec77 226 10 of of IN cord-017420-tjwxec77 226 11 the the DT cord-017420-tjwxec77 226 12 German German NNP cord-017420-tjwxec77 226 13 Society Society NNP cord-017420-tjwxec77 226 14 of of IN cord-017420-tjwxec77 226 15 Extended Extended NNP cord-017420-tjwxec77 226 16 versus versus IN cord-017420-tjwxec77 226 17 bolus bolus NN cord-017420-tjwxec77 226 18 infusion infusion NN cord-017420-tjwxec77 226 19 of of IN cord-017420-tjwxec77 226 20 broad broad JJ cord-017420-tjwxec77 226 21 spectrum spectrum NN cord-017420-tjwxec77 226 22 beta beta NN cord-017420-tjwxec77 226 23 - - HYPH cord-017420-tjwxec77 226 24 lactams lactam NNS cord-017420-tjwxec77 226 25 for for IN cord-017420-tjwxec77 226 26 febrile febrile JJ cord-017420-tjwxec77 226 27 neutropenia neutropenia NN cord-017420-tjwxec77 226 28 : : : cord-017420-tjwxec77 227 1 an an DT cord-017420-tjwxec77 227 2 unblinded unblinded JJ cord-017420-tjwxec77 227 3 randomized randomized JJ cord-017420-tjwxec77 227 4 trial trial NN cord-017420-tjwxec77 227 5 Changes change NNS cord-017420-tjwxec77 227 6 in in IN cord-017420-tjwxec77 227 7 the the DT cord-017420-tjwxec77 227 8 etiology etiology NN cord-017420-tjwxec77 227 9 of of IN cord-017420-tjwxec77 227 10 bacteremia bacteremia NN cord-017420-tjwxec77 227 11 in in IN cord-017420-tjwxec77 227 12 febrile febrile JJ cord-017420-tjwxec77 227 13 neutropenic neutropenic JJ cord-017420-tjwxec77 227 14 patients patient NNS cord-017420-tjwxec77 227 15 and and CC cord-017420-tjwxec77 227 16 the the DT cord-017420-tjwxec77 227 17 susceptibilities susceptibility NNS cord-017420-tjwxec77 227 18 of of IN cord-017420-tjwxec77 227 19 the the DT cord-017420-tjwxec77 227 20 currently currently RB cord-017420-tjwxec77 227 21 isolated isolate VBN cord-017420-tjwxec77 227 22 pathogens pathogen NNS cord-017420-tjwxec77 227 23 Neutropenic Neutropenic NNP cord-017420-tjwxec77 227 24 sepsis sepsis NN cord-017420-tjwxec77 227 25 is be VBZ cord-017420-tjwxec77 227 26 associated associate VBN cord-017420-tjwxec77 227 27 with with IN cord-017420-tjwxec77 227 28 distinct distinct JJ cord-017420-tjwxec77 227 29 clinical clinical JJ cord-017420-tjwxec77 227 30 and and CC cord-017420-tjwxec77 227 31 biological biological JJ cord-017420-tjwxec77 227 32 characteristics characteristic NNS cord-017420-tjwxec77 227 33 : : : cord-017420-tjwxec77 227 34 a a DT cord-017420-tjwxec77 227 35 cohort cohort NN cord-017420-tjwxec77 227 36 study study NN cord-017420-tjwxec77 227 37 of of IN cord-017420-tjwxec77 227 38 severe severe JJ cord-017420-tjwxec77 227 39 sepsis sepsis NN cord-017420-tjwxec77 227 40 Surviving survive VBG cord-017420-tjwxec77 227 41 sepsis sepsis NN cord-017420-tjwxec77 227 42 campaign campaign NN cord-017420-tjwxec77 227 43 : : : cord-017420-tjwxec77 227 44 international international NNP cord-017420-tjwxec77 227 45 guidelines guideline NNS cord-017420-tjwxec77 227 46 for for IN cord-017420-tjwxec77 227 47 management management NN cord-017420-tjwxec77 227 48 of of IN cord-017420-tjwxec77 227 49 sepsis sepsis NN cord-017420-tjwxec77 227 50 and and CC cord-017420-tjwxec77 228 1 septic septic NNP cord-017420-tjwxec77 228 2 shock shock NN cord-017420-tjwxec77 228 3 Cohort Cohort NNP cord-017420-tjwxec77 228 4 study study NN cord-017420-tjwxec77 228 5 of of IN cord-017420-tjwxec77 228 6 the the DT cord-017420-tjwxec77 228 7 impact impact NN cord-017420-tjwxec77 228 8 of of IN cord-017420-tjwxec77 228 9 time time NN cord-017420-tjwxec77 228 10 to to IN cord-017420-tjwxec77 228 11 antibiotic antibiotic JJ cord-017420-tjwxec77 228 12 administration administration NN cord-017420-tjwxec77 228 13 on on IN cord-017420-tjwxec77 228 14 mortality mortality NN cord-017420-tjwxec77 228 15 in in IN cord-017420-tjwxec77 228 16 patients patient NNS cord-017420-tjwxec77 228 17 with with IN cord-017420-tjwxec77 228 18 febrile febrile JJ cord-017420-tjwxec77 228 19 neutropenia neutropenia NN cord-017420-tjwxec77 228 20 Neutropenic Neutropenic NNP cord-017420-tjwxec77 228 21 enterocolitis enterocolitis NN cord-017420-tjwxec77 228 22 : : : cord-017420-tjwxec77 228 23 new new JJ cord-017420-tjwxec77 228 24 insights insight NNS cord-017420-tjwxec77 228 25 into into IN cord-017420-tjwxec77 228 26 a a DT cord-017420-tjwxec77 228 27 deadly deadly JJ cord-017420-tjwxec77 228 28 entity entity NN cord-017420-tjwxec77 229 1 The the DT cord-017420-tjwxec77 229 2 prognostic prognostic JJ cord-017420-tjwxec77 229 3 impact impact NN cord-017420-tjwxec77 229 4 of of IN cord-017420-tjwxec77 229 5 abdominal abdominal JJ cord-017420-tjwxec77 229 6 surgery surgery NN cord-017420-tjwxec77 229 7 in in IN cord-017420-tjwxec77 229 8 cancer cancer NN cord-017420-tjwxec77 229 9 patients patient NNS cord-017420-tjwxec77 229 10 with with IN cord-017420-tjwxec77 229 11 neutropenic neutropenic JJ cord-017420-tjwxec77 229 12 enterocolitis enterocolitis NN cord-017420-tjwxec77 229 13 : : : cord-017420-tjwxec77 229 14 a a DT cord-017420-tjwxec77 229 15 systematic systematic JJ cord-017420-tjwxec77 229 16 review review NN cord-017420-tjwxec77 229 17 and and CC cord-017420-tjwxec77 229 18 meta meta NNP cord-017420-tjwxec77 229 19 - - HYPH cord-017420-tjwxec77 229 20 analysis analysis NNP cord-017420-tjwxec77 229 21 , , , cord-017420-tjwxec77 229 22 on on IN cord-017420-tjwxec77 229 23 behalf behalf NN cord-017420-tjwxec77 229 24 the the DT cord-017420-tjwxec77 229 25 Groupe Groupe NNP cord-017420-tjwxec77 229 26 de de FW cord-017420-tjwxec77 229 27 Recherche recherche FW cord-017420-tjwxec77 229 28 en en NNP cord-017420-tjwxec77 229 29 Reanimation Reanimation NNP cord-017420-tjwxec77 229 30 Respiratoire Respiratoire NNP cord-017420-tjwxec77 229 31 du du NNP cord-017420-tjwxec77 229 32 patient patient NN cord-017420-tjwxec77 229 33 d'Onco d'onco NN cord-017420-tjwxec77 229 34 - - HYPH cord-017420-tjwxec77 229 35 Hematologie Hematologie NNP cord-017420-tjwxec77 229 36 ( ( -LRB- cord-017420-tjwxec77 230 1 GRRR GRRR NNP cord-017420-tjwxec77 230 2 - - HYPH cord-017420-tjwxec77 230 3 OH OH NNP cord-017420-tjwxec77 230 4 ) ) -RRB- cord-017420-tjwxec77 230 5 Efficacy efficacy NN cord-017420-tjwxec77 230 6 and and CC cord-017420-tjwxec77 230 7 safety safety NN cord-017420-tjwxec77 230 8 of of IN cord-017420-tjwxec77 230 9 withholding withhold VBG cord-017420-tjwxec77 230 10 antimicrobial antimicrobial JJ cord-017420-tjwxec77 230 11 treatment treatment NN cord-017420-tjwxec77 230 12 in in IN cord-017420-tjwxec77 230 13 children child NNS cord-017420-tjwxec77 230 14 with with IN cord-017420-tjwxec77 230 15 cancer cancer NN cord-017420-tjwxec77 230 16 , , , cord-017420-tjwxec77 230 17 fever fever NN cord-017420-tjwxec77 230 18 and and CC cord-017420-tjwxec77 230 19 neutropenia neutropenia NN cord-017420-tjwxec77 230 20 , , , cord-017420-tjwxec77 230 21 with with IN cord-017420-tjwxec77 230 22 a a DT cord-017420-tjwxec77 230 23 demonstrated demonstrate VBN cord-017420-tjwxec77 230 24 viral viral JJ cord-017420-tjwxec77 230 25 respiratory respiratory JJ cord-017420-tjwxec77 230 26 infection infection NN cord-017420-tjwxec77 230 27 : : : cord-017420-tjwxec77 230 28 a a DT cord-017420-tjwxec77 230 29 randomized randomized JJ cord-017420-tjwxec77 230 30 clinical clinical JJ cord-017420-tjwxec77 230 31 trial trial NN cord-017420-tjwxec77 231 1 The the DT cord-017420-tjwxec77 231 2 global global JJ cord-017420-tjwxec77 231 3 challenge challenge NN cord-017420-tjwxec77 231 4 of of IN cord-017420-tjwxec77 231 5 carbapenem carbapenem JJ cord-017420-tjwxec77 231 6 - - HYPH cord-017420-tjwxec77 231 7 resistant resistant JJ cord-017420-tjwxec77 231 8 Enterobacteriaceae Enterobacteriaceae NNP cord-017420-tjwxec77 231 9 in in IN cord-017420-tjwxec77 231 10 transplant transplant NN cord-017420-tjwxec77 231 11 recipients recipient NNS cord-017420-tjwxec77 231 12 and and CC cord-017420-tjwxec77 231 13 patients patient NNS cord-017420-tjwxec77 231 14 with with IN cord-017420-tjwxec77 231 15 hematologic hematologic JJ cord-017420-tjwxec77 231 16 malignancies malignancy NNS cord-017420-tjwxec77 231 17 Absolute absolute JJ cord-017420-tjwxec77 231 18 lymphocyte lymphocyte NN cord-017420-tjwxec77 231 19 count count NN cord-017420-tjwxec77 231 20 on on IN cord-017420-tjwxec77 231 21 day day NN cord-017420-tjwxec77 231 22 30 30 CD cord-017420-tjwxec77 231 23 is be VBZ cord-017420-tjwxec77 231 24 a a DT cord-017420-tjwxec77 231 25 surrogate surrogate NN cord-017420-tjwxec77 231 26 for for IN cord-017420-tjwxec77 231 27 robust robust JJ cord-017420-tjwxec77 231 28 hematopoietic hematopoietic JJ cord-017420-tjwxec77 231 29 recovery recovery NN cord-017420-tjwxec77 231 30 and and CC cord-017420-tjwxec77 231 31 strongly strongly RB cord-017420-tjwxec77 231 32 predicts predict VBZ cord-017420-tjwxec77 231 33 outcome outcome NN cord-017420-tjwxec77 231 34 after after IN cord-017420-tjwxec77 231 35 T T NNP cord-017420-tjwxec77 231 36 cell cell NN cord-017420-tjwxec77 231 37 - - HYPH cord-017420-tjwxec77 231 38 depleted deplete VBN cord-017420-tjwxec77 231 39 allogeneic allogeneic NN cord-017420-tjwxec77 231 40 stem stem NN cord-017420-tjwxec77 231 41 cell cell NN cord-017420-tjwxec77 231 42 transplantation transplantation NN cord-017420-tjwxec77 231 43 Investigators investigator NNS cord-017420-tjwxec77 231 44 , , , cord-017420-tjwxec77 231 45 S.-E. S.-E. NNP cord-017420-tjwxec77 231 46 Balanced balanced JJ cord-017420-tjwxec77 231 47 crystalloids crystalloid NNS cord-017420-tjwxec77 231 48 versus versus IN cord-017420-tjwxec77 231 49 saline saline NN cord-017420-tjwxec77 231 50 in in IN cord-017420-tjwxec77 231 51 noncritically noncritically RB cord-017420-tjwxec77 231 52 ill ill JJ cord-017420-tjwxec77 231 53 adults adult NNS cord-017420-tjwxec77 232 1 Investigators investigator NNS cord-017420-tjwxec77 232 2 , , , cord-017420-tjwxec77 232 3 S S NNP cord-017420-tjwxec77 232 4 , , , cord-017420-tjwxec77 232 5 The the DT cord-017420-tjwxec77 232 6 Pragmatic Pragmatic NNP cord-017420-tjwxec77 232 7 Critical Critical NNP cord-017420-tjwxec77 232 8 Care Care NNP cord-017420-tjwxec77 232 9 Research Research NNP cord-017420-tjwxec77 232 10 , , , cord-017420-tjwxec77 232 11 G. G. NNP cord-017420-tjwxec77 232 12 Balanced Balanced NNP cord-017420-tjwxec77 232 13 crystalloids crystalloid NNS cord-017420-tjwxec77 232 14 versus versus IN cord-017420-tjwxec77 232 15 saline saline NN cord-017420-tjwxec77 232 16 in in IN cord-017420-tjwxec77 232 17 critically critically RB cord-017420-tjwxec77 232 18 ill ill JJ cord-017420-tjwxec77 232 19 adults adult NNS cord-017420-tjwxec77 233 1 The the DT cord-017420-tjwxec77 233 2 third third JJ cord-017420-tjwxec77 233 3 international international JJ cord-017420-tjwxec77 233 4 consensus consensus NN cord-017420-tjwxec77 233 5 definitions definition NNS cord-017420-tjwxec77 233 6 for for IN cord-017420-tjwxec77 233 7 sepsis sepsis NN cord-017420-tjwxec77 233 8 and and CC cord-017420-tjwxec77 234 1 septic septic JJ cord-017420-tjwxec77 234 2 shock shock NN cord-017420-tjwxec77 234 3 ( ( -LRB- cord-017420-tjwxec77 234 4 sepsis-3 sepsis-3 NNP cord-017420-tjwxec77 234 5 ) ) -RRB- cord-017420-tjwxec77 234 6 Comparison comparison NN cord-017420-tjwxec77 234 7 of of IN cord-017420-tjwxec77 234 8 immune immune JJ cord-017420-tjwxec77 234 9 reconstitution reconstitution NN cord-017420-tjwxec77 234 10 after after IN cord-017420-tjwxec77 234 11 unrelated unrelated JJ cord-017420-tjwxec77 234 12 and and CC cord-017420-tjwxec77 234 13 related related JJ cord-017420-tjwxec77 234 14 T t NN cord-017420-tjwxec77 234 15 - - HYPH cord-017420-tjwxec77 234 16 cell cell NN cord-017420-tjwxec77 234 17 - - HYPH cord-017420-tjwxec77 234 18 depleted deplete VBN cord-017420-tjwxec77 234 19 bone bone NN cord-017420-tjwxec77 234 20 marrow marrow NN cord-017420-tjwxec77 234 21 transplantation transplantation NN cord-017420-tjwxec77 234 22 : : : cord-017420-tjwxec77 234 23 effect effect NN cord-017420-tjwxec77 234 24 of of IN cord-017420-tjwxec77 234 25 patient patient JJ cord-017420-tjwxec77 234 26 age age NN cord-017420-tjwxec77 234 27 and and CC cord-017420-tjwxec77 234 28 donor donor NN cord-017420-tjwxec77 234 29 leukocyte leukocyte NN cord-017420-tjwxec77 234 30 infusions infusion NNS cord-017420-tjwxec77 234 31 American American NNP cord-017420-tjwxec77 234 32 Society Society NNP cord-017420-tjwxec77 234 33 of of IN cord-017420-tjwxec77 234 34 Clinical Clinical NNP cord-017420-tjwxec77 234 35 , , , cord-017420-tjwxec77 234 36 O. O. NNP cord-017420-tjwxec77 234 37 Recommendations Recommendations NNPS cord-017420-tjwxec77 234 38 for for IN cord-017420-tjwxec77 234 39 the the DT cord-017420-tjwxec77 234 40 use use NN cord-017420-tjwxec77 234 41 of of IN cord-017420-tjwxec77 234 42 WBC WBC NNP cord-017420-tjwxec77 234 43 growth growth NN cord-017420-tjwxec77 234 44 factors factor NNS cord-017420-tjwxec77 234 45 Impact Impact NNP cord-017420-tjwxec77 234 46 of of IN cord-017420-tjwxec77 234 47 neutropenia neutropenia NN cord-017420-tjwxec77 234 48 on on IN cord-017420-tjwxec77 234 49 the the DT cord-017420-tjwxec77 234 50 outcomes outcome NNS cord-017420-tjwxec77 234 51 of of IN cord-017420-tjwxec77 234 52 critically critically RB cord-017420-tjwxec77 234 53 ill ill JJ cord-017420-tjwxec77 234 54 patients patient NNS cord-017420-tjwxec77 234 55 with with IN cord-017420-tjwxec77 234 56 cancer cancer NN cord-017420-tjwxec77 234 57 : : : cord-017420-tjwxec77 234 58 a a DT cord-017420-tjwxec77 234 59 matched match VBN cord-017420-tjwxec77 234 60 case case NN cord-017420-tjwxec77 234 61 - - HYPH cord-017420-tjwxec77 234 62 control control NN cord-017420-tjwxec77 234 63 study study NN cord-017420-tjwxec77 234 64 Small small JJ cord-017420-tjwxec77 234 65 but but CC cord-017420-tjwxec77 234 66 mighty mighty JJ cord-017420-tjwxec77 234 67 : : : cord-017420-tjwxec77 234 68 platelets platelet NNS cord-017420-tjwxec77 234 69 as as IN cord-017420-tjwxec77 234 70 central central JJ cord-017420-tjwxec77 234 71 effectors effector NNS cord-017420-tjwxec77 234 72 of of IN cord-017420-tjwxec77 234 73 host host NN cord-017420-tjwxec77 234 74 defense defense NN cord-017420-tjwxec77 234 75 Cost cost NN cord-017420-tjwxec77 234 76 of of IN cord-017420-tjwxec77 234 77 cancer cancer NN cord-017420-tjwxec77 234 78 - - HYPH cord-017420-tjwxec77 234 79 related relate VBN cord-017420-tjwxec77 234 80 neutropenia neutropenia NN cord-017420-tjwxec77 234 81 or or CC cord-017420-tjwxec77 234 82 fever fever NN cord-017420-tjwxec77 234 83 hospitalizations hospitalization NNS cord-017420-tjwxec77 234 84 , , , cord-017420-tjwxec77 234 85 United United NNP cord-017420-tjwxec77 234 86 States States NNP cord-017420-tjwxec77 234 87 Neutrophil Neutrophil NNP cord-017420-tjwxec77 234 88 - - HYPH cord-017420-tjwxec77 234 89 mediated mediate VBN cord-017420-tjwxec77 234 90 suppression suppression NN cord-017420-tjwxec77 234 91 of of IN cord-017420-tjwxec77 234 92 influenza influenza NN cord-017420-tjwxec77 234 93 Hemabis Hemabis NNP cord-017420-tjwxec77 234 94 Registry Registry NNP cord-017420-tjwxec77 234 95 - - HYPH cord-017420-tjwxec77 234 96 Seifem Seifem NNP cord-017420-tjwxec77 234 97 Group Group NNP cord-017420-tjwxec77 234 98 , , , cord-017420-tjwxec77 234 99 I. I. NNP cord-017420-tjwxec77 234 100 Current current JJ cord-017420-tjwxec77 234 101 epidemiology epidemiology NN cord-017420-tjwxec77 234 102 and and CC cord-017420-tjwxec77 234 103 antimicrobial antimicrobial JJ cord-017420-tjwxec77 234 104 resistance resistance NN cord-017420-tjwxec77 234 105 data datum NNS cord-017420-tjwxec77 234 106 for for IN cord-017420-tjwxec77 234 107 bacterial bacterial JJ cord-017420-tjwxec77 234 108 bloodstream bloodstream NN cord-017420-tjwxec77 234 109 infections infection NNS cord-017420-tjwxec77 234 110 in in IN cord-017420-tjwxec77 234 111 patients patient NNS cord-017420-tjwxec77 234 112 with with IN cord-017420-tjwxec77 234 113 hematologic hematologic JJ cord-017420-tjwxec77 234 114 malignancies malignancy NNS cord-017420-tjwxec77 234 115 : : : cord-017420-tjwxec77 234 116 an an DT cord-017420-tjwxec77 234 117 Italian italian JJ cord-017420-tjwxec77 234 118 multicentre multicentre NNP cord-017420-tjwxec77 234 119 prospective prospective JJ cord-017420-tjwxec77 234 120 survey survey NN cord-017420-tjwxec77 234 121 Mucosal Mucosal NNP cord-017420-tjwxec77 234 122 barrier barrier NN cord-017420-tjwxec77 234 123 injury injury NN cord-017420-tjwxec77 234 124 , , , cord-017420-tjwxec77 234 125 fever fever NN cord-017420-tjwxec77 234 126 and and CC cord-017420-tjwxec77 234 127 infection infection NN cord-017420-tjwxec77 234 128 in in IN cord-017420-tjwxec77 234 129 neutropenic neutropenic JJ cord-017420-tjwxec77 234 130 patients patient NNS cord-017420-tjwxec77 234 131 with with IN cord-017420-tjwxec77 234 132 cancer cancer NN cord-017420-tjwxec77 234 133 : : : cord-017420-tjwxec77 234 134 introducing introduce VBG cord-017420-tjwxec77 234 135 the the DT cord-017420-tjwxec77 234 136 paradigm paradigm NN cord-017420-tjwxec77 235 1 febrile febrile JJ cord-017420-tjwxec77 235 2 mucositis mucositis NNP cord-017420-tjwxec77 236 1 The the DT cord-017420-tjwxec77 236 2 SOFA sofa NN cord-017420-tjwxec77 236 3 ( ( -LRB- cord-017420-tjwxec77 236 4 Sepsis sepsis NN cord-017420-tjwxec77 236 5 - - HYPH cord-017420-tjwxec77 236 6 related relate VBN cord-017420-tjwxec77 236 7 Organ Organ NNP cord-017420-tjwxec77 236 8 Failure Failure NNP cord-017420-tjwxec77 236 9 Assessment Assessment NNP cord-017420-tjwxec77 236 10 ) ) -RRB- cord-017420-tjwxec77 236 11 score score NN cord-017420-tjwxec77 236 12 to to TO cord-017420-tjwxec77 236 13 describe describe VB cord-017420-tjwxec77 236 14 organ organ NN cord-017420-tjwxec77 236 15 dysfunction dysfunction NN cord-017420-tjwxec77 236 16 / / SYM cord-017420-tjwxec77 236 17 failure failure NN cord-017420-tjwxec77 236 18 . . . cord-017420-tjwxec77 237 1 On on IN cord-017420-tjwxec77 237 2 behalf behalf NN cord-017420-tjwxec77 237 3 of of IN cord-017420-tjwxec77 237 4 the the DT cord-017420-tjwxec77 237 5 Working Working NNP cord-017420-tjwxec77 237 6 Group Group NNP cord-017420-tjwxec77 237 7 on on IN cord-017420-tjwxec77 237 8 Sepsis sepsis NN cord-017420-tjwxec77 237 9 - - HYPH cord-017420-tjwxec77 237 10 Related relate VBN cord-017420-tjwxec77 237 11 Problems problem NNS cord-017420-tjwxec77 237 12 of of IN cord-017420-tjwxec77 237 13 the the DT cord-017420-tjwxec77 237 14 European European NNP cord-017420-tjwxec77 237 15 Society Society NNP cord-017420-tjwxec77 237 16 of of IN cord-017420-tjwxec77 237 17 Intensive Intensive NNP cord-017420-tjwxec77 237 18 Care Care NNP cord-017420-tjwxec77 237 19 Medicine Medicine NNP cord-017420-tjwxec77 238 1 The the DT cord-017420-tjwxec77 238 2 use use NN cord-017420-tjwxec77 238 3 of of IN cord-017420-tjwxec77 238 4 FDG FDG NNP cord-017420-tjwxec77 238 5 - - HYPH cord-017420-tjwxec77 238 6 PET PET NNP cord-017420-tjwxec77 238 7 / / SYM cord-017420-tjwxec77 238 8 CT CT NNP cord-017420-tjwxec77 238 9 in in IN cord-017420-tjwxec77 238 10 patients patient NNS cord-017420-tjwxec77 238 11 with with IN cord-017420-tjwxec77 238 12 febrile febrile JJ cord-017420-tjwxec77 238 13 neutropenia neutropenia NN cord-017420-tjwxec77 238 14 Liposomal Liposomal NNP cord-017420-tjwxec77 238 15 amphotericin amphotericin NNS cord-017420-tjwxec77 238 16 B b NN cord-017420-tjwxec77 238 17 for for IN cord-017420-tjwxec77 238 18 empirical empirical JJ cord-017420-tjwxec77 238 19 therapy therapy NN cord-017420-tjwxec77 238 20 in in IN cord-017420-tjwxec77 238 21 patients patient NNS cord-017420-tjwxec77 238 22 with with IN cord-017420-tjwxec77 238 23 persistent persistent JJ cord-017420-tjwxec77 238 24 fever fever NN cord-017420-tjwxec77 238 25 and and CC cord-017420-tjwxec77 238 26 neutropenia neutropenia NN cord-017420-tjwxec77 238 27 . . . cord-017420-tjwxec77 239 1 National National NNP cord-017420-tjwxec77 239 2 Institute Institute NNP cord-017420-tjwxec77 239 3 of of IN cord-017420-tjwxec77 239 4 Allergy Allergy NNP cord-017420-tjwxec77 239 5 and and CC cord-017420-tjwxec77 239 6 Infectious Infectious NNP cord-017420-tjwxec77 239 7 Diseases Diseases NNPS cord-017420-tjwxec77 240 1 Mycoses Mycoses NNP cord-017420-tjwxec77 240 2 Study Study NNP cord-017420-tjwxec77 240 3 Group Group NNP cord-017420-tjwxec77 240 4 Caspofungin Caspofungin NNP cord-017420-tjwxec77 240 5 versus versus IN cord-017420-tjwxec77 240 6 liposomal liposomal JJ cord-017420-tjwxec77 240 7 amphotericin amphotericin NNS cord-017420-tjwxec77 240 8 B B NNP cord-017420-tjwxec77 240 9 for for IN cord-017420-tjwxec77 240 10 empirical empirical JJ cord-017420-tjwxec77 240 11 antifungal antifungal JJ cord-017420-tjwxec77 240 12 therapy therapy NN cord-017420-tjwxec77 240 13 in in IN cord-017420-tjwxec77 240 14 patients patient NNS cord-017420-tjwxec77 240 15 with with IN cord-017420-tjwxec77 240 16 persistent persistent JJ cord-017420-tjwxec77 240 17 fever fever NN cord-017420-tjwxec77 240 18 and and CC cord-017420-tjwxec77 240 19 neutropenia neutropenia NN cord-017420-tjwxec77 240 20 Prediction Prediction NNP cord-017420-tjwxec77 240 21 of of IN cord-017420-tjwxec77 240 22 bloodstream bloodstream NN cord-017420-tjwxec77 240 23 infection infection NN cord-017420-tjwxec77 240 24 due due JJ cord-017420-tjwxec77 240 25 to to IN cord-017420-tjwxec77 240 26 vancomycin vancomycin NN cord-017420-tjwxec77 240 27 - - HYPH cord-017420-tjwxec77 240 28 resistant resistant JJ cord-017420-tjwxec77 240 29 enterococcus enterococcus NN cord-017420-tjwxec77 240 30 in in IN cord-017420-tjwxec77 240 31 patients patient NNS cord-017420-tjwxec77 240 32 undergoing undergo VBG cord-017420-tjwxec77 240 33 leukemia leukemia NN cord-017420-tjwxec77 240 34 induction induction NN cord-017420-tjwxec77 240 35 or or CC cord-017420-tjwxec77 240 36 hematopoietic hematopoietic JJ cord-017420-tjwxec77 240 37 stem stem NN cord-017420-tjwxec77 240 38 - - HYPH cord-017420-tjwxec77 240 39 cell cell NN cord-017420-tjwxec77 240 40 transplantation transplantation NN cord-017420-tjwxec77 240 41 Association Association NNP cord-017420-tjwxec77 240 42 between between IN cord-017420-tjwxec77 240 43 early early JJ cord-017420-tjwxec77 240 44 peak peak NN cord-017420-tjwxec77 240 45 temperature temperature NN cord-017420-tjwxec77 240 46 and and CC cord-017420-tjwxec77 240 47 mortality mortality NN cord-017420-tjwxec77 240 48 in in IN cord-017420-tjwxec77 240 49 neutropenic neutropenic JJ cord-017420-tjwxec77 240 50 sepsis sepsis NN cord-017420-tjwxec77 240 51 Colonization colonization NN cord-017420-tjwxec77 240 52 , , , cord-017420-tjwxec77 240 53 bloodstream bloodstream NN cord-017420-tjwxec77 240 54 infection infection NN cord-017420-tjwxec77 240 55 , , , cord-017420-tjwxec77 240 56 and and CC cord-017420-tjwxec77 240 57 mortality mortality NN cord-017420-tjwxec77 240 58 caused cause VBN cord-017420-tjwxec77 240 59 by by IN cord-017420-tjwxec77 240 60 vancomycin vancomycin NN cord-017420-tjwxec77 240 61 - - HYPH cord-017420-tjwxec77 240 62 resistant resistant JJ cord-017420-tjwxec77 240 63 enterococcus enterococcus NN cord-017420-tjwxec77 240 64 early early RB cord-017420-tjwxec77 240 65 after after IN cord-017420-tjwxec77 240 66 allogeneic allogeneic JJ cord-017420-tjwxec77 240 67 hematopoietic hematopoietic JJ cord-017420-tjwxec77 240 68 stem stem NN cord-017420-tjwxec77 240 69 cell cell NN cord-017420-tjwxec77 240 70 transplant transplant NN cord-017420-tjwxec77 240 71 Platelets platelet NNS cord-017420-tjwxec77 240 72 in in IN cord-017420-tjwxec77 240 73 the the DT cord-017420-tjwxec77 240 74 pathogenesis pathogenesis NN cord-017420-tjwxec77 240 75 of of IN cord-017420-tjwxec77 240 76 acute acute JJ cord-017420-tjwxec77 240 77 respiratory respiratory JJ cord-017420-tjwxec77 240 78 distress distress NN cord-017420-tjwxec77 240 79 syndrome syndrome NN cord-017420-tjwxec77 241 1 The the DT cord-017420-tjwxec77 241 2 utility utility NN cord-017420-tjwxec77 241 3 of of IN cord-017420-tjwxec77 241 4 routine routine JJ cord-017420-tjwxec77 241 5 chest chest NN cord-017420-tjwxec77 241 6 radiography radiography NN cord-017420-tjwxec77 241 7 in in IN cord-017420-tjwxec77 241 8 the the DT cord-017420-tjwxec77 241 9 initial initial JJ cord-017420-tjwxec77 241 10 evaluation evaluation NN cord-017420-tjwxec77 241 11 of of IN cord-017420-tjwxec77 241 12 adult adult NN cord-017420-tjwxec77 241 13 patients patient NNS cord-017420-tjwxec77 241 14 with with IN cord-017420-tjwxec77 241 15 febrile febrile JJ cord-017420-tjwxec77 241 16 neutropenia neutropenia NN cord-017420-tjwxec77 241 17 patients patient NNS cord-017420-tjwxec77 241 18 undergoing undergo VBG cord-017420-tjwxec77 241 19 HSCT HSCT NNP