Volume 11, Issue 3 (Autumn 2014)                   Sci J Iran Blood Transfus Organ 2014, 11(3): 230-238 | Back to browse issues page

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keyhanian S, Janat Alipoor Z, Zahirian Moghaddam H, Fotoukian Z, Omrani Nava M, Saravi M. A study of fever causes in neutropenic patients hospitalized in oncology ward of Imam-Sajjad Hospital in Ramsar . Sci J Iran Blood Transfus Organ 2014; 11 (3) :230-238
URL: http://bloodjournal.ir/article-1-747-en.html
A study of fever causes in neutropenic patients hospitalized in oncology ward of Imam-Sajjad Hospital in Ramsar
Sh. Keyhanian , Z. Janat Alipoor * , H. Zahirian Moghaddam , Z. Fotoukian , M. Omrani Nava , M.M. Saravi
Keywords: Key words: Fever, Neutropenia, Infection
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Original Article
 
 
 
 
Sci J Iran Blood Transfus Organ 2014; 11(3): 230-238
 
A study of fever causes in neutropenic patients
hospitalized in oncology ward of Imam-Sajjad Hospital
in Ramsar
 
Keyhanian Sh.1, Jannat Alipoor Z.2, Zahirian Moghaddam H.1, Fotoukian Z.2,
Omrani Nava M.1, Saravi M.M.4
 
 
1Tonekabon Islamic Azad University, Tonekabon, Iran
2Faculty of Nursing & Midwifery, Babol University of Medical Sciences, Ramsar, Iran
3Babol University of Medical Sciences, Babol, Iran
4Mazandaran University of Medical Sciences, Ramsar, Iran
 
 
Abstract
Background and Objectives
Neutropenia is the strongest factor associated with infection in neutropenic patients with immunodeficiency and under immunosuppressive medication with fever being the most important indicator of infection in neutropenic patients. Since infections are the commonest cause of death in these patients, this study was performed to determine the causes of fever in neutropenic patients.
 
Materials and Methods
This cross-sectional study was performed on 63 patients hospitalized with febrile neutropenia, admitted in the oncology ward of Imam Sajjad Hospital during 2006-2011. Sampling was performed by available sampling techniques and data collection was performed by checklist. The data were analyzed using statistical software SPSS 16. The significance level was considered to be less than 0.05 in this study.
 
Results
Out of the total number of patients, 39.7% were male and 60.3% female. The mean age of patients was 51.83 ± 17.06 years.  Culture was positive in 54% patients (33.36% F, 20.64% M). The most common types of infection were urinary tract (14.3%) and respiratory infections (7.9%). The most common isolated microorganism was Escherichia Coli (26.5%).
 
Conclusions 
The findings of most studies show that gram-positive bacteria are the most common cause of fever in neutropenic patients.
 
Key words: Fever, Neutropenia, Infection
 
 
 
 
 
Received: 13 May 2013
Accepted: 11 Nov 2013
 
 
 

Correspondence: Jannat Alipoor Z., MSc of Nursing Education. Faculty of Nursing & Midwifery, Babol University of Medical Sciences.
P.O.Box: 51515, Ramsar, Iran. Tel: (+9811) 55225151; Fax: (+9811) 55226413
E-mail:
 zalipoor@gmail.com
Type of Study: Research | Subject: Infectious disease
Published: 2014/09/29
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