THERAPEUTIC EVALUATION OF IMIPENEM/CILASTATIN SODIUM FOR BACTERIAL INFECTIONS IN PATIENTS WITH HEMATOLOGICAL DISEASES

Abstract

1. To evaluate the efficacy and tolerance of imipenem/cilastatin sodium (IPM/CS) in severe infections associated with hematopoietic disorders, IPM/CS was administered to a total of 105 patients.
2. Out of 96 patients evaluable for efficacy, clinical responses were excellent in 23 patients, good in 30, fair in 15, poor in 19 and unknown in 9, and the overall response rate was 60.9%.
3. The most common underlying hematopoietic disease was acute non-lymphocytic leukemia and the most common infections were sepsis and suspected sepsis.
4. Daily dose, severity of infection and neutrophil count had effects on the clinical response.
5. The overall eradication rate of bacteria was 83.7%.
6. Side effects were observed in 10 patients (9.5%) and abnormal laboratory test results in 12 (11.4%).
From the above findings, we have concluded that IPM/CS is very useful for the treatment of severe infections in compromised patients with hematopoietic diseases.