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Letter to the Editor| Volume 93, ISSUE 3, P314-315, July 2016

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Increasing incidence of multidrug-resistant Gram-negative septicaemia during induction therapy of acute myeloid leukaemia

Published:April 29, 2016DOI:https://doi.org/10.1016/j.jhin.2016.04.012
      Multidrug-resistant Gram-negative bacterial (MDR-GNB) septicaemia is an emerging global challenge. Patients with cancer with compromised immunity and frequent contact with the health system are more vulnerable to this problem. Recent reports from India document high levels of carbapenem resistance (25–50%) among bacterial isolates from patients with cancer.
      • Bhattacharya S.
      • Goel G.
      • Mukherjee S.
      • Bhaumik J.
      • Chandy M.
      Epidemiology of antimicrobial resistance in an oncology center in eastern India.
      • Ghosh I.
      • Raina V.
      • Kumar L.
      • et al.
      Profile of infections and outcome in high-risk febrile neutropenia: experience from a tertiary care cancer center in India.
      Induction therapy of acute myeloid leukemia (AML) is characterized by significant mortality due to septicaemia which is compounded by MDR infections.
      • Philip C.
      • George B.
      • Ganapule A.
      • et al.
      Acute myeloid leukaemia: challenges and real world data from India.
      We report our recent experience with MDR-GNB sepsis during induction therapy of AML.
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      References

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