Abstract

Due to the severely immunocompromised state that occurs in a number of oncology patients (with or without chemotherapy), antimicrobial therapy is often indicated. Therapy may be administered in response to a given pathogen at a specific site of infection or oftentimes is administered empirically. Multiple agents are frequently indicated to provide the necessary activity against likely microbial pathogens. This chapter addresses some of the pharmacologic considerations that are involved in the use of these agents. The antimicrobial agents that are commonly used in patients with neoplastic diseases are discussed. The areas of focus are the pharmacokinetic and pharmacodynamic characteristics of these agents as well as the more common adverse events associated with their use in this patient population and the clinically significant drug interactions that may be encountered.

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