Zidovudine-induced neutropenia: are we too cautious?

Journal Article

30 patients with recurrent zidovudine-induced neutropenia were followed up for a total of 493 months of treatment to evaluate their risk of bacterial infection. Zidovudine was temporarily discontinued only when the polymorphonuclear (PMN) cell count fell to less than 500/microliters. The incidence of bacterial infection during periods of severe neutropenia (PMN less than 500/microliters) was 230% higher than when the PMN count was 500-1000/microliters, and 600% higher than when the count was greater than 1000/microliters. The difference between periods when the PMU count was 500-1000/microliters and non-neutropenic periods was not significant. The findings suggest that zidovudine therapy can be continued despite neutropenia without a major increase in the incidence of bacterial infection provided the PMN count does not fall to less than 500/microliters.

Full Text

Duke Authors

Cited Authors

  • Shaunak, S; Bartlett, JA

Published Date

  • July 8, 1989

Published In

Volume / Issue

  • 2 / 8654

Start / End Page

  • 91 - 92

PubMed ID

  • 2567882

International Standard Serial Number (ISSN)

  • 0140-6736

Language

  • eng

Conference Location

  • England