Clinical Impact of Omitting Fluoroquinolones for Primary Neutropenic Prophylaxis in Adult Patients with Newly Diagnosed Acute Myeloid Leukemia

Document Type

Conference Proceeding - Restricted Access

Publication Date

5-9-2025

Abstract

Intensive induction chemotherapy for the treatment of acute myeloid leukemia (AML) places patients at high risk for febrile neutropenia and profound, protracted neutropenia. The use of fluoroquinolone prophylaxis in this population became standard of practice for this patient population and is a recommendation by the most recent Infectious Disease Society of America (IDSA) and National Cancer Care Network (NCCN) guidelines. However, the recent emergence of multidrug-resistant organisms has caused the use of fluoroquinolone prophylaxis to be reconsidered. Alternative practice guidelines contain conflicting opinions regarding the use of fluoroquinolone prophylaxis in AML patients. Thus, practice patterns vary in the US. Further research in the modern era is needed to fully understand the clinical impact of omitting fluoroquinolone prophylaxis for primary neutropenia in patients with AML.

Comments

2025 Research Day Corewell Health West, Grand Rapids, MI, May 9, 2025. Abstract 1814

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