The feasibility and efficacy of a once daily antibiotic regimen were a
ssessed in children with malignant tumours. Over a 44 month period, 29
6 febrile episodes were treated with a regimen of once daily ceftriaxo
ne-amikacin (and teicoplanin or vancomycin if the patient had a centra
l Line). The treatment was successful in 272 (92%) episodes without mo
dification of tile antibiotic regimen, and only one patient died of un
controlled sepsis. A once daily antibiotic regimen is therefore feasib
le and worthwhile in the treatment of febrile episodes in children wit
h cancer.