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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

EMERGENCY MEDICINE DAY: May 27

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lunes, 13 de mayo de 2019

Neutropenic fever

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emDocs - May 13, 2019 - Author: Long B - Edited by: Koyfman A
"Key Points
  • Fever with neutropenia is an emergency. Neutropenic fever is defined by the IDSA as oral temperature > 38.3o C or temperature >38.0oC for 1 hour with neutropenia.
  • In patients who are risk stratified as low risk, outpatient therapy is safe when compared to inpatient therapy.
  • Oncology consultation is recommended for patients with neutropenic fever, especially with the decision regarding discharge.
  • While several risk scores can be used with oncology consultation, including the MASCC and CISNE scores, clinical judgment should overrule clinical scores.
  • If the patient is appropriate for outpatient therapy following IV antibiotics and observation in the ED, an oral fluoroquinolone (ciprofloxacin or levofloxacin) plus amoxicillin/clavulanate is recommended."