Pediatric Guidelines
Neutropenic Fever Treatment in Pediatrics

Neutropenic Fever Treatment in Pediatrics

Important Considerations

  • Steroids during ALL induction/re-induction may prevent fever with infection. If ill and neutropenic, treat according to the algorithm even in absence of fever.

  • This algorithm applies to patients with unclear source of fever. If suspected source or organism isolated, direct therapy toward organisms/source.

  • Fever ≥38°C AND ANC <500 cells/mL Note - Do not delay antibiotics for ANC confirmation

No Vancomycin Indications or Comorbidities

Renal adjustment in pediatric section in monograph

CONSIDER

48 Hour Follow-up: Bacterial Organism Identified Target antimicrobials to organism and susceptibilities when available 48 Hour Follow-up: Bacterial Organism Not Identified Continue cefepime ONLY

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