Journal article
Management of fever and neutropenia in children with cancer: A survey of Australian and New Zealand practice
GM Haeusler, MA Slavin, PA Bryant, FE Babl, F Mechinaud, KA Thursky
Journal of Paediatrics and Child Health | WILEY | Published : 2018
DOI: 10.1111/jpc.13899
Abstract
Aim: Variation in the management of fever and neutropenia (FN) in children is well described. The aim of this study was to explore the current management of FN across Australia and New Zealand and highlight areas for improvement. Methods: A practice survey was administered to paediatric health-care providers via four clinical and research networks. Using three clinical case vignettes, we explored risk stratification, empiric antibiotics, initial investigations, intravenous–oral switch, ambulatory management and antibiotic duration in children with cancer and FN. Results: A response was received from 104 participants from 16 different hospitals. FN guideline compliance was rated as moderate o..
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Awarded by BC Children’s Hospital
Funding Acknowledgements
The authors gratefully acknowledge the following people for their helpful suggestions with survey content: Janelle Jones (ANZCHOG), David Ziegler (Sydney Children's Hospital, Sydney), Thomas Walwyn (Princess Margaret Hospital, Perth), Frank Alvaro (John Hunter Children's Hospital, Newcastle), Julia Clark (Lady Cilento Children's Hospital, Brisbane), Heather Tapp (Women and Children's Hospital, Adelaide), Luciano Dalla-Pozza (Children's Hospital and Westmead, Sydney), Peter Bradbeer (Starship Children's Hospital, Auckland) and David Tickell (Ballarat Base Hospital, Ballarat). GMH was supported by a National Health and Medical Research Council postgraduate scholarship (GNT1056158). FE Babl was part funded by a grant from the Royal Children's Hospital Foundation, Melbourne, Australia and an NHMRC Practitioner Fellowship.