Journal article

Home-based care of low-risk febrile neutropenia in children—an implementation study in a tertiary paediatric hospital

GM Haeusler, L Gaynor, B Teh, FE Babl, LM Orme, A Segal, F Mechinaud, PA Bryant, B Phillips, RDA Lourenco, MA Slavin, KA Thursky

Supportive Care in Cancer | SPRINGER | Published : 2021

Abstract

Background: Home-based management of low-risk febrile neutropenia (FN) is safe, improves quality of life and reduces healthcare expenditure. A formal low-risk paediatric program has not been implemented in Australia. We aimed to describe the implementation process and evaluate the clinical impact. Method: This prospective study incorporated three phases: implementation, intervention and evaluation. A low-risk FN implementation toolkit was developed, including a care-pathway, patient information, home-based assessment and educational resources. The program had executive-level endorsement, a multidisciplinary committee and a nurse specialist. Children with cancer and low-risk FN were eligible ..

View full abstract