Fever and Neutropenia
Fever- Oral temperature >38.5°C (or >38°C x 2 readings taken 1 hour apart)
Neutropenia- ANC <0.5 x 109/L
It is recommended that the BCCH Clinical Pathway be followed and the recommendations for empiric antibiotic use be implemented. (CAVEAT: Individual Hospital Infection Control Policy may dictate other treatment based on their own antibiotic sensitivity profile).
The treating pediatric oncologist (after hours, the oncologist on call) should be notified when a child on active anticancer therapy develops a fever and neutropenia.
Please notify BC Children's Hospital
Weekdays (8am-4pm) Oncology clinic 604-875-2345 ext 7079
Afterhours, weekends and stat holidays: Oncologist on call 604-875-2161
Fever, non-neutropenic patients:
All children with central lines require blood cultures with new febrile episodes. If patient is clinically
well, caregivers are reliable, and there are no focal infections requiring treatment, empiric antibiotic
therapy is not required.