Fever and Neutropenia is a Medical Emergency
Oral temperature >38.5°C (or >38°C x 2 readings taken 1 hour apart) and ANC <1 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).
Clinical pathway: Practice Guidelines for Fever and Neutropenia patients.
The attending 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