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BC Children's Hospital works collaboratively with the BC Cancer and the Children's Oncology Group to provide recommendations for investigation, treatment and follow-up for children with cancer.


Flu Vaccination guidelines

2020 Flu Vaccination Guidelines  

‎‎Fever +/- Neutropenia is a Medical Emergency

Clinical pathway:

Practice Guidelines for Fever +/-  Neutropenia patients.

Fever and Neutropenia


Fever-  Oral or Temporal temperature ≥38.5°C or Axillary temperature ≥ 38.0°C

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. 

Pediatric Oncology Education Materials  Basic information on pediatric oncology for healthcare professionals

National Cancer Institute

BC Cancer  A comprehensive cancer control program for BC

Children's Oncology Group 

St Jude Cure4Kids  Cure4Kids is an online education resource for healthcare professionals

Community Partners

A significant contribution to the successful treatment of children with cancer and blood disorders comes from adopting a multi-disciplinary team approach to patient care. One of the pediatric oncologists/hematologists is the primary physician responsible for directing the care of the child. This oncologist along with a nurse clinician and a social worker form the primary care team which liaises with the local community health care professionals.  

BCCH Oncology/Hematology Staff directory (rev. November 2020)

Community Care Teams

Many of our patients receive portions of their treatment in their local communities.  The following is a list of our community partners. 

Campbell River (rev. May 2018)

Courtenay (rev. May 2018)

Kamloops (rev. June 2019)

Kelowna (rev. July 2018)

Nanaimo (rev. May 2018)

Penticton (rev. August 2019)

Prince George (rev. November 2020)

Surrey (rev. January 2019)

Vernon (rev. August 2019)    

Victoria (rev. January 2020)

LTFU Guidelines

As new therapies are employed, our knowledge concerning the risks or recurrence and late effects of cancer and its treatment is changing. We have developed disease-specific long-term follow-up guidelines. These guidelines can be modified on an individual basis to provide optimum care for survivors.

Clinical Tools

Additional survivorship guidelines can be found on the Children's Oncology Group website.


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