ICU Map
infectious

Neutropenic Fever with Organ Dysfunction

Fever during neutropenia with evolving shock, respiratory failure or occult infection.

Recognize

  • Fever may be the only early sign; profound or prolonged neutropenia, hypotension, hypoxemia, altered mentation or organ injury should trigger high-risk inpatient management.

Act

  • High-risk or unstable patients need prompt IV antipseudomonal beta-lactam therapy. Add additional agents based on shock, suspected catheter/skin infection, pneumonia, resistant-organism risk and local epidemiology rather than routinely.

Reassess

  • Reassess trajectory, organ support, competing diagnoses and failure of first-line therapy; escalate early when physiology is worsening.

Evidence status

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