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.
Fever during neutropenia with evolving shock, respiratory failure or occult infection.
Fever may be the only early sign; profound or prolonged neutropenia, hypotension, hypoxemia, altered mentation or organ injury should trigger high-risk inpatient management.
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 trajectory, organ support, competing diagnoses and failure of first-line therapy; escalate early when physiology is worsening.
Evidence status
Review metadata not yet recorded.
Status, review dates and guideline versions appear here once editorial metadata is authored for this content.