Infectious Disease Book

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Neutropenic Fever Clinical Decision Rule

Aka: Neutropenic Fever Clinical Decision Rule
  1. See Also
    1. Neutropenic Fever
  2. Indications
    1. Assess risk in Neutropenic Fever
  3. Criteria
    1. Neutropenic Fever symptom severity (choose one)
      1. No symptoms: 5 points
      2. Mild symptoms: 5 points
      3. Moderate symptoms: 3 points
    2. Hypotension not present: 5 points
    3. COPD not present: 4 points
    4. Solid tumor or non-fungal infection: 4 points
    5. Dehydration not present: 3 points
    6. Fever had onset as outpatient: 3 points
    7. Age under 60 years: 2 points
  4. Interpretation
    1. Total score >21: Low Risk (consider outpatient therapy)
    2. Total score <21: High Risk (inpatient therapy)
  5. References
    1. Hughes (2002) Clin Infect Dis 34:730-51
    2. Talcott (1992) J Clin Oncol 10:316-22

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