II. Indications

  1. Assess risk in Neutropenic Fever

III. Contraindications

  1. Children under age 16 years (have different rules for risk stratification)

IV. Criteria

  1. Neutropenic Fever symptom severity (choose one)
    1. No symptoms or Mild symptoms: 5 points
    2. 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

V. Interpretation

  1. Total score >21: Low Risk (consider outpatient therapy)
  2. Total score <21: High Risk (inpatient therapy)

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