[Special features of febrile neutropenia in pediatric patients].
Febrile neutropenia is a common complication in pediatric oncohematological patients. It is defined by fever > or = 38.3 degrees C or > or = 38 for more than one hour together with a neutrophil count of < or = 500/microl(3). These children are usually admitted to hospital and receive empirical broad-spectrum antibiotic therapy. Recent studies support the possibility of early discharge or outpatient management in selected cases of febrile neutropenia. This translates into a lower risk of nosocomial infections and a reduction in the discriminate use of broad-spectrum antibiotics, with a consequent reduction in resistance, toxicity and costs. All of these factors would improve the patient's quality of life. The estimated incidence of bacteremia in children with febrile neutropenia is 10-36%. However, the experience of multiple centers suggests that not all children have the same risk of complications or death due to infection and that the risk is much lower than that in adults.
Olivé-Oliveras
M Teresa
MT
Servicio de Hematología y Oncología Infantil, Hospital Vall d'Hebron, Barcelona, España. tolive@vhebron.net
Ruiz-Camps
Isabel
I
D000465:Algorithms; D000890:Anti-Infective Agents / Q000627:therapeutic use; D002648:Child; D005334:Fever; D006801:Humans; D009369:Neoplasms / Q000276:immunology; D009503:Neutropenia / Q000382:microbiology* / Q000628:therapy*; D009894:Opportunistic Infections / Q000453:epidemiology / Q000517:prevention & control*; D012307:Risk Factors
D000890:Anti-Infective Agents