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[Febrile neutropenia: is ambulatory care possible]?
1Unité d'infectiologie transversale U2i, service des maladies infectieuses et tropicales, hôpital Saint-Louis, Paris, France.
Abstract:
Febrile neutropenia: is ambulatory care possible ? Outpatient treatment of neutropenic fever post chemotherapy is possible for patients at low risk of complications. Thorough clinical evaluation at presentation and close follow-up are essential. The patient's comorbidities, their specific cancer diagnosis, the expected duration and severity of neutropenia, their adherence and access to healthcare facilities should be assessed before proposing outpatient management. Empirical treatment with oral amoxicillin/clavulanic acid with ciprofloxacin are prescribed for the duration of neutropenia, in the absence of a clinical or microbiological diagnosis.
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