1760-1761 / 2351
How are you managing febrile neutropenia ?
Definition: fever > 38.0
°
C and neutrophil < 500/mm3
Tricks with head and neck cancer:
- No severe neutropenia
Fever not all time present: silent aspiration
-
pneumonia (monitore C-reactive protein)
Treatment:
- Monotherapy, Antiobiotic IV in the hospital
- Cover anaeobic bacteria
- Tazobactam +piperacilline
- Local pathogenes (screening)
03/01/13