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Diagnostics and therapy of paediatric patients with febrile neutropenia

  • Febrile neutropenia is a common infectious complication in children and adolescents receiving chemotherapy for cancer, requiring immediate hospitalisation and empirical antibacterial therapy. The risk for a severe infection increases with lower neutrophil counts, but other factors such as underlying malignancy, remission state or the genetic background might also impact on the risk and severity of infection. Initial antibacterial treatment as well as modification and cessation of therapy depends on clinical performance, microbiological findings and haematological recovery. Although paediatric specific guidelines have been developed in the last decade, a number of questions are still unsolved. This article gives an overview on diagnostics and management of paediatric patients presenting with febrile neutropenia, on research gaps and will speculate on future perspective.

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Metadaten
Author:Christa KoenigORCiDGND, Thomas LehrnbecherORCiDGND
URN:urn:nbn:de:hebis:30:3-791643
DOI:https://doi.org/10.1016/j.ejcped.2023.100116
ISSN:2772-610X
Parent Title (English):EJC Paediatric Oncology
Publisher:Elsevier
Place of publication:Amsterdam
Document Type:Article
Language:English
Date of Publication (online):2023/10/13
Date of first Publication:2023/10/13
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2023/10/13
Tag:Child; antibacterial therapy; antifungal therapy; diagnostics; febrile neutropenia; risk group
Volume:2023
Issue:100116, In Press, Journal Pre-proof
Page Number:31
HeBIS-PPN:516382896
Institutes:Medizin
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Sammlungen:Universitätspublikationen
Licence (German):License LogoCreative Commons - CC BY-NC-ND - Namensnennung - Nicht kommerziell - Keine Bearbeitungen 4.0 International