A short but really important post today to remind everyone of the importance of assessing for and promptly treating potential Neutropenic Sepsis in the emergency department.
There are 2 take home messages;
Firstly suspect neutropenia (Neutrophils <1.0) in any patient who
Has received IV or oral chemotherapy within the preceeding 4 weeks
Is a known haematology patient, within 100 days of autograft or 2 years of allograft
**MDS patients should be treated as neutropenic regardless of absolute neutrophil count
Secondly, if neutropenic sepsis is suspected, DON'T WAIT for blood results - start antibiotics immediately. You should suspect NS if if there are any positive SIRS criteria.
Full guidelines can be found on the Trust Intranet. The flowchart below is a useful guide. Click on the image below to see the full flowchart.
If you aren't sure what to do in any individual patient, ask a senior - don't delay.