Department of Medical Oncology, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Intern Med J. 2013 May;43(5):591-5. doi: 10.1111/imj.12117.
Neutropenic fever commonly necessitates hospital admission following chemotherapy, contributing significantly to the economic cost of cancer management. Strategies utilising early discharge and ambulatory management with oral antibiotics have been demonstrated safe and effective internationally and included in recently published Australian guidelines. Here, we sought to evaluate this strategy for the first time in a controlled series in the Australian setting to allow ambulatory management for low-risk patients to become the new standard of care at our institution.
中性粒细胞减少性发热在化疗后通常需要住院治疗，这对癌症管理的经济成本有重大影响。国际上已经证明，利用早期出院和门诊管理口服抗生素的策略是安全有效的，并已纳入最近发表的澳大利亚指南。在这里，我们首次在澳大利亚的对照系列中评估了这种策略，以使我们的机构能够允许低风险患者进行门诊管理，成为新的护理标准。
