Health Condition 1: D703- Neutropenia due to infection
Conditions
Interventions
Intervention1: Intervention: It will begin post completion of Pre-interventional samples. Post chemotherapy the patients and caregivers in the ward will be instructed to use Telenursing services, if t
Sponsors
Nil
Eligibility
Inclusion criteria
Inclusion criteria: Presence of a single oral or axillary temperature of more than 38 degree Celsius for a greater than or equal to one hour along with an absolute neutrophil count less than 500 per mm cube or less than 1000 per mm cube with expected decline to less than 500 per mm cube within the next two days. Pediatric oncology patients aged 0 to 15 years reporting with fever to the casualty department. Patients residing within one-hour travel distance from Tata Memorial Hospital, Mumbai. Written informed consent obtained from parents or legal guardians and assent from the child when appropriate. Availability of a functional mobile or landline connection to facilitate tele-nursing communication in the intervention group. All patients in both groups will be managed as per the standard Febrile Neutropenia protocol of TMH.
Exclusion criteria
Exclusion criteria: Children with cancer who present with severe sepsis or septic shock requiring urgent ICU admission. Patients and caregivers who are unable to access or use a telephone or mobile device for communication. Cases where tele-nursing advice was received but the caregiver did not bring the child to casualty. Patients and caregivers with language barriers not conversant in English, Hindi, or Marathi, making tele-nursing interactions ineffective. Children and caregivers who decline to provide consent or assent for participation in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the baseline percentage of paediatric patients with FN who receive antibiotics within 1 hour of arrival to casualty in Pre-interventional group. To assess the improvement in the percentage of patients receiving antibiotics within 1 hour following the introduction of Tele-nursing services in Interventional group.Timepoint: To determine the baseline percentage of paediatric patients with FN who receive antibiotics within 1 hour of arrival to casualty in Pre-interventional group for 4 weeks or completion of samples. To assess the improvement in the percentage of patients receiving antibiotics within 1 hour following the introduction of Tele-nursing services in Interventional group after 8 weeks of study or completion of samples. | — |
Secondary
| Measure | Time frame |
|---|---|
| NilTimepoint: Nil | — |
Countries
India
Contacts
Public ContactDr Manisha Pawar
Tata Memorial Hospital
Outcome results
None listed