Febrile Neutropenia, Rule of Clinical Decision, Chemotherapy
Conditions
Brief summary
Evaluate the reproducibility and validate a posteriori a new rule of clinical decision on a multi-center population of children with a post-chemotherapy febrile neutropenia
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Child aged 1 to 18 years * Child with hematology or cancer * Child with a febrile neutropenia post-chemotherapy * Child with social security * No opposition from the child and/or parents, in case of absence, the holder of the parental authority present, can consent, alone, to the participation of the unemancipated minor.
Exclusion criteria
* Febrile neutropenia at diagnosis of tumor disease * Child with palliative care * Child having had a hematopoietic stem cell allo-graft in the preceding year * Febrile neutropenia immediately post auto-transplant * Antibiotherapy prior to admission * Initial care in a non-investigative center.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood culture | On average between 5 days and 1 month | Presence or not of bacteriemia |
| Positive bacterial culture from a normally sterile site | on average between 5 days and 1 month | Presence or not of bacterial infection |
| microbiological culture | On average between 5 days and 1 month | Presence or not of focal infection at high risk of dissemination was defined as any local infection with or without microbiological documentation into a normally sterile site, with significant risk of loco-regional or systemic spread |
| Fungal culture | On average between 5 days and 1 month | Presence or not of fungal infection is referred to a proven, probable, or possible fungal infection as defined by the IFICG ot the EORTC |
Countries
France
Contacts
University Hospital, Lille