Abstract:
BACKGROUND:Neutropenic fever is a medical emergency, which poses a significant morbidity and mortality risk to cancer patients receiving chemotherapy. National guidelines recommend that patients presenting with suspected neutropenic fever receive appropriate intravenous antibiotics within 60 min of admission. AIM:We aimed to investigate the management of neutropenic fever in a large private oncology centre. METHODS:A retrospective audit of all patients who presented to St John of God Hospital, Subiaco, in the 2017 calendar year, with a known solid organ malignancy and a recorded diagnosis of neutropenic fever was conducted. Patients were identified through the hospitals Patient Administration System and ICD-10 codes. Information was collected from the hospital medical records using a standardised data collection tool. RESULTS:There were 98 admissions relating to 88 patients with neutropenic fever during the study period. The median age was 64 years (range: 23-85 years) with 57 (65%) females. Antibiotic selections consistent with the Australian guidelines were made in 88 (89%) admissions. The mean time to antibiotic administration was 279 min, with a median of 135 min (range: 15-5160 min). Antibiotics were administered within the recommended time frame in only eight (11%) admissions. CONCLUSION:Clinicians prescribed antibiotics in accordance with national guidelines; however, there were systemic inefficiencies which resulted in delayed antibiotic initiation. This has resulted in implementation of strategies to minimise delay.
journal_name
Intern Med Jjournal_title
Internal medicine journalauthors
Skiba R,Sikotra N,Ball T,Arellano A,Gabbay E,Clay TDdoi
10.1111/imj.14464subject
Has Abstractpub_date
2020-08-01 00:00:00pages
959-964issue
8eissn
1444-0903issn
1445-5994journal_volume
50pub_type
杂志文章abstract:BACKGROUND AND AIMS:Bronchodilator reversibility (BDR) and inhaled corticosteroid (ICS) use were assessed for volunteers who responded to an advertisement requesting current or ex-smokers who were experiencing breathlessness to attend for lung function testing. METHODS:One hundred and fifty-four volunteers responded. ...
journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/j.1445-5994.2003.00485.x
更新日期:2003-12-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章,meta分析,评审
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journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/j.1445-5994.2007.01240.x
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章,多中心研究,随机对照试验
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pub_type: 杂志文章,评审
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journal_title:Internal medicine journal
pub_type: 杂志文章
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更新日期:2012-11-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章
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更新日期:2013-07-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Internal medicine journal
pub_type: 杂志文章
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更新日期:2005-08-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
doi:10.1046/j.1445-5994.2003.00336.x
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pub_type: 杂志文章
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更新日期:2020-03-23 00:00:00
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更新日期:2015-07-01 00:00:00
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pub_type: 杂志文章,评审
doi:10.1111/j.1445-5994.2010.02383.x
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pub_type: 杂志文章,评审
doi:10.1111/imj.13371
更新日期:2017-05-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/imj.13691
更新日期:2018-02-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/j.1445-5994.2006.01079.x
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pub_type: 杂志文章,评审
doi:10.1111/imj.12495
更新日期:2014-08-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章
doi:10.1111/j.1445-5994.2012.02836.x
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pub_type: 历史文章,杂志文章
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pub_type: 杂志文章,meta分析
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更新日期:2020-12-01 00:00:00
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journal_title:Internal medicine journal
pub_type: 杂志文章
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更新日期:2016-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-03-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-10-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-06-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2004-04-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2009-01-01 00:00:00