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Information about current guideline
In September 2012, the National Institute for Clinical Excellence (NICE) published a guideline entitled ‘Neutropenic sepsis: prevention and management of neutropenic sepsis in cancer patients’.1 The aim of the guideline is to ‘improve outcomes by providing evidence-based recommendations on the prevention, identification and management of this life-threatening complication of cancer treatment’ for children, young people and adults. The National Collaborating Centre for Cancer was commissioned by NICE to develop the guideline and establish a Guideline Development Group, including children and young people's cancer nurses and consultants, which reviewed the evidence and developed the recommendations.
There are no previously published national guidelines for the management of neutropenic sepsis in children. In July 2008, the Children's Cancer and Leukaemia Group (CCLG) produced a framework document for the treatment of febrile neutropenia, focusing on the definitions of fever and neutropenia, and on developing a practical management strategy for low-risk patients, which individual centres could incorporate into local policies. The document was produced in response to a survey suggesting wide variation in the definitions and management of febrile neutropenia, following an exhaustive literature review, small group discussion and a national Delphi consensus process.2 ,3 A recent audit of UK paediatric oncology centres revealed that current practice differs widely from recommendations contained within the CCLG framework.4
http://guidance.nice.org.uk/CG151 Link to NICE guideline and full guideline
http://guidance.nice.org.uk/CG151/PublicInfo/pdf/ English Link to public information on neutropenic sepsis guidance
http://www.nice.org.uk/newsroom/podcasts/index.jsp?pid=45 Neutropenic sepsis: prophylaxis podcast with Dr Bob Phillips
Controversial and key issues that the guideline addresses
Definition of febrile neutropenia: Neutrophils 0.5×109/l or lower …
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