Table 3

Eligibility for care in the community (must answer yes to all of the criteria)

CriteriaEligibleNot eligible
Disease status: leukaemia/lymphoma in remission (as per last bone marrow aspirate or solid tumour stable/responding(as per oncologist) Embedded Image Yes Embedded Image No
Low-risk disease group, not any of
 Acute lymphoblastic leukaemia induction or acute infant leukaemia, acute myeloid leukaemia, postallogenic haemopoietic stem cell transplant with 3 months or still on immunosuppression, congenital immunodeficiency, aplastic anaemia or Down syndrome
 Centres may have particular local concern about other specific diagnosis
Embedded Image Yes Embedded Image No
No confirmed focus of infection requiring inpatient care* Embedded Image Yes Embedded Image No
No medical complication requiring inpatient care† Embedded Image Yes Embedded Image No
No severe sepsis on febrile neutropenia presentation‡ Embedded Image Yes Embedded Image No
Availability of 24-hour caregiver Embedded Image Yes Embedded Image No
Good education of patient and carer on reportable symptoms Embedded Image Yes Embedded Image No
Availability of a telephone Embedded Image Yes Embedded Image No
Within 1 hour of treating hospital Embedded Image Yes Embedded Image No
Treating team preference Embedded Image Yes Embedded Image No
No previous history of non-compliance with medical care Embedded Image Yes Embedded Image No
  • Variations may consider excluding any patient who has received a fluid bolus or had a past unplanned admission to an intensive therapy unit (ITU). If well, presence of infiltrates on chest x-ray (CXR) may not be a contraindication to oral antibiotic therapy. At the time of writing, SARS-CoV-2–COVID-19-positive swabs should not necessarily be a contraindication to home care.

  • *Including, but not limited to, central venous access device site infection, cellulitis, perianal cellulitis or pain, significant pneumonia and infection with multidrug-resistant bacteria

  • †Including pain requiring intravenous analgesia, poor oral intake or excessive loss requiring intravenous hydration, respiratory distress or oxygen requirement

  • ‡Severe sepsis includes any of (1) altered conscious state, (2) inotrope requirement, (3) fluid bolus requirement of >40 mL/kg or (4) respiratory support requirement.

  • CXR, chest X-ray.