Guideline for the Management of Fever and Neutropenia in Children With Cancer and Hematopoietic Stem-Cell Transplantation Recipients: 2017 Update

PurposeTo update a clinical practice guideline (CPG) for the empirical management of fever and neutropenia (FN) in children with cancer and hematopoietic stem-cell transplantation recipients.MethodsThe International Pediatric Fever and Neutropenia Guideline Panel is a multidisciplinary and multinati...

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Detalles Bibliográficos
Autores: Lehrnbecher, Thomas, Robinson, Paula, Fisher, Brian, Alexander, Sarah, Ammann, Roland A., Beauchemin, Melissa, Carlesse, Fabianne [UNIFESP], Groll, Andreas H., Haeusler, Gabrielle M., Santolaya, Maria, Steinbach, William J., Castagnola, Elio, Davis, Bonnie L., Dupuis, L. Lee, Gaur, Aditya H., Tissing, Wim J. E., Zaoutis, Theo, Phillips, Robert, Sung, Lillian
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:inglés
OAI Identifier:oai:repositorio.unifesp.br:11600/53648
Acceso en línea:http://dx.doi.org/10.1200/JCO.2016.71.7017
https://repositorio.unifesp.br/handle/11600/53648
Access Level:acceso abierto
Descripción
Sumario:PurposeTo update a clinical practice guideline (CPG) for the empirical management of fever and neutropenia (FN) in children with cancer and hematopoietic stem-cell transplantation recipients.MethodsThe International Pediatric Fever and Neutropenia Guideline Panel is a multidisciplinary and multinational group of experts in pediatric oncology and infectious diseases that includes a patient advocate. For questions of risk stratification and evaluation, we updated systematic reviews of observational studies. For questions of therapy, we conducted a systematic review of randomized trials of any intervention applied for the empirical management of pediatric FN. The Grading of Recommendation Assessment, Development and Evaluation approach was used to make strong or weak recommendations and to classify levels of evidence as high, moderate, low, or very low.ResultsRecommendations related to initial presentation, ongoing management, and empirical antifungal therapy of pediatric FN were reviewed