Emergency MedicineHaematologyInfectious Disease
Neutropenic Sepsis
NICE CG151 — neutrophils <0.5 × 10⁹/L (or expected within 24h) + temperature ≥38°C OR signs of sepsis. Antibiotics within 1h of recognition.
Source: NICE CG151; ASCO 2018
Step 1 of ~5
info
Recognise & Resuscitate
Suspect in any cancer patient on chemotherapy (especially within 7–10 days post-cycle). Definition: temp ≥38°C OR signs of sepsis + neutrophils ≤0.5 × 10⁹/L (or anticipated). ABCDE, NEWS2, IV access × 2, monitor. Bloods before antibiotics if no delay.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
Drugs
- Ceftriaxone (Paediatric) · Third-Generation Cephalosporin — Meningitis / Sepsis / Community-Acquired Pneumonia
- Gentamicin (Paediatric) · Aminoglycoside — Neonatal Sepsis / Gram-Negative Infections in Children
- Piperacillin-Tazobactam (Burns — Sepsis) · Antibiotic — Extended-Spectrum Penicillin + Beta-Lactamase Inhibitor
- Meropenem (Burns — Severe Sepsis/MDR) · Antibiotic — Carbapenem
- Tobramycin Inhalation · Inhaled Antibiotics — Bronchiectasis & Cystic Fibrosis
- Colistimethate Sodium (Inhaled) · Inhaled Antibiotics — Bronchiectasis & Cystic Fibrosis
Pathways
- Difficult Airway Algorithm (DAS) · DAS 2015; Royal College of Anaesthetists
- Major Haemorrhage Protocol · NICE NG24; UK MHP guidelines
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only. Always apply local guidelines and clinical judgement.