Management of sepsis in neutropenic cancer patients: 2018 guidelines from the Infectious Diseases Working Party (AGIHO) and Intensive Care Working Party (iCHOP) of the German Society of Hematology and Medical Oncology (DGHO)

Ann Hematol. 2019 May;98(5):1051-1069. doi: 10.1007/s00277-019-03622-0. Epub 2019 Feb 22.

Abstract

Sepsis and septic shock are major causes of mortality during chemotherapy-induced neutropenia for malignancies requiring urgent treatment. Thus, awareness of the presenting characteristics and prompt management is most important. Improved management of sepsis during neutropenia may reduce the mortality of cancer therapies. However, optimal management may differ between neutropenic and non-neutropenic patients. The aim of the current guideline is to give evidence-based recommendations for hematologists, oncologists, and intensive care physicians on how to manage adult patients with neutropenia and sepsis.

Keywords: Cancer; Guideline; Management; Neutropenia; Sepsis; Septic shock.

Publication types

  • Review

MeSH terms

  • Adult
  • Chemotherapy-Induced Febrile Neutropenia / etiology
  • Chemotherapy-Induced Febrile Neutropenia / therapy*
  • Critical Care
  • Female
  • Germany
  • Hematology
  • Humans
  • Male
  • Medical Oncology
  • Neoplasms / therapy*
  • Practice Guidelines as Topic
  • Sepsis* / etiology
  • Sepsis* / therapy
  • Societies, Medical