Neutropenic fever

Question 1

Pt with lymphoma has fevers on day 10 after getting R CHOP, and no localizing symptoms of infection. WBC 110 w/ 10% neutrophils. What should be treated with?

Answer 1

broad spectrum antibiotics vancomycin and pipercillin-tazobactrim

cover staph and pseudomonas

Question 2

When do we give GCSF if someone has lymphoma and neutropenic fever?

Answer 2

give G- CSF with next chemotherapy cycle.