Manejo de los episodios de neutropenia febril en niños con cáncer. Consenso de la Sociedad Latinoamericana de Infectología Pediátrica 2021
Marı́a Elena Santolaya, Verónica Contardo, Juan Torres, Eduardo López‐Medina, María Teresa Rosanova, Ana María Gómez Álvarez, Valentina Gutiérrez, Ximena Claverie, Marcela Rabello, Marcela Zubieta, Martha I. Álvarez-Olmos, Germán Camacho‐Moreno, P. Roldán Pérez, Cristina Mariño, Carlos Garcés, Wilfrido Coronell-Rodríguez, Pío López, Sandra Gómez, Carolina Epelbaum, Gustavo Ezcurra, Aurelia Fallo, Martha Avilés-Robles, Tanya Díaz-Cadena, María Elena Martínez-Bustamante, Enid Alejandra Nava-Ruíz
Abstract
The Committee for Infections in Immunocompromised Children of Sociedad Latinoamericana de Infectología Pediátrica, presents this Consensus document, titled "Management of episodes of febrile neutropenia in children with cancer. Consensus of the Sociedad Latinoamericana de Infectología Pediátrica 2021". The document includes recommendations on prevention, prediction, diagnosis, treatment and prognosis of episodes of fever and neutropenia, including specific recommendations on: Analysis at admission; evaluation, adjustments and duration of antimicrobial therapies; diagnosis and management of invasive fungal infection; analysis of the main clinical source of infections; environmental conditions necessary for hospitals caring for children with cancer and chemoprophylaxis. Special emphasis has been placed on providing the best recommendations to optimize the management of episodes of fever and neutropenia in children with cancer, with equity and excellence through all the centers that treat these patients in Latin America.