Risk stratification of fever and neutropenia

  • History: outPt, ECOG 0–1, age <60 y, solid tumor, no sx, no major comorbidities, no h/o fungal infection, MASCC Risk Index ≥21 (Support Care Cancer 2013;21:1487)
  • Exam: temp <39 °C, no tachypnea, no HoTN, no Δ MS, no dehydration
  • Labs: ANC >100 cells/µL, anticipated duration of neutropenia ≤100 cells/µL <7 d