A 62-year-old woman receiving chemotherapy for breast cancer presents with fever 38.6°C and rigors. Her absolute neutrophil count is 0.3 ×10⁹/L. Accor...

Question

A 62-year-old woman receiving chemotherapy for breast cancer presents with fever 38.6°C and rigors. Her absolute neutrophil count is 0.3 ×10⁹/L. According to standard Canadian oncology practice, what is the most appropriate immediate management?

Accepted Answer

Start empiric broad-spectrum IV antibiotics immediately and admit

Answer

Arrange outpatient follow-up in 24 hours

Answer

Delay antibiotics until blood culture results are available

Answer

Administer oral antibiotics and discharge

Answer

Observe without antibiotics because neutrophil count is not zero

ca-mccqe1 MCQ (SBA): Febrile neutropenia

A 62-year-old woman receiving chemotherapy for breast cancer presents with fever 38.6°C and rigors. Her absolute neutrophil count is 0.3 ×10⁹/L. According to standard Canadian oncology practice, what is the most appropriate immediate management?