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How should I initiate empirical antibiotic therapy for a patient with suspected neutropenic sepsis?

Answer

Guideline-Aligned (High Confidence)
Generated by iatroX. Developer: Dr Kola Tytler MBBS CertHE MBA MRCGP (General Practitioner).
Last reviewed: 16 August 2025

Offer beta lactam monotherapy with piperacillin/tazobactam as initial empiric antibiotic therapy to patients with suspected neutropenic sepsis who need intravenous treatment, unless there are patient-specific or local microbiological contraindications 1.

Do not offer an aminoglycoside, either as monotherapy or in dual therapy, for the initial empiric treatment of suspected neutropenic sepsis unless there are patient-specific or local microbiological indications 1.

Do not offer empiric glycopeptide antibiotics to patients with suspected neutropenic sepsis who have central venous access devices unless there are patient-specific or local microbiological indications 1.

Do not remove central venous access devices as part of the initial empiric management of suspected neutropenic sepsis 1.

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