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

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 16 August 2025Updated: 16 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

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 .

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 .

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 .

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

Educational content only. Always verify information and use clinical judgement.