Provide immediate hospital assessment for suspected neutropenic sepsis, including urgent referral to secondary or tertiary care. This is a medical emergency requiring prompt specialist intervention NICE CG151.
In the primary care setting, support measures include advising the patient and carers on infection prevention strategies, such as good personal and oral hygiene, handwashing, ensuring foods are well-cooked, and wearing protective gloves for cleaning and gardening NICE CKS.
Ensure the patient is kept hydrated by encouraging oral fluid intake or, if unable, arranging for intravenous fluids if hospital transfer is imminent or ongoing NICE CKS.
Monitor the patient’s clinical condition closely, including signs of deterioration, and prepare for urgent transfer if the patient becomes critically unwell NICE CKS.
Provide clear instructions on when to seek emergency care, including worsening symptoms or signs of sepsis, and ensure the patient and carers understand the importance of rapid hospital assessment NICE CG151.