The following diagnostic tests should be performed:
- Adequate microbiologic tests: blood culture x 2-3, throat/nasopharynx, urine, catheter opening any surgical incisions. All blood cultures should be taken simultaneously to avoid losing valuable time.
- Blood culture and other microbiological samples should be taken before antibiotic treatment is started
- Blood tests with differential count of leukocytes, thrombocytes, Hb, CRP, SR, creatinine
- X-ray of chest
Before initiation of chemotherapy, the patient should be extensively informed, both verbally and in writing, of febrile neutropenia and its consequences.
A patient who can develop febrile neutropenia should obtain a written statement of the condition to present to other treatment providers.
Use of an isolated or private room
Patients with neutrophil granulocytes ≤ 0.3 x 109/l should have a private room if possible. Guidelines for protective isolation should be followed. Thorough washing of hands is especially important.