(精编)Neutropenic Sepsis教学课件.pptVIP

Common sources of sepsis Site Respiratory 38% Urinary tract 21% Intra-abdominal 16.5% Cather Related Blood Stream Infection 2.3% Devices 1.3% CNS 0.8% Others e.g. cellulitis 11.3% Risk of Septic Shock with Neutropenia High Risk Patients Low Risk Patients Inpatient at the time of developing fever Significant medical co-morbidities or clinically unstable Anticipated prolonged severe neutropenia Hepatic insufficiency Renal insufficiency Uncontrolled/progressive cancer Pneumonia or other complex infection Mucositis grade 3-4 Outpatient at the time of developing fever No associated acute co