Zhiguo Zhao, Pratik A Patel, Leonora Slatnick, Anna Sitthi-Amorn, Kevin J Bielamowicz, Farranaz A Nunez, Alexandria M Walsh, Jennifer Hess, Jenna Rossoff, Caitlin Elgarten, Regina Myers, Raya Saab, Maya Basbous, Meghan Mccormick, Catherine Aftandilian, Rebecca Richards, C Nathan Nessle, Alison C Tribble, Jessica K Sheth Bhutada, Scott L Coven, Daniel Runco, Jennifer Wilkes, Arun Gurunathan, Terri Guinipero, Jennifer A Belsky, Karen Lee, Victor Wong, Megha Malhotra, Amy Armstrong, Lauren P Jerkins, Shane J Cross, Lyndsay Fisher, Madison T Stein, Natalie L Wu, Troy Yi, Etan Orgel, Gabrielle M Haeusler, Joshua Wolf, Jenna M Demedis, Tamara P Miller, Adam J Esbenshade
PURPOSE: The optimal management of fever without severe neutropenia (absolute neutrophil count [ANC] ≥500/µL) in pediatric patients with cancer is undefined. The previously proposed Esbenshade Vanderbilt (EsVan) models accurately predict bacterial bloodstream infections (BSIs) in this population and provide risk stratification to aid management, but have lacked prospective external validation. MATERIALS AND METHODS: Episodes of fever with a central venous catheter and ANC ≥500/µL occurring in pediatric patients with cancer were prospectively collected from 18 academic medical centers...
December 7, 2023: Journal of Clinical Oncology