Abstract

In pediatric oncology, there is no evidence-based definition of the temperature limit defining fever (TLDF), which itself is essential for the definition of fever in chemotherapy-induced severe neutropenia (FN). Lowering the TLDF can increase the number of FN episodes diagnosed. This prospective, single center observational study collected data on all temperature measurements, complete blood counts (CBCs), and measures of diagnostics and therapy performed at and after FN diagnosis in pediatric oncology patients using a high standard TLDF (39 °C ear temperature). In 45 FN episodes in 20 patients, 3391 temperature measurements and 318 CBCs, plus information on antibiotics, anti-fungal therapy, antipyretics, blood cultures taken and on discharge were collected. These data can mainly be used to study the influence of virtually lowering the TLDF on diagnostic measures, treatment and length of hospitalization in pediatric FN, which in turn are directly related to costs of FN therapy, and quality of life. This approach can be expanded to include as well different definitions of neutropenia.

Measurement(s)

body temperature trait • Blood Cell Count • Diagnostics, Cancer • therapy

Technology Type(s)

Thermometer Device • complete blood cell count • Observational study

Factor Type(s)

day and time • outcome

Sample Characteristic - Organism

Homo sapiens

Sample Characteristic - Environment

hospital

Machine-accessible metadata file describing the reported data: 10.6084/m9.figshare.12118473

Details

Title
Temperatures, diagnostics and treatment in pediatric cancer patients with fever in neutropenia, NCT01683370
Author
Brack, Eva 1 ; Wagner, Stéphanie 2 ; Stutz-Grunder Eveline 3 ; Agyeman Philipp K A 4 ; Ammann, Roland A 1   VIAFID ORCID Logo 

 Bern University Hospital, Division of Pediatric Hematology/Oncology, Department of Pediatrics, Inselspital, Bern, Switzerland (GRID:grid.411656.1) (ISNI:0000 0004 0479 0855) 
 Bern University Hospital, Division of Pediatric Hematology/Oncology, Department of Pediatrics, Inselspital, Bern, Switzerland (GRID:grid.411656.1) (ISNI:0000 0004 0479 0855); Bern University Hospital, Division of Pediatric Nephrology, Department of Pediatrics, Inselspital, Bern, Switzerland (GRID:grid.411656.1) (ISNI:0000 0004 0479 0855) 
 Bern University Hospital, Division of Pediatric Hematology/Oncology, Department of Pediatrics, Inselspital, Bern, Switzerland (GRID:grid.411656.1) (ISNI:0000 0004 0479 0855); University Children’s Hospital Zurich, Department of Pediatric Oncology, Zurich, Switzerland (GRID:grid.412341.1) (ISNI:0000 0001 0726 4330) 
 Bern University Hospital, Department of Pediatrics, Inselspital, Bern, Switzerland (GRID:grid.411656.1) (ISNI:0000 0004 0479 0855) 
Publication year
2020
Publication date
2020
Publisher
Nature Publishing Group
e-ISSN
20524463
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2406924146
Copyright
© The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.