Managing febrile neutropenia in adult cancer patients: an integrative review of the literature

Rev Bras Enferm. 2017 Nov-Dec;70(6):1301-1308. doi: 10.1590/0034-7167-2016-0247.
[Article in English, Portuguese]

Abstract

Objective: To analyze the interventions performed by health professionals with a view to managing chemotherapy-induced febrile neutropenia.

Method: Integrative literature review, the sample of 12 primary articles was selected from the following databases: LILACS, SciELO, BVS, PubMed, CINAHL and Web of Science.

Results: There was a prevalence of studies, realized by doctors, focused on pharmacological treatment and on the association of methods for greater diagnostic accuracy of febrile neutropenia. A study was found on pharmaceutical management regarding antibiotic dosing efficacy and a study indicating that nurses could contribute to the identification of elderly patients who would benefit from prophylactic use of growth factor.

Conclusion: There was a shortage of studies involving the participation of other health professionals, besides the doctors, and a knowledge gap regarding interprofessional practice in the management of interventions specific to their area of specialism, joint interventions and non-pharmacological interventions.

Publication types

  • Review

MeSH terms

  • Adult
  • Disease Management*
  • Drug Therapy / methods
  • Febrile Neutropenia / diagnosis*
  • Febrile Neutropenia / etiology*
  • Febrile Neutropenia / physiopathology
  • Humans
  • Neoplasms / drug therapy*