Use of computed tomography abdomen and pelvis for investigation of febrile neutropenia in adult haematology patients

2016-11

Lim, Hui Yin

Ashby, M

Williams, B

Grigg, Andrew P

Acute myeloid leukaemia

Autologous stem cell transplant

Computed tomography

Febrile neutropenia

Journal Article

10.1111/imj.13235

We retrospectively evaluated the use of computed tomography abdomen and pelvis (CTAP) in febrile neutropenic autologous stem cell transplant (ASCT) and acute myeloid leukaemia (AML) patients. CTAP was more common in ASCT patients (59%) compared with AML (31%; P  < 0.001). Although abnormal findings were reported in 51%, only 10% resulted in therapy change (addition of anaerobic antibiotic/bowel rest), which would have otherwise been instituted based on clinical grounds. CTAP in these patients rarely provide useful information unsuspected clinically.

link

Internal Medicine Journal 2016; 46(11): 1332-1336

Internal Medicine Journal