2.2.3 Children Eligible for the Management of Complications on a Satellite Centre
- Any pediatric oncology patient is eligible for management of complications in the Satellite context. Patients with Fever and Neutropenia can be managed in the Satellite context with the following caveats: The presence of a surgical focus, or recent significant surgery mandates management at the tertiary center.
- Provided there is an appropriate response to the Fever/Neutropenia protocol guideline; if not, consultation with the tertiary centre and/or transfer will be required.
- There should be no limit imposed by age, but early consultation between tertiary and satellite on children < two years is mandatory.
- Children on high intensity protocols, including, but not limited to AML, and high stage Burkitt’s Lymphoma whose management may be extremely complicated should, in general, have their F/N managed in a tertiary context. However, initial treatment and stabilization in a satellite context, with immediate tertiary consultation and transfer is appropriate.
- Children post-transplant and prior to immune reconstitution should be managed in the tertiary centre. However, initial treatment and stabilization in a satellite context, with immediate tertiary consultation and transfer is appropriate.
- Neuroblastoma patients receiving induction therapy who develop F&N may be treated in the satellite context