2.2.3 Children Eligible for the Management of Complications on a Satellite Centre

1. 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.
2. 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.
3. There should be no limit imposed by age, but early consultation between tertiary and satellite on children < two years is mandatory.
4. 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.
5. 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.
6. Neuroblastoma patients receiving induction therapy who develop F&N may be treated in the satellite context