• 7-day course of co-amoxiclav 625mg TDS + oral ciprofloxacin 500mg BD (see Antibiotic management of neutropenic sepsis or febrile neutropenia: important notes point 6).
• If penicillin allergy, give oral cotrimoxazole 960mg BD.
• Cover any specific suspected organisms with additional antibiotics as indicated.

1. All cases of discharge should be discussed with the on-call oncology registrar contactable via switchboard so that patients can be added to the ‘call back’ list.
2. Patients should have hourly obs for ≥ 4 hours before discharge and only discharged if condition stable.
3. Residence ≤ 1 hour from nearest emergency department.
4. Must have a family member or caregiver at home.

Callback from cancer assessment unit triage team daily for 3 days following discharge to assess symptoms over the phone and chase any outstanding test results (for example urine and blood cultures)

Low threshold for admission to hospital if:

• Continues to have fevers 48 hours after broad spectrum empirical oral antibiotics.
• New signs or symptoms or infection.
• Blood culture results identify species not susceptible to the initial regime.
• Develop breathlessness, cough or myalgia.