Infections in immunocompromised children — viva

Opening (must-hit)

"Fever in an immunocompromised child is an emergency regardless of appearance. I clear the threat gate first — any toxic or shocked child gets the sepsis bundle within the hour. If stable, I take cultures from every line lumen and a peripheral site, confirm the current neutrophil count, and give empiric anti-pseudomonal therapy within 60 minutes. The immune-defect type tells me which organisms to fear." ^{[1] [3]}