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학습 자료 둘러보기 →The highest priority in a child with aplastic anemia is implementing strict neutropenic precautions due to the imminent risk of overwhelming sepsis from severe neutropenia. The absence of functional neutrophils means a localized infection can rapidly become systemic without classic signs like pus or significant fever.
Core interventions include rigorous hand hygiene for all contacts, restricting visitors who are ill, and ensuring no fresh flowers or live plants are in the room. Monitor for subtle signs of infection such as a low-grade fever (38.0°C / 100.4°F or higher is significant in neutropenia), mild tachycardia, or general malaise.
Do not rely on the presence of purulent drainage or pronounced erythema to signal infection. In a neutropenic patient, the lack of an inflammatory response means these classic indicators are often absent, making a low threshold for initiating a septic workup and broad-spectrum antibiotics essential.
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