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Fever in bleeding disorder patients

 

This explains what to do if a fever occurs or is suspected in a bleeding disorder patient who has a PICC line (peripherally inserted central catheter) or a subcutaneous port (a surgically placed central catheter that sits beneath the skin).

When your child has a fever

If your child has an oral temperature of 100.4 degrees F (38.0 degrees C) or higher, you should call St. Jude right away:

  • Monday through Friday 8 a.m.–5 p.m., call the clinic at 901-595-5041.
  • After hours or on the weekend, call the main St. Jude number at 901-595-3300 and ask to speak to the hematologist on call.

Do not give your child any fever reducing medicines unless your child’s care team has told you to do so.

If you are not close to Memphis, please go to the nearest emergency room. Be sure to tell them your child:

  • Is a St. Jude patient;
  • Has a bleeding disorder*;
  • Has a PICC line or a subcutaneous port; and
  • Will need blood samples taken—one from the PICC or subcutaneous port and one from a vein.

*Be sure to tell the staff about your child’s bleeding disorder before blood samples are taken for testing. 

If you go to a doctor or hospital other than St. Jude, please call your child’s St. Jude nurse case manager during normal business hours and give this staff member an update on your child’s condition. If you are outside the Memphis area, dial toll-free 1-886-2STJUDE (1-866-278-5833), and ask to speak with your child’s nurse case manager.  

When to check your child for a fever*

If your child is hot to the touch; appears ill; is having chills, shivering, or has red cheeks (flushed), he might have a fever. Use a thermometer to check for fever.

If the area around the PICC line or subcutaneous port is swollen, red, oozing, or warm to touch, this might be a sign of an infection. Check your child’s temperature and call St. Jude, even if your child does not have a fever.

* Unless you see the problems listed above, you do not have to check your child’s temperature many times throughout the day.


 

This document is not intended to take the place of the care and attention of your personal physician or other professional medical services. Our aim is to promote active participation in your care and treatment by providing information and education. Questions about individual health concerns or specific treatment options should be discussed with your physician.

St. Jude complies with health care-related federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

ATTENTION: If you speak another language, assistance services, free of charge, are available to you. Call 1-866-278-5833 (TTY: 1-901-595-1040).

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-278-5833 (TTY: 1-901-595-1040).

تنبيه: إذا كنت تتحدث باللغة العربية فيمكنك الاستعانة بخدمات المساعدة اللغوية المتوفرة لك مجانا. .يرجى الاتصال بالرقم. 5833-278-866-1  (الهاتف النصي: 1040-595-901-1).