Neutropenic sepsis: Antifungal treatment (Antimicrobial)

TAM (Treatments and Medicines) NHS Highland
NHS Highland

Audience

  • All NHS Highland
  • Primary and Secondary Care
  • Adults only

NHS Highland recommends

  • Antifungal guidelines in Haematology: Management and prevention of invasive fungal infection (IFI) in adult haemato-oncology
    With kind permission from Oxford University Hospitals NHS Foundation Trust

Please note:

  • Local chemotherapy antifungal prophylaxis may be tailored to individual regimens and cases.
  • Note: micafungin and isavuconazole are non-formulary and require discussion with Microbiology BEFORE decision to prescribe. 
  • Therapeutic monitoring of posaconazole levels is NOT routinely carried out in NHS Highland.
    Please discuss with Microbiology if this is thought to be necessary.

Escalation

Advice may be required from the Haematology Consultant and/or Microbiologist regarding specific cases. Please seek this via email, phone or Switchboard, as routine.

Further information

Editorial Information

Last reviewed: 28/08/2025

Next review date: 28/08/2028

Author(s): Haematology.

Version: 1

Co-Author(s): Antimicrobial Management Team.

Approved By: TAM subgroup of the ADTC

Reviewer name(s): Dr F Buckley, Consultant Haematologist.

Document Id: AMT194