National Guidelines - Paediatric Oncology and Haematology

The National Child Cancer Network has prepared a set of national guidelines for the supportive care and management of children with cancer throughout New Zealand. They provide guidance for shared care centres that manage the complications of childhood cancer and chemotherapy and aim to harmonise treatment across the country.

• A

  • Acquired deficiency of von Willebrand's Factor
  • Updated Apr 2017 Adrenal crises in the oncology patient

    Management of Steroid Deficient Adrenal Crises

  • Altered level of consciousness in the oncology patient
  • Updated Jul 2016 Anthracycline Cardiotoxicity

    Cardiotoxicity associated with Chemotherapy

  • Updated Nov 2018 Antibiotic protocol for the management of febrile neutropenia
  • Anti-emetic medications
  • Updated Dec 2016 Aplastic Anaemia and Bone Marrow Failure Syndromes

    Includes diagnosis and management

  • Asplenic neonate - recommended vaccination schedule (pdf, 482.26KB)
  • ATRA Syndrome

    Also known as Differentiation Syndrome

• B

  • Updated May 2017 Blood Component Irradiation
  • Updated Apr 2016 Blood Products - Blood Components (Other)

    Includes information on FFP, Cryoprecipitate and Acquired Deficiency of von Willebrand's Factor

  • Updated Apr 2016 Blood Products - Platelets
  • Updated Apr 2018 Blood Products - Red Blood Cells
  • Updated Apr 2016 Blood Products - Viruses

    Includes information on the risk of viral transmission

  • Bordatella Pertussis / Whooping Cough in the oncology patient

• C

  • Catch-up immunisations in the oncology patient (pdf, 482.26KB)
  • Updated Mar 2014 Catheter related Thrombosis
  • Updated Dec 2010 Central Line Infections in Paediatric Oncology
  • Central Venous Catheter Nursing Care Guideline
  • Chickenpox in the oncology patient
  • Updated May 2016 Constipation in the oncology patient

    including information on laxatives and faecal disimpaction protocol

  • Updated Jul 2016 Constitutional Cancer Predisposition Syndromes

    List of genetic cancer predisposition syndromes for new diagnosis workup

  • Updated Nov 2016 Cord Compression in the oncology patient
  • Cryoprecipitate
  • Updated Aug 2015 Cytokines

    Includes indications for cytokine usage and Colony Stimulating Factors

  • Cytomegalovirus

• D

  • Updated Jan 2018 Dexrazoxane - use in the paediatric oncology patient
  • Updated Mar 2015 Differentiation Syndrome

    Also known as ATRA Syndrome

  • Disease surveillance guidelines (pdf, 285.68KB)
  • Updated Aug 2010 Disseminated Intravascular Coagulation
  • Drug Dosage Guidelines
  • Updated Aug 2016 Dyslipidaemia - management in LEAP follow up

• E

  • Encephalopathy - seizures in the oncology patient
  • Updated Mar 2014 Encephalopathy in the oncology patient

    Includes information on encephalitis, meningitis, ifosfamide induced encephalopathy and methylene blue

  • Updated Jul 2015 Extravasation

    Includes information on prevention, recognition and antidotes

• F

  • Fertility Preservation for people with cancer (pdf, 397.83KB)

    A New Zealand Guideline

  • Fever - antibiotic guidelines for the management of neutropenia
  • Fever - central line infections
  • Updated Mar 2014 Fever - neutropenic
  • Updated Mar 2014 Fever - non neutropenic
  • Updated Mar 2014 Fever - non-infectious
  • Fever - with gastrointestinal tract infections in the oncology patient
  • Fever - with respiratory infections in the oncology patient
  • Fresh Frozen Plasma
  • Updated Mar 2014 Fungal Infections in the oncology patient

    Includes information on Aspergillus Species, Candida and other Fungi

• G

  • Updated Jan 2016 Gadolinium Contrast - NCCN statement on use in MRI scanning
  • Updated Sep 2017 Gastrointestinal Tract Infections in the oncology patient

    fever with abdominal pain, diarrhoea or vomiting in the oncology patient

  • Updated Apr 2018 Genetic testing

• H

  • Hepatic Veno-occlusive disease
  • Updated Mar 2014 Hepatitis in the oncology patient
  • Herpes Simplex Virus
  • Hypercalcaemia in the oncology patient
  • Updated Oct 2010 Hyperleucocytosis in the oncology patient
  • Updated Sep 2018 Hypertension in the oncology patient
  • Hypocalcaemia in the oncology patient

• I

  • Imaging - disease surveillance guidelines (pdf, 285.68KB)
  • Immunisation - Vaccine Trade and Generic Name Table (pdf, 131.19KB)

    for use with the National Child Cancer Network guidelines on immunisation

  • Immunisation of children during and after cancer therapy (pdf, 482.26KB)
  • Influenza

• L

  • Updated Mar 2016 Leukaemia (suspected) - investigations and initial management

    New diagnosis - haematological malignancies

  • Updated Mar 2016 Lymphoma (suspected) - investigations and initial management

    New diagnosis - haematological malignancies

• M

  • Updated Feb 2011 Menstruation

    Guideline for suppression of menstruation

  • Methylene Blue
  • Updated Aug 2010 Molecular Haematology Specimens and Tests
  • Updated Feb 2017 Mouthcare and mucositis

    treatment of established mouthcare and mucositis

  • Updated Feb 2017 Mouthcare prophylaxis protocol

    (prophylactic)

  • Mycoplasma pneumoniae

• N

  • Updated Mar 2014 Nasal discharge in the oncology patient

    Nasal Discharge /Rhinosinusitis

  • Updated Feb 2018 Nausea and vomiting - chemotherapy and radiotherapy induced: prevention and treatment

    Includes shared care information and introduction to the causes of nausea and vomiting

  • Updated Sep 2018 Nephrotoxicity

    Including Nephrotoxic Drugs used in Paediatric Oncology and investigation of renal function

  • New diagnosis - aplastic anaemia and bone marrow failure syndromes
  • New diagnosis - constitutional cancer predisposition syndromes
  • New diagnosis - solid tumours
  • New diagnosis - suspected leukaemia: investigations and initial management
  • New diagnosis - suspected lymphoma: investigations and initial management
  • Updated Dec 2010 New diagnosis - work up when oncology diagnosis suspected
  • Next generation sequencing
  • Updated Dec 2017 Non-malignant haematology advice

    Guideline on access to advice on children presenting acutely with a non malignant haematology problem

• O

  • Oesophagitis

    Guideline for the management of Stomatitis / Oesophagitis

  • Updated Nov 2016 Ototoxicity and hearing loss

    Ototoxicity and hearing loss associated with chemotherapy

• P

  • Updated Aug 2014 Patient information collection and transfer between shared care and specialist centres
  • Patient Information Sheets

    Patient and Family Information Sheets for Chemotherapy Drugs

  • Updated May 2016 Pneumocystis Jirovecii (carinii) prophylaxis and pneumonia (PCP)

    Information on propylaxis for and treatment of PCP

• R

  • Renal toxicity
  • Updated Aug 2016 Respiratory symptoms in the oncology patient

    Respiratory Infections including interstitial pneumonitis

  • Rhinosinusitis

• S

  • Updated Feb 2017 Sativex - guidelines for use
  • Updated Dec 2010 Seizures in the oncology patient
  • Sinusoidal Obstruction Syndrome (SOS)

    Also known as Hepatic Veno-occlusive Disease

  • Updated Feb 2017 Solid Tumours - new diagnosis

    New diagnosis of a solid tumour including specific information on tumour type

  • Updated Jan 2012 Splenectomy - children pre/post

    Recommendations for the Prevention of Infection in Hyposplenic/Splenectomised Patients

  • Updated Mar 2014 Stomatitis

    Guideline for the management of Stomatitis/Oesophagitis

  • Updated Jun 2016 Superior Mediastinal Compression (SMC) Syndrome

    Includes information on clinical presentation and management

• T

  • Updated May 2016 TP53

    Guideline on TP53 carriage

  • Updated Dec 2010 Transfusion - Massive blood loss in the oncology patient
  • Updated May 2016 Transfusion - Post Transfusion Purpura
  • Updated Sep 2010 Transfusion of Infected Blood
  • Updated May 2016 Transfusion Reactions

    Includes information on Mild, Delayed and Severe Transfusion Reactions

  • Updated Dec 2016 Transfusion Related Acute Lung Injury (TRALI)
  • Updated May 2016 Tumour Lysis Syndrome

    Signs and symptoms, risk stratification, treatment and management of Tumour Lysis Syndrome

  • Tumour specific investigations and work up (pdf, 113.30KB)

• V

  • Vaccination

    Guidelines for the immunisation of children during and after cancer therapy

  • Vaccine Trade and Generic Name Table (pdf, 131.19KB)
  • Updated Mar 2014 Viral Infections in the oncology patient

    Includes HSV, RSV, Varicella (Chickenpox), Influenza, Parvovirus, Cytomegalovirus and Measles

• W

  • Updated Feb 2016 Wilms' Tumour

    Including information on involvement of the Inferior Vena Cava by Wilms'