Patient discussions
Patients should be advised that a fever ≥38.3ºC (101°F) requires urgent evaluation in the accident and emergency department or urgent care if their usual provider is not available. This is true even in the absence of significant neutropenia, as neutrophils can be dysfunctional. Bleeding precautions should be advised if platelet counts have been low.
Vaccination
Patients with MDS are at increased risk of infections.[57][97] Non-live vaccines are recommended, according to age, comorbidities, and local guidelines, particularly against influenza and Streptococcus pneumoniae.[98][99]
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