Neutropenia (isolated)
Adult

Haematology

Useful Management Information

  • Refer to local HealthPathways or local guidelines
  • Any patient with a neutropenia <1.0 X 109/l and signs of sepsis should be urgently referred to Emergency
  • Most isolated neutropenia’s are transient and related to infections and drugs. If there are no symptoms to suggest sepsis it is appropriate for these patients to be closely reviewed in primary care as they usually resolve within 2 weeks. These patients should be given instructions to attend Emergency if any symptoms of sepsis occur.
  • Patients of African and Middle Eastern origin often have a neutrophil count of 1.0-1.5 x 109/L and do not require assessment unless new or associated with red flags.

Minimum Referral Criteria

Does your patient meet the minimum referral criteria?
Category 1 (appointment within 30 calendar days)
  • Isolated Neutrophil level <0.5 X 10/l with no sepsis
Category 2 (appointment within 90 calendar days)
  • Isolated Neutrophil level 0.5 – 1 X 10/l with no sepsis
Category 3 (appointment within 365 calendar days)
  • Isolated Neutrophil level 1.0 – 1.5 X 10/l

If your patient does not meet the minimum referral criteria

  • Assessment and management information may be found on a range of conditions at HealthPathways
  • If the patient does not meet the criteria for referral but the referring practitioner believes the patient requires specialist review, a clinical override may be requested:
    • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
  • Please note that your referral may not be accepted or may be redirected to another service

Essential Referral Information

  • Serial FBC
  • E/LFTs
  • Drug and alcohol history

Additional Referral Information

  • Flow cytometry – helps to rule out associated T-LGL (T-cell large granular lymphocyte leukaemia)
  • Autoimmune screen (ANA, Rheumatoid factor)
  • Coagulation profile
Last updated 18 June 2025

Send Referrals To

Smart Referrals

Preferred Method
About Smart Referrals

Secure Web Transfer

Send to: Gold Coast Health Service District

Internal Referrals

Haematology (E-Blueslips)

Fax

(07) 5687 4497

Post

Cancer Referrals Centre
Gold Coast University Hospital
1 Hospital Boulevard
Southport QLD 4215

Enquiries

(07) 5687 2708

Related HealthPathways

No directly related pathways found

Service Availability

Dr Rachel Wooldridge
Medical Director Haematology

Facilities

Gold Coast University Hospital

If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.

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