Respiratory virus testing (including testing for influenza, parainfluenza, adenovirus, respiratory syncytial virus [RSV], and human metapneumovirus) and chest radiography are indicated for patients with upper respiratory symptoms (eg, coryza) and/or cough.
Influenza virus infection should be treated with neuraminidase inhibitors if the infecting strain is susceptible. In the setting of an influenza exposure or outbreak, neutropenic patients presenting with influenza-like illness should receive treatment empirically.
Routine treatment of RSV infection in neutropenic patients with upper respiratory disease should not be given.