关于管理感染 SARS-CoV-2 的血液系统恶性肿瘤患者的中国专家共识

IF 1.4 4区 医学 Q4 ONCOLOGY Journal of cancer research and therapeutics Pub Date : 2023-12-28 DOI:10.4103/jcrt.jcrt_782_23
Jun Wang, Liang Shao, Jing Liang, Qingming Wu, Baoli Zhu, Qiwen Deng, Zelin Liu, Liqiong Liu, Danyu Wang, Zhijian Yu, Xiaohua Tan, Fuxiang Wang, Jingye Meng, Xiaojun Xu, Zhongjun Xia, Zhiming Li, Hua Wang, Liang Wang, Wei Wu, Qi Xie, Xiaoxing Huang, Zhiqiang Sun, Yu Zhang, Hao Zhou, Hui Zhou, Wenyan Yang, Hua Ren, Zhe Liu, Mingqiang Qiao, Feifei Tang, Xiaofei Qi, Huijing Wu, Lijuan Deng, Li Gao, Hongyan Zhang, Peng Chen, Hongyu Zhang, Xinyou Zhang, Jihao Zhou, TU Chuanqing, Ling Guan, Qian Yin, Rong Shu, Feng Chen, Mingxin He, Qiang Wang, Zhi Guo, Tumor and Microecology Committee of China Anti-Cancer Association, Chinese Collaborative Group on Transformation of Infectious Immunology and Microecology Research, Tumor and Microecology Committee of China Anti-Cancer Association, Chinese Collaborative Group on Transformation of Infectious Immunology and Microecology Research
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引用次数: 0

摘要

2022 年 12 月,严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)的 Omicron 变种因其传染性强、死亡率低而在中国占据主导地位。血液系统恶性肿瘤患者感染 SARS-CoV-2 后出现危重症和死亡的风险尤其高。本研究旨在起草一份共识,以便根据疾病的类型和严重程度对这些患者进行有效治疗。新型冠状病毒在中国爆发后,中国抗癌协会肿瘤学与微生态学专业委员会成立了一个由经验丰富的血液病专家组成的指导委员会。专家组根据 SARS-CoV-2 奥米克龙变异型感染的临床特点,结合相关指南和文献,起草了不同类型血液恶性肿瘤的管理和干预措施共识。专家组根据 SARS-CoV-2 奥米克龙变异型在中国的流行情况和血液系统恶性肿瘤患者的特殊易感性,就几个重要方面起草了独立的建议。这些建议包括为血液系统恶性肿瘤患者接种预防性疫苗、使用新型冠状病毒感染后康复的献血者血浆、建立负压病房、使用稳态动员外周血造血干细胞、为患者和医务人员提供心理支持,以及注重维持健康的肠道微生态。
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Chinese expert consensus on the management of patients with hematologic malignancies infected with SARS-CoV-2

In December 2022, the Omicron variant of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) became dominant in China due to its high infectivity and lower mortality rate. The risk of critical illness and mortality among patients with hematologic malignancies who contracted SARS-CoV-2 was particularly high. The aim of this study was to draft a consensus to facilitate effective treatments for these patients based on the type and severity of the disease. Following the outbreak of the novel coronavirus in China, a steering committee consisting of experienced hematologists was formed by the Specialized Committee of Oncology and Microecology of the Chinese Anti-Cancer Association. The expert group drafted a consensus on the management and intervention measures for different types of hematologic malignancies based on the clinical characteristics of the Omicron variant of the SARS-CoV-2 infection, along with relevant guidelines and literature. The expert group drafted independent recommendations on several important aspects based on the epidemiology of the Omicron variant in China and the unique vulnerability of patients with hematologic malignancies. These included prophylactic vaccinations for those with hematologic malignancies, the use of plasma from blood donors who recovered from the novel coronavirus infection, the establishment of negative pressure wards, the use of steady-state mobilization of peripheral blood hematopoietic stem cells, the provision of psychological support for patients and medical staff, and a focus on maintaining a healthy intestinal microecology.

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来源期刊
CiteScore
1.80
自引率
15.40%
发文量
299
审稿时长
6 months
期刊介绍: The journal will cover technical and clinical studies related to health, ethical and social issues in field of Medical oncology, radiation oncology, medical imaging, radiation protection, non-ionising radiation, radiobiology. Articles with clinical interest and implications will be given preference.
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