同种异体造血干细胞移植在COVID-19治疗正常化阶段的应用

Q F Liu, R Lin
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引用次数: 0

摘要

当前,全球疫情防控已进入常态化阶段。COVID-19长期持续影响同种异体造血干细胞移植(alloo - hsct)患者。作者结合文献报道,讨论了COVID-19在这一时期对HSCT策略和预后的可能影响。移植应推迟至SARS-CoV-2感染患者临床消退且移植前SARS-CoV-2阴性。在干细胞收集过程中感染SARS-CoV-2的供体可能不会影响单采。如果COVID-19发生在移植早期,同种异体造血干细胞移植受者的严重COVID-19发生率很高。严重的COVID-19仍然是移植后非复发死亡率和生存的危险因素。COVID-19与移植后并发症(如其他感染、内皮损伤相关并发症和复发)之间的关系需要在大样本中进一步研究。
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[Allogeneic hematopoietic stem cell transplantation during the normalization stage of COVID-19 management].

At present, the world has entered the normalization stage of coronavirus disease 2019 (COVID-19) management. COVID-19 continues to affect patients with allogeneic hematopoietic stem cell transplantation (allo-HSCT) for a long period. The author discussed the possible effect of COVID-19 on HSCT strategy and prognosis during this period based on literature reports. Transplantation should be deferred until clinical resolution and negative severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in patients infected with SARS-CoV-2 before transplantation. Donors infected with SARS-CoV-2 during the stem cell collection may not affect apheresis. Allo-HSCT recipients demonstrated a high rate of severe COVID-19 if COVID-19 occurred at the early stage of transplantation. Severe COVID-19 remains a risk factor for nonrelapse mortality and survival after transplantation. The association between COVID-19 and post-transplantation complications, such as other infections, endothelial injury-related complications, and relapse, needs to be further investigated in large samples.

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[Comparison of the efficacy and safety between high-dose intravenous iron and oral iron in treating iron deficiency anemia: a multicenter, prospective, open-label, randomized controlled study]. [Clinical features and prognosis of Pseudomonas aeruginosa infection in patients with hematologic malignancies]. [Early cellular immune exhaustion in patients with Epstein-Barr virus activation following haploidentical hematopoietic stem cell transplantation]. [Improving the application of metagenomic next-generation sequencing for pathogen diagnosis in infections related to hematological diseases]. [Maribavir treatment for refractory and drug-intolerant cytomegalovirus viremia and disease after allogeneic hematopoietic stem cell transplantation: a clinical analysis of 25 cases].
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