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2019 冠状病毒病在造血细胞移植和 CAR-T 细胞受者中的临床经验

英文原题:Clinical experience of coronavirus disease 2019 in hematopoietic cell transplant and chimeric antigen receptor T-cell recipients.

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Clinical experience of coronavirus disease 2019 in hematopoietic cell transplant and chimeric antigen receptor T-cell recipients.

PubMed 2021/11/01(内容时间) Curr Opin Hematol Q2 · IF 2.9(JCR 2025)

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研究思路按摘要原文分段

探讨过去一年在造血细胞移植和CAR-T 细胞治疗受者中2019冠状病毒病(COVID-19)的临床经验,并确定未来研究的关键知识空白。

免疫功能低下者和患有慢性健康问题的人特别容易受到感染,在COVID-19大流行期间,这对健康结果产生了不成比例的影响。多项研究评估了发生COVID-19的移植和细胞治疗(TCT)受者的临床特征和结局。年龄、性别、合并症和健康的社会决定因素是严重急性呼吸综合征冠状病毒2感染风险以及疾病最终严重程度的重要预测因素。在过去一年中,已研究了多种治疗方法。随着经验的不断积累,管理策略的范式仍在持续演变。摘要:在这篇综述中,我们总结了与发生COVID-19的TCT受者临床特征相关的一些重要发现。我们还讨论了目前推荐的一些治疗方法,并对该人群的疫苗接种提出了观点。

展开英文摘要原文

PURPOSE OF REVIEW: To discuss the clinical experience of coronavirus disease 2019 (COVID-19) in hematopoietic cell transplant and chimeric antigen receptor T-cell therapy recipients over the past year and to identify key knowledge gaps for future research. RECENT FINDINGS: Immunocompromised individuals and those with chronic health conditions are especially susceptible to infections, which have had a disproportionate impact on health outcomes during the COVID-19 pandemic. Several studies have evaluated the clinical characteristics and outcomes of transplant and cellular therapy (TCT) recipients who developed COVID-19.

Age, sex, comorbid conditions, and social determinants of health are important predictors of the risk of severe acute respiratory syndrome coronavirus 2 infection and of the eventual severity of the disease. Various treatment approaches have been investigated over the last year. The paradigm of management strategies continues to evolve as more experience is accumulated. SUMMARY: In this review, we summarize some important findings as they relate to the clinical characteristics of TCT recipients who develop COVID-19.

We also discuss some treatment approaches that are currently recommended and opine on vaccination in this population.

论文信息

作者
Sharma A、Bhatt NS、Hijano DR
第一作者单位
Department of Bone Marrow Transplantation and Cellular Therapy, St. Jude Children's Research Hospital, Memphis, Tennessee.United States
通讯作者单位
Department of Infectious Diseases, St. Jude Children's Research Hospital, Memphis, Tennessee, USA.United States
文献类型
非美国政府资助研究 · 综述
期刊
Current opinion in hematology2021 Nov 1
原文标识
PubMed 34456224 · DOI 10.1097/MOH.0000000000000683