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免疫功能低下宿主的 2019 冠状病毒病

英文原题:Coronavirus Disease-2019 in the Immunocompromised Host.

查看英文原题

Coronavirus Disease-2019 in the Immunocompromised Host.

PubMed 2024/03/01(内容时间) Infect Dis Clin North Am Q1 · IF 4.2(JCR 2025)

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中文摘要

免疫功能低下宿主包括恶性肿瘤、人类免疫缺陷病毒病、实体器官和血液移植、自身免疫性疾病以及原发性免疫缺陷等多样化人群,他们因2019冠状病毒病(COVID-19)而承受着显著的发病和死亡负担。发生COVID-19的免疫功能低下患者比免疫功能正常患者病情更重、住院率更高、死亡率更高。目前尚无针对免疫功能低下患者的明确治疗策略,疫苗、单克隆抗体和恢复期血浆的疗效不一。本综述聚焦于COVID-19对免疫功能低下患者的特定影响以及需要进一步研究的知识空白。

展开英文摘要原文

Immunocompromised hosts, which encompass a diverse population of persons with malignancies, human immunodeficiency virus disease, solid organ, and hematologic transplants, autoimmune diseases, and primary immunodeficiencies, bear a significant burden of the morbidity and mortality due to coronavirus disease-2019 (COVID-19).

Immunocompromised patients who develop COVID-19 have a more severe illness, higher hospitalization rates, and higher mortality rates than immunocompetent patients. There are no well-defined treatment strategies that are specific to immunocompromised patients and vaccines, monoclonal antibodies, and convalescent plasma are variably effective. This review focuses on the specific impact of COVID-19 in immunocompromised patients and the gaps in knowledge that require further study.

论文信息

作者
Bertini CD Jr、Khawaja F、Sheshadri A
第一作者单位
Department of Internal Medicine, UTHealth Houston McGovern Medical School, 6431 Fannin, MSB 1.150, Houston, TX 77030, USA.United States
通讯作者单位
Department of Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street Unit 1462, Houston, TX 77030, USA. Electronic address: asheshadri@mdanderson.org.Germany
文献类型
综述
期刊
Infectious disease clinics of North America2024 Mar
原文标识
PubMed 38280765 · DOI 10.1016/j.idc.2023.12.007