CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Approach to febrile neutropenia in patients undergoing treatments for hematologic malignancies.
Approach to febrile neutropenia in patients undergoing treatments for hematologic malignancies.
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发热性中性粒细胞减少症(FN)在血液恶性肿瘤患者中很常见,包括造血细胞移植(HCT)受者和细胞治疗(如嵌合抗原受体(CAR)-T细胞治疗)受者。数十年来,及时的经验性抗生素使用一直是主要治疗手段,但随着对治疗相关感染风险的了解更加深入,“一刀切”的方法已不再被广泛接受。日益增长的抗菌药物耐药性是一个越来越严峻的临床挑战。在未确定感染的FN中,关于降阶梯使用广谱抗生素的不断演变的策略是特别受关注的领域。
Febrile neutropenia (FN) is common among hematologic malignancy patients, including recipients of hematopoietic cell transplantation (HCT) and cellular therapies such as chimeric antigen receptor (CAR)-T-cell therapy.
Prompt empiric antibiotic use has been the mainstay for decades but a "one-size-fits-all" approach is no longer broadly accepted, as treatment-related infectious risk are more understood. Growing antimicrobial resistance is an increasing clinical challenge. Evolving strategies on de-escalation of broad-spectrum antibiotics in FN without identified infection are areas of particular interest.
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