← 返回

血液系统恶性肿瘤治疗患者的发热性中性粒细胞减少处理策略

英文原题:Approach to febrile neutropenia in patients undergoing treatments for hematologic malignancies.

查看英文原题

Approach to febrile neutropenia in patients undergoing treatments for hematologic malignancies.

PubMed 2024/02/13(内容时间) Transpl Infect Dis Q2 · IF 2.5(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

中文摘要

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。

展开英文摘要原文

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.

论文信息

作者
Stohs EJ、Abbas A、Freifeld A
单位
Division of Infectious Diseases, Department of Medicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.United States
文献类型
综述
期刊
Transplant infectious disease : an official journal of the Transplantation Society2024 Apr
原文标识
PubMed 38349035 · DOI 10.1111/tid.14236