Meunier Françoise, Lukan Colette
EORTC, Avenue E. Mounier 83 b11, 1200 Brussels, Belgium.
Eur J Cancer. 2008 Oct;44(15):2112-7. doi: 10.1016/j.ejca.2008.07.008. Epub 2008 Aug 15.
The First European Conference on Infections in Leukaemia - ECIL1 - was organised under the auspices of the Infectious Diseases Group of the European Organisation for Research and Treatment of Cancer (EORTC), the Infectious Diseases Working Party of the European Group for Blood and Bone Marrow Transplantation (EBMT), the Supportive Care Group of the European LeukaemiaNet (ELN) and the International Immunocompromised Host Society (ICHS). The objective of the meeting was to develop evidence-based guidelines for the management of bacterial and fungal infections in high-risk immunocompromised adult leukaemia patients and hematopoietic stem cell transplantation recipients. The conference was held on September 30th and October 1st, 2005 in Juan-les-Pins, France and brought together a panel of 59 expert haematologists, oncologists, microbiologists, infectious disease specialists and clinical trialists from across Europe, Israel and Australia. The ECIL1 Guidelines were formulated after lengthy discussion, debate and panel consensus on the findings from a relevant comprehensive literature search, results of a European current practice questionnaire and other international guidelines, specific to each of the six clinical areas examined. The final recommendations, published in the Supplements of this journal as a series of six manuscripts in 2007, were well received by the medical community. The ECIL1 organisers anticipated the need for regular review of these guidelines and the Second ECIL Conference was held in September 2007. Publication of the updated and expanded ECIL2 Guidelines is forthcoming. This paper provides a concise summary of the methodology and main recommendations of the ECIL1 Guidelines.
第一届欧洲白血病感染会议(ECIL1)在欧洲癌症研究与治疗组织(EORTC)传染病小组、欧洲血液与骨髓移植组(EBMT)传染病工作组、欧洲白血病网络(ELN)支持治疗小组以及国际免疫受损宿主协会(ICHS)的支持下举办。会议的目的是为高危免疫受损成年白血病患者及造血干细胞移植受者的细菌和真菌感染管理制定循证指南。会议于2005年9月30日至10月1日在法国朱昂莱潘举行,汇聚了来自欧洲、以色列和澳大利亚的59位血液学专家、肿瘤学家、微生物学家、传染病专家和临床试验专家。ECIL1指南是在对相关综合文献检索结果、欧洲现行实践调查问卷结果以及针对所研究的六个临床领域各自的其他国际指南进行长时间讨论、辩论并达成小组共识后制定的。最终建议于2007年作为该期刊增刊上的一系列六篇稿件发表,受到了医学界的广泛认可。ECIL1的组织者预计需要定期对这些指南进行审查,第二届ECIL会议于2007年9月举行。更新和扩充后的ECIL2指南即将发表。本文简要总结了ECIL1指南的制定方法和主要建议。