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异基因造血干细胞移植后长期生存者预防感染性并发症、减少再住院和降低成本负担的挑战。

Challenges to preventing infectious complications, decreasing re-hospitalizations, and reducing cost burden in long-term survivors after allogeneic hematopoietic stem cell transplantation.

机构信息

Department of Internal Medicine II, Division of Hematology, University Hospital of Würzburg, Würzburg, Germany.

出版信息

Semin Hematol. 2012 Jan;49(1):10-4. doi: 10.1053/j.seminhematol.2011.10.009.

Abstract

Even though the overall outcome after allogeneic transplant has improved significantly in the last decades, late infectious diseases are still the most important causes of late morbidity and mortality. Here, impaired immune reconstitution and therapy of chronic graft-versus-host disease (GVHD) represent the major risk factors. In this review, we give a comprehensive overview of late infectious complications and summarize possible diagnostic and therapeutic interventions to prevent these complications.

摘要

尽管过去几十年异基因移植的总体结果有了显著改善,但晚期感染仍是导致晚期发病率和死亡率的最重要原因。在这里,免疫重建受损和慢性移植物抗宿主病(GVHD)的治疗是主要的危险因素。在这篇综述中,我们全面概述了晚期感染并发症,并总结了可能的诊断和治疗干预措施,以预防这些并发症。

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