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异基因骨髓移植后预测细菌和真菌感染的变量。

Variables predicting bacterial and fungal infections after allogeneic marrow engraftment.

作者信息

Paulin T, Ringdén O, Nilsson B, Lönnqvist B, Gahrton G

出版信息

Transplantation. 1987 Mar;43(3):393-8. doi: 10.1097/00007890-198703000-00015.

DOI:10.1097/00007890-198703000-00015
PMID:3029908
Abstract

Sixty-seven consecutive patients with aplastic anemia or leukemia who had been treated by allogeneic marrow transplantation and had survived for more than 1 month were surveyed in order to determine the incidence of nonviral infections occurring from 1 month to 3 years after transplantation. Twenty-eight of the 67 patients had one or more infections during this period. Around 20% suffered from pulmonary infections and 20% were classified as having a systemic infection. Ten patients died of bacterial or fungal infection, of whom 6 had graft-versus-host disease. In multivariate analyses acute graft-versus-host disease (P less than 0.0009), splenectomy (P less than 0.02), cytomegalovirus infection (P less than 0.05), and a low marrow cell dose (P less than 0.07) were correlated with nonviral infections.

摘要

为了确定异基因骨髓移植后1个月至3年期间非病毒感染的发生率,我们对67例接受异基因骨髓移植且存活超过1个月的再生障碍性贫血或白血病患者进行了连续调查。67例患者中有28例在此期间发生了1次或多次感染。约20%的患者发生肺部感染,20%的患者被归类为全身性感染。10例患者死于细菌或真菌感染,其中6例患有移植物抗宿主病。在多变量分析中,急性移植物抗宿主病(P<0.0009)、脾切除术(P<0.02)、巨细胞病毒感染(P<0.05)和低骨髓细胞剂量(P<0.07)与非病毒感染相关。

相似文献

1
Variables predicting bacterial and fungal infections after allogeneic marrow engraftment.异基因骨髓移植后预测细菌和真菌感染的变量。
Transplantation. 1987 Mar;43(3):393-8. doi: 10.1097/00007890-198703000-00015.
2
Infectious complications of human bone marrow transplantation.人类骨髓移植的感染性并发症
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3
Further experience with infections in bone marrow transplant recipients.骨髓移植受者感染的更多经验。
Transplant Proc. 1978 Mar;10(1):247-54.
4
Bone marrow transplantation for severe aplastic anaemia. A review of the Westminster experience of 24 cases.重度再生障碍性贫血的骨髓移植。威斯敏斯特医院24例病例回顾。
Clin Lab Haematol. 1983;5(2):131-43. doi: 10.1111/j.1365-2257.1983.tb01345.x.
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Risk factors for acute graft-versus-host disease in 325 consecutive bone marrow recipients.325例连续骨髓移植受者急性移植物抗宿主病的危险因素
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Audit of peripheral stem cell transplantation for aplastic anemia in multitransfused infected patients.多次输血感染患者再生障碍性贫血外周血干细胞移植的审计
Transplant Proc. 2012 May;44(4):922-4. doi: 10.1016/j.transproceed.2012.01.101.
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Non-Candida fungal infections after bone marrow transplantation: risk factors and outcome.骨髓移植后的非念珠菌真菌感染:危险因素与结局
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Cytomegalovirus infection associated with and preceding chronic graft-versus-host disease.巨细胞病毒感染与慢性移植物抗宿主病相关且先于慢性移植物抗宿主病发生。
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Allogeneic bone marrow transplantation.异基因骨髓移植
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J Infect Dis. 1985 Dec;152(6):1172-81. doi: 10.1093/infdis/152.6.1172.

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2
CMV in Hematopoietic Stem Cell Transplantation.造血干细胞移植中的巨细胞病毒
Mediterr J Hematol Infect Dis. 2016 Jun 20;8(1):e2016031. doi: 10.4084/MJHID.2016.031. eCollection 2016.
3
Both high and low levels of cellular Epstein-Barr virus DNA in blood identify failure after hematologic stem cell transplantation in conjunction with acute GVHD and type of conditioning.
血液中细胞 Epstein-Barr 病毒 DNA 的高水平和低水平均表明,血液学干细胞移植后失败与急性移植物抗宿主病及预处理类型有关。
Oncotarget. 2016 May 24;7(21):30230-40. doi: 10.18632/oncotarget.8803.
4
Reduced plasma levels of soluble interleukin-7 receptor during graft-versus-host disease (GVHD) in children and adults.儿童和成人移植物抗宿主病(GVHD)期间可溶性白细胞介素-7受体血浆水平降低。
BMC Immunol. 2014 Jun 19;15:25. doi: 10.1186/1471-2172-15-25.
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Bone marrow transplantation using unrelated donors for haematological malignancies.使用无关供体进行血液系统恶性肿瘤的骨髓移植。
Med Oncol. 1997 Mar;14(1):11-22. doi: 10.1007/BF02990940.
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Blood transfusion in marrow graft recipients.骨髓移植受者的输血
Ann Hematol. 1992 Aug;65(2):66-70. doi: 10.1007/BF01698131.
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Correlation of pretransplant viral serology and complications of bone marrow transplantation.移植前病毒血清学与骨髓移植并发症的相关性
Ann Hematol. 1992 Jun;64 Suppl:A143-7. doi: 10.1007/BF01715369.