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造血系统恶性肿瘤患者与干细胞移植受者的感染预防:抗生素预防和先发制人策略的类比

Antimicrobial Prophylaxis and Preemptive Approaches for the Prevention of Infections in the Stem Cell Transplant Recipient, with Analogies to the Hematologic Malignancy Patient.

机构信息

Division of Infectious Diseases, University Hospital of Geneva, Rue Gabrielle-Perret-Gentil 4, Geneva CH-1211, Switzerland.

出版信息

Infect Dis Clin North Am. 2019 Jun;33(2):361-380. doi: 10.1016/j.idc.2019.02.002.

Abstract

Infectious complications represent one of the most common causes of morbidity and mortality in allogeneic hematopoietic cell transplant (HCT) recipients. Prophylactic and preemptive treatment strategies against bacterial, fungal, viral, and parasitic pathogens are routinely implemented during high-risk post-HCT periods at most transplant centers. The basic concepts and review of current guidelines of antibiotic prophylaxis and empirical/preemptive antibiotic treatment in allogeneic HCT recipients are reviewed in this article.

摘要

感染并发症是异基因造血细胞移植(HCT)受者发病率和死亡率的最常见原因之一。在大多数移植中心,在高危 HCT 后期间,通常会针对细菌、真菌、病毒和寄生虫病原体实施预防和先发治疗策略。本文回顾了异基因 HCT 受者中抗生素预防和经验性/先发抗生素治疗的基本原则和现行指南。

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