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COVID-19 癌症患者的循证管理:德国血液学和肿瘤医学学会传染病工作组(AGIHO)指南。

Evidence-based management of COVID-19 in cancer patients: Guideline by the Infectious Diseases Working Party (AGIHO) of the German Society for Haematology and Medical Oncology (DGHO).

机构信息

Department of Haematology and Oncology, Internal Medicine V, University Hospital Heidelberg, Heidelberg, Germany.

University of Cologne, Faculty of Medicine and University Hospital Cologne, Department I of Internal Medicine, Excellence Center for Medical Mycology (ECMM), Center for Integrated Oncology (CIO ABCD), German Centre for Infection Research, Partner Site Bonn-Cologne, Cologne, Germany; University of Cologne, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases (CECAD), Cologne, Germany.

出版信息

Eur J Cancer. 2020 Nov;140:86-104. doi: 10.1016/j.ejca.2020.09.009. Epub 2020 Sep 21.

DOI:10.1016/j.ejca.2020.09.009
PMID:33068941
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7505554/
Abstract

Since its first detection in China in late 2019 the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and the associated infectious disease COVID-19 continue to have a major impact on global healthcare and clinical practice. Cancer patients, in particular those with haematological malignancies, seem to be at an increased risk for a severe course of infection. Deliberations to avoid or defer potentially immunosuppressive therapies in these patients need to be balanced against the overarching goal of providing optimal antineoplastic treatment. This poses a unique challenge to treating physicians. This guideline provides evidence-based recommendations regarding prevention, diagnostics and treatment of SARS-CoV-2 infection and COVID-19 as well as strategies towards safe antineoplastic care during the COVID-19 pandemic. It was prepared by the Infectious Diseases Working Party (AGIHO) of the German Society for Haematology and Medical Oncology (DGHO) by critically reviewing the currently available data on SARS-CoV-2 and COVID-19 in cancer patients applying evidence-based medicine criteria.

摘要

自 2019 年底在中国首次发现新型严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)及其相关传染病 COVID-19 以来,它继续对全球医疗保健和临床实践产生重大影响。癌症患者,特别是血液系统恶性肿瘤患者,似乎感染的严重程度更高。在这些患者中避免或推迟潜在的免疫抑制治疗的审议需要平衡提供最佳抗肿瘤治疗的总体目标。这对治疗医生来说是一个独特的挑战。本指南就 SARS-CoV-2 感染和 COVID-19 的预防、诊断和治疗以及 COVID-19 大流行期间安全抗肿瘤护理的策略提供了循证建议。它是由德国血液学和肿瘤医学学会(DGHO)传染病工作组(AGIHO)根据循证医学标准对目前关于癌症患者 SARS-CoV-2 和 COVID-19 的可用数据进行批判性审查后编写的。

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