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COVID-19 期间急性白血病的治疗:证据重点综述。

Treatment of Acute Leukemia During COVID-19: Focused Review of Evidence.

机构信息

Department of Clinical Hematology and Stem Cell Transplantation, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

Department of Medical Oncology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

出版信息

Clin Lymphoma Myeloma Leuk. 2021 May;21(5):289-294. doi: 10.1016/j.clml.2021.01.004. Epub 2021 Jan 12.

Abstract

The Coronavirus disease-2019 (COVID-19) pandemic is an unprecedented health care crisis and has led to over 1.5 million deaths worldwide. The risk of severe COVID-19 and mortality is markedly raised in patients with cancer, prompting several collaborative groups to issue guidelines to mitigate the risk of infection by delaying or de-escalating immunosuppressive therapy. However, delayed therapy is often not feasible for patients requiring treatment for acute leukemia or stem cell transplantation. We provide a focused review of the recommendations and evidence for managing this high-risk group of patients while minimizing the risk of COVID-19 infection, and provide a small snapshot of treatment data from our center.

摘要

2019 年冠状病毒病(COVID-19)大流行是一场前所未有的医疗保健危机,已导致全球超过 150 万人死亡。患有癌症的患者罹患严重 COVID-19 和死亡的风险显著增加,促使多个合作小组发布指南,通过延迟或降低免疫抑制治疗来降低感染风险。然而,对于需要治疗急性白血病或干细胞移植的患者,延迟治疗通常不可行。我们重点回顾了管理这一高危患者群体的建议和证据,同时最大限度地降低 COVID-19 感染的风险,并提供了我们中心的一些治疗数据。

相似文献

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Treatment of Acute Leukemia During COVID-19: Focused Review of Evidence.COVID-19 期间急性白血病的治疗:证据重点综述。
Clin Lymphoma Myeloma Leuk. 2021 May;21(5):289-294. doi: 10.1016/j.clml.2021.01.004. Epub 2021 Jan 12.

本文引用的文献

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Infection fatality rate of COVID-19 inferred from seroprevalence data.基于血清流行率数据推断的 COVID-19 感染病死率。
Bull World Health Organ. 2021 Jan 1;99(1):19-33F. doi: 10.2471/BLT.20.265892. Epub 2020 Oct 14.
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Steroids in COVID-19: An overview.新型冠状病毒肺炎中的类固醇:概述
Cleve Clin J Med. 2020 Aug 20. doi: 10.3949/ccjm.87a.ccc059.
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The outcome of COVID-19 in patients with hematological malignancy.COVID-19 患者的血液恶性肿瘤结局。
J Med Virol. 2021 Feb;93(2):1099-1104. doi: 10.1002/jmv.26404. Epub 2020 Aug 26.

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