Department of Hematology, Oncology and Palliative Care, Robert Bosch Hospital, Stuttgart, Germany.
Department of Medical Oncology, National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Eur J Cancer. 2023 Mar;181:102-118. doi: 10.1016/j.ejca.2022.11.030. Epub 2022 Dec 10.
The novel coronavirus SARS-CoV-2 and the associated infectious disease COVID-19 pose a significant challenge to healthcare systems worldwide. Patients with cancer have been identified as a high-risk population for severe infections, rendering prophylaxis and treatment strategies for these patients particularly important. Rapidly evolving clinical research, resulting in the recent advent of various vaccines and therapeutic agents against COVID-19, offers new options to improve care and protection of cancer patients. However, ongoing epidemiological changes and rise of new virus variants require repeated revisions and adaptations of prophylaxis and treatment strategies to meet these new challenges. Therefore, this guideline provides an update on evidence-based recommendations with regard to vaccination, pharmacological prophylaxis and treatment of COVID-19 in cancer patients in light of the currently dominant omicron variants. It was developed by an expert panel of the Infectious Diseases Working Party (AGIHO) of the German Society for Hematology and Medical Oncology (DGHO) based on a critical review of the most recent available data.
新型冠状病毒 SARS-CoV-2 和相关传染病 COVID-19 对全球医疗体系构成了重大挑战。癌症患者已被确定为发生严重感染的高危人群,因此为这些患者制定预防和治疗策略尤为重要。最近,针对 COVID-19 的各种疫苗和治疗药物不断涌现,为改善癌症患者的护理和保护提供了新的选择。然而,不断变化的流行病学和新病毒变异株的出现,要求不断修订和调整预防和治疗策略,以应对这些新挑战。因此,本指南根据当前占主导地位的奥密克戎变异株,针对癌症患者 COVID-19 的疫苗接种、药物预防和治疗提供了基于证据的最新建议。它是由德国血液学和肿瘤学学会(DGHO)传染病工作组(AGIHO)的专家小组根据对最新可用数据的严格审查制定的。