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本文引用的文献

1
Real-world effectiveness of molnupiravir and nirmatrelvir plus ritonavir against mortality, hospitalisation, and in-hospital outcomes among community-dwelling, ambulatory patients with confirmed SARS-CoV-2 infection during the omicron wave in Hong Kong: an observational study.奥密克戎变异株流行期间香港社区居住、活动的经实验室确诊的 2 型严重急性呼吸综合征冠状病毒 2 感染患者中莫努匹韦和奈玛特韦/利托那韦对比死亡率、住院率和住院结局的真实世界疗效:一项观察性研究。
Lancet. 2022 Oct 8;400(10359):1213-1222. doi: 10.1016/S0140-6736(22)01586-0.
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A Bivalent Omicron-Containing Booster Vaccine against Covid-19.二价含奥密克戎成分的新冠病毒加强疫苗。
N Engl J Med. 2022 Oct 6;387(14):1279-1291. doi: 10.1056/NEJMoa2208343. Epub 2022 Sep 16.
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COVID-19: Third dose booster vaccine effectiveness against breakthrough coronavirus infection, hospitalisations and death in patients with cancer: A population-based study.COVID-19:三剂加强疫苗对癌症患者突破性冠状病毒感染、住院和死亡的有效性:一项基于人群的研究。
Eur J Cancer. 2022 Nov;175:1-10. doi: 10.1016/j.ejca.2022.06.038. Epub 2022 Jul 13.
4
Real-world effectiveness of early molnupiravir or nirmatrelvir-ritonavir in hospitalised patients with COVID-19 without supplemental oxygen requirement on admission during Hong Kong's omicron BA.2 wave: a retrospective cohort study.奥密克戎 BA.2 波期间香港住院的 COVID-19 患者无入院时吸氧需求的患者中早期莫努匹韦或奈玛特韦-利托那韦的真实世界疗效:一项回顾性队列研究。
Lancet Infect Dis. 2022 Dec;22(12):1681-1693. doi: 10.1016/S1473-3099(22)00507-2. Epub 2022 Aug 24.
5
Nirmatrelvir Use and Severe Covid-19 Outcomes during the Omicron Surge.奈玛特韦利特的使用与奥密克戎疫情期间的严重新冠结局。
N Engl J Med. 2022 Sep 1;387(9):790-798. doi: 10.1056/NEJMoa2204919. Epub 2022 Aug 24.
6
Efficacy of Antibodies and Antiviral Drugs against Omicron BA.2.12.1, BA.4, and BA.5 Subvariants.抗体和抗病毒药物对奥密克戎BA.2.12.1、BA.4和BA.5亚变体的疗效。
N Engl J Med. 2022 Aug 4;387(5):468-470. doi: 10.1056/NEJMc2207519. Epub 2022 Jul 20.
7
Association Between BNT162b2 Vaccination and Long COVID After Infections Not Requiring Hospitalization in Health Care Workers.医护人员中因感染而无需住院的情况下,BNT162b2 疫苗接种与长新冠之间的关联。
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Booster doses of COVID-19 vaccines for patients with haematological and solid cancer: a systematic review and individual patient data meta-analysis.COVID-19 疫苗加强针在血液系统恶性肿瘤和实体瘤患者中的应用:一项系统评价和个体化患者数据荟萃分析。
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SARS-CoV-2-specific cellular response following third COVID-19 vaccination in patients with chronic lymphocytic leukemia.慢性淋巴细胞白血病患者第三次接种新冠疫苗后针对严重急性呼吸综合征冠状病毒2的细胞反应
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10
BA.2.12.1, BA.4 and BA.5 escape antibodies elicited by Omicron infection.BA.2.12.1、BA.4 和 BA.5 逃避奥密克戎感染诱导的抗体。
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AGIHO 指南:基于证据的癌症患者 COVID-19 管理:奥密克戎变异株下疫苗接种、药物预防和治疗的 2022 年更新。

AGIHO guideline on evidence-based management of COVID-19 in cancer patients: 2022 update on vaccination, pharmacological prophylaxis and therapy in light of the omicron variants.

机构信息

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.

出版信息

Eur J Cancer. 2023 Mar;181:102-118. doi: 10.1016/j.ejca.2022.11.030. Epub 2022 Dec 10.

DOI:10.1016/j.ejca.2022.11.030
PMID:36652889
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9737523/
Abstract

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.

摘要

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。