Ann Am Thorac Soc. 2023 Mar;20(3):341-353. doi: 10.1513/AnnalsATS.202212-1019ST.
Pneumonia imposes a significant clinical burden on people with immunocompromising conditions. Millions of individuals live with compromised immunity because of cytotoxic cancer treatments, biological therapies, organ transplants, inherited and acquired immunodeficiencies, and other immune disorders. Despite broad awareness among clinicians that these patients are at increased risk for developing infectious pneumonia, immunocompromised people are often excluded from pneumonia clinical guidelines and treatment trials. The absence of a widely accepted definition for immunocompromised host pneumonia is a significant knowledge gap that hampers consistent clinical care and research for infectious pneumonia in these vulnerable populations. To address this gap, the American Thoracic Society convened a workshop whose participants had expertise in pulmonary disease, infectious diseases, immunology, genetics, and laboratory medicine, with the goal of defining the entity of immunocompromised host pneumonia and its diagnostic criteria.
免疫功能低下人群的肺炎会给他们带来沉重的临床负担。由于细胞毒性癌症治疗、生物疗法、器官移植、遗传性和获得性免疫缺陷以及其他免疫紊乱,数以百万计的人存在免疫功能低下的情况。尽管临床医生普遍认识到这些患者发生感染性肺炎的风险增加,但免疫功能低下人群通常被排除在肺炎临床指南和治疗试验之外。缺乏广泛认可的免疫功能低下宿主肺炎定义是一个重大的知识空白,这阻碍了对这些弱势群体感染性肺炎的一致临床护理和研究。为了解决这一空白,美国胸科学会召开了一次研讨会,参与者在肺部疾病、传染病、免疫学、遗传学和实验室医学方面具有专业知识,其目标是定义免疫功能低下宿主肺炎的实体及其诊断标准。
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