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免疫功能低下宿主肺炎:定义和诊断标准:美国胸科学会官方研讨会报告。

Immunocompromised Host Pneumonia: Definitions and Diagnostic Criteria: An Official American Thoracic Society Workshop Report.

出版信息

Ann Am Thorac Soc. 2023 Mar;20(3):341-353. doi: 10.1513/AnnalsATS.202212-1019ST.


DOI:10.1513/AnnalsATS.202212-1019ST
PMID:36856712
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9993146/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219b/9993146/58e60bb89d96/AnnalsATS.202212-1019STf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219b/9993146/72d322aae9be/AnnalsATS.202212-1019STf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219b/9993146/58e60bb89d96/AnnalsATS.202212-1019STf2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219b/9993146/72d322aae9be/AnnalsATS.202212-1019STf1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/219b/9993146/58e60bb89d96/AnnalsATS.202212-1019STf2.jpg

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[10]
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本文引用的文献

[1]
Human Inborn Errors of Immunity: 2022 Update on the Classification from the International Union of Immunological Societies Expert Committee.

J Clin Immunol. 2022-10

[2]
COVID-19 mRNA Vaccine in Patients With Lymphoid Malignancy or Anti-CD20 Antibody Therapy: A Systematic Review and Meta-Analysis.

Clin Lymphoma Myeloma Leuk. 2022-8

[3]
Managing hypogammaglobulinemia in patients treated with CAR-T-cell therapy: key points for clinicians.

Expert Rev Hematol. 2022-4

[4]
Human autoantibodies underlying infectious diseases.

J Exp Med. 2022-4-4

[5]
Anticytokine autoantibodies: Autoimmunity trespassing on antimicrobial immunity.

J Allergy Clin Immunol. 2022-1

[6]
Viral infections in lung transplantation.

J Thorac Dis. 2021-11

[7]
Molecular Diagnosis of Pneumonia (Including Multiplex Panels).

Clin Chem. 2021-12-30

[8]
T-Cell Exhaustion in and Nontuberculous Mycobacteria Infection: Pathophysiology and Therapeutic Perspectives.

Microorganisms. 2021-11-28

[9]
Aspergillus Infections.

N Engl J Med. 2021-10-14

[10]
The effect of immunosuppressants on the prognosis of SARS-CoV-2 infection.

Eur Respir J. 2022-4

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