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免疫功能低下患者感染事件报告标准化推进的共识立场声明

Consensus position statement on advancing the standardised reporting of infection events in immunocompromised patients.

机构信息

Department of Infectious Diseases, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia; Sir Peter MacCallum Department of Oncology, University of Melbourne, VIC, Australia.

Division of Infectious Diseases, Department of Health Sciences, University of Genoa, Genoa, Italy; IRCCS Ospedale Policlinico San Martino, Genoa, Italy.

出版信息

Lancet Infect Dis. 2024 Jan;24(1):e59-e68. doi: 10.1016/S1473-3099(23)00377-8. Epub 2023 Sep 6.

Abstract

Patients can be immunocompromised from a diverse range of disease and treatment factors, including malignancies, autoimmune disorders and their treatments, and organ and stem-cell transplantation. Infections are a leading cause of morbidity and mortality in immunocompromised patients, and the disease treatment landscape is continually evolving. Despite being a critical but preventable and curable adverse event, the reporting of infection events in randomised trials lacks sufficient detail while inconsistency of categorisation and definition of infections in observational and registry studies limits comparability and future pooling of data. A core reporting dataset consisting of category, site, severity, organism, and endpoints was developed as a minimum standard for reporting of infection events in immunocompromised patients across study types. Further additional information is recommended depending on study type. The standardised reporting of infectious events and attributable complications in immunocompromised patients will improve diagnostic, treatment, and prevention approaches and facilitate future research in this patient group.

摘要

患者可能因多种疾病和治疗因素而免疫功能低下,包括恶性肿瘤、自身免疫性疾病及其治疗方法,以及器官和干细胞移植。感染是免疫功能低下患者发病率和死亡率的主要原因,疾病治疗领域也在不断发展。尽管感染是一种严重但可预防和可治愈的不良事件,但随机试验中对感染事件的报告缺乏足够的细节,而观察性和登记研究中对感染的分类和定义不一致限制了数据的可比性和未来的汇总。作为在各种研究类型中报告免疫功能低下患者感染事件的最低标准,开发了一个包含类别、部位、严重程度、病原体和终点的核心报告数据集。根据研究类型,还建议提供更多的补充信息。标准化报告免疫功能低下患者的感染事件和可归因并发症,将改善该患者群体的诊断、治疗和预防方法,并促进未来的研究。

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