Department of Hematology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Department of Oncology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Key Laboratory of Rheumatic Disease and Translational Medicine, Shandong Lung Cancer Institute, Jinan, China.
J Cancer Res Ther. 2023 Dec 1;19(6):1495-1500. doi: 10.4103/jcrt.JCRT_782_23. Epub 2023 Dec 28.
In December 2022, the Omicron variant of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) became dominant in China due to its high infectivity and lower mortality rate. The risk of critical illness and mortality among patients with hematologic malignancies who contracted SARS-CoV-2 was particularly high. The aim of this study was to draft a consensus to facilitate effective treatments for these patients based on the type and severity of the disease. Following the outbreak of the novel coronavirus in China, a steering committee consisting of experienced hematologists was formed by the Specialized Committee of Oncology and Microecology of the Chinese Anti-Cancer Association. The expert group drafted a consensus on the management and intervention measures for different types of hematologic malignancies based on the clinical characteristics of the Omicron variant of the SARS-CoV-2 infection, along with relevant guidelines and literature. The expert group drafted independent recommendations on several important aspects based on the epidemiology of the Omicron variant in China and the unique vulnerability of patients with hematologic malignancies. These included prophylactic vaccinations for those with hematologic malignancies, the use of plasma from blood donors who recovered from the novel coronavirus infection, the establishment of negative pressure wards, the use of steady-state mobilization of peripheral blood hematopoietic stem cells, the provision of psychological support for patients and medical staff, and a focus on maintaining a healthy intestinal microecology.
2022 年 12 月,由于严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)的奥密克戎变异株具有高传染性和较低的死亡率,其在中国成为优势株。感染 SARS-CoV-2 的血液系统恶性肿瘤患者发生重症和死亡的风险尤其高。本研究旨在根据疾病的类型和严重程度制定共识,以促进对这些患者的有效治疗。在中国新型冠状病毒爆发后,中国抗癌协会肿瘤和微生态专委会成立了一个由经验丰富的血液科医生组成的指导委员会。专家组根据 SARS-CoV-2 感染奥密克戎变异株的临床特征,结合相关指南和文献,针对不同类型血液系统恶性肿瘤的管理和干预措施制定了共识。专家组根据奥密克戎在中国的流行病学特征以及血液系统恶性肿瘤患者的独特脆弱性,就几个重要方面制定了独立建议。这些建议包括对血液系统恶性肿瘤患者进行预防性疫苗接种、使用新型冠状病毒感染康复献血者的血浆、建立负压病房、使用外周血造血干细胞稳态动员、为患者和医务人员提供心理支持,以及重点维持健康的肠道微生态。