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免疫功能低下者在新冠疫情期间的生活:来自法国的患者与医生视角

Living During COVID-19 While Immunocompromised: A Patient and Physician Perspective from France.

作者信息

Foudrat Elise, Caillard Sophie

机构信息

Patient author, Strasbourg, France.

Department of Nephrology, Dialysis and Transplantation, INSERM U 1109, LabEx TRANSPLANTEX, Strasbourg University Hospital-Nouvel Hôpital Civil, 1 Place de l'hôpital, 67091, Strasbourg, France.

出版信息

Infect Dis Ther. 2024 Mar;13(3):439-445. doi: 10.1007/s40121-024-00941-2. Epub 2024 Mar 8.

Abstract

This article is co-authored by a kidney transplant recipient and her nephrologist. By sharing her personal experience of the coronavirus disease 2019 (COVID-19) pandemic, the patient illustrates the concerns of immunocompromised patients during this unprecedented health crisis. She describes the difficulties encountered at work, the omnipresent protective measures, and the need for appropriate information. The nephrologist, who follows a cohort of over 1700 kidney transplant recipients, recounts the medical team's struggle to protect their vulnerable patients against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), as a veritable succession of hopes and disappointments. She describes the management of immunosuppression in kidney transplant recipients, the deployment of the COVID-19 vaccination program with the finding of poor immune responses in many patients including those receiving immunosuppressant drugs after kidney transplant, and the first use of prophylactic monoclonal antibodies. From both the patient's and the physician's perspectives, the COVID-19 pandemic has required continuous adaptation.

摘要

本文由一位肾移植受者及其肾病科医生共同撰写。通过分享她在2019年冠状病毒病(COVID-19)大流行期间的个人经历,这位患者阐述了免疫功能低下患者在这场前所未有的健康危机中的担忧。她描述了在工作中遇到的困难、无处不在的防护措施以及获取适当信息的必要性。这位肾病科医生跟踪了1700多名肾移植受者,讲述了医疗团队为保护其脆弱的患者免受严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染而进行的斗争,这是一连串真实的希望与失望。她描述了肾移植受者免疫抑制的管理、COVID-19疫苗接种计划的实施情况,以及发现许多患者(包括肾移植后接受免疫抑制药物治疗的患者)免疫反应不佳的情况,还讲述了预防性单克隆抗体的首次使用。从患者和医生的角度来看,COVID-19大流行都需要不断适应。

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