Liu Q F, Lin R
Department of Hematology, Nanfang Hospital, Southern Medical University, Clinical Medical Research Center of Hematological Diseases of Guangdong Province, Guangzhou 510515, China.
Zhonghua Xue Ye Xue Za Zhi. 2024 Nov 14;45(11):977-981. doi: 10.3760/cma.j.cn121090-20240817-00308.
At present, the world has entered the normalization stage of coronavirus disease 2019 (COVID-19) management. COVID-19 continues to affect patients with allogeneic hematopoietic stem cell transplantation (allo-HSCT) for a long period. The author discussed the possible effect of COVID-19 on HSCT strategy and prognosis during this period based on literature reports. Transplantation should be deferred until clinical resolution and negative severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in patients infected with SARS-CoV-2 before transplantation. Donors infected with SARS-CoV-2 during the stem cell collection may not affect apheresis. Allo-HSCT recipients demonstrated a high rate of severe COVID-19 if COVID-19 occurred at the early stage of transplantation. Severe COVID-19 remains a risk factor for nonrelapse mortality and survival after transplantation. The association between COVID-19 and post-transplantation complications, such as other infections, endothelial injury-related complications, and relapse, needs to be further investigated in large samples.
目前,世界已进入新型冠状病毒肺炎(COVID-19)管理的常态化阶段。COVID-19长期持续影响接受异基因造血干细胞移植(allo-HSCT)的患者。作者基于文献报道探讨了在此期间COVID-19对HSCT策略和预后的可能影响。对于移植前感染严重急性呼吸综合征冠状病毒2(SARS-CoV-2)的患者,应推迟移植直至临床症状消退且SARS-CoV-2检测呈阴性。干细胞采集期间感染SARS-CoV-2的供者可能不影响单采。如果在移植早期发生COVID-19,allo-HSCT受者出现重症COVID-19的比例较高。重症COVID-19仍然是移植后非复发死亡率和生存率的危险因素。COVID-19与移植后并发症(如其他感染、内皮损伤相关并发症和复发)之间的关联需要在大样本中进一步研究。