Acute myeloid leukemia and the infectious diseases consultant

Victor Mulanovich1, Dimitrios P Kontoyiannis1

  • 1a Department of Infectious Diseases, Infection Control and Employee Health , University of Texas, MD Anderson Cancer Center , Houston , TX , USA.

Leukemia & Lymphoma
|September 16, 2017
PubMed

Insights

Infectious diseases (ID) consultants improve outcomes for acute myeloid leukemia (AML) patients facing complex infections due to immunosuppression and resistant pathogens. Their expertise optimizes treatment and cost-effectiveness in AML care.

Area of Science:

  • Hematology-Oncology
  • Infectious Diseases

Background:

  • Acute myeloid leukemia (AML) patients experience significant morbidity and mortality from infectious complications.
  • The immunosuppressed state in AML is dynamic, compounded by polypharmacy and resistant pathogens.
  • Managing infections in AML requires specialized knowledge due to disease complexity and treatment regimens.

Purpose of the Study:

  • To highlight the critical role of Infectious Diseases (ID) consultants in managing infections in AML patients.
  • To emphasize the value of ID expertise in improving patient outcomes and optimizing care.
  • To explore the collaborative potential between ID and hematology-oncology for future practice models.

Main Methods:

  • Review of the challenges in treating infections in AML patients.
  • Analysis of the impact of immunosuppression, polypharmacy, and pathogen resistance.
  • Discussion of the multidisciplinary approach involving ID consultants.

Main Results:

  • ID consultants bring essential expertise to the complex care of AML patients with infections.
  • Collaboration with ID specialists can enhance infection control and antibiotic stewardship.
  • Pharmaco-economic factors, including length of stay and cost-effective treatments, are influenced by ID input.

Conclusions:

  • Infectious diseases consultants are integral to improving outcomes for acute myeloid leukemia patients.
  • Cross-collaboration between ID and hematology-oncology offers a productive direction for future research and practice.
  • Optimizing the management of infections in AML through specialized consultation is crucial for reducing morbidity and mortality.

Related Concept Videos

Disorders of Leukocytes01:27

Disorders of Leukocytes

Leukocyte disorders can lead to either leukopenia, characterized by an abnormally low leukocyte count, or leukocytosis, marked by a very high leukocyte number.
Leukopenia may result from bone marrow disorders, autoimmune diseases, and infectious diseases. For example, conditions such as multiple myeloma and aplastic anemia can impair the bone marrow's ability to produce adequate leukocytes. Similarly, autoimmune diseases like lupus and viral infections such as HIV can prompt the immune...
2.1K
Bone Marrow Sampling and Transplants01:22

Bone Marrow Sampling and Transplants

Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
1.7K
Differentiation of Common Myeloid Progenitor Cells01:15

Differentiation of Common Myeloid Progenitor Cells

Common myeloid progenitors (CMPs) are oligopotent cells that can differentiate into granulocytes and macrophages. Granulocytes and macrophages are essential for protecting the body against bacterial, viral, or fungal infections. They migrate from the bone marrow into the circulating blood to reach specific tissue sites where they differentiate and help in immune surveillance. However, they survive only for a few days and must be continuously made available to the organism to maintain a robust...
4.1K
Immunodeficiency Diseases01:25

Immunodeficiency Diseases

Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
2.6K
Myocarditis I: Introduction01:21

Myocarditis I: Introduction

Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
471