在血液瘤学中的侵入性真菌感染
Jaswinder Kaur Oberoi1, Lata Sheoran2, Tanu Sagar2
1Institute of Clinical Microbiology & Immunology, Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi, 110060, India.
Indian journal of medical microbiology
|June 25, 2023
概括
血液性恶性瘤患者面临高侵袭性真菌感染 (IFI) 风险. 早期诊断和量身定制的抗真菌策略对于在免疫受损的个体中管理这些感染至关重要.
科学领域:
- 血液学 血液学 血液学
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 患有血液性恶性瘤 (HM) 的患者具有侵入性真菌感染 (IFI) 的显著风险.
- 这些患者的IFI与高发病率和死亡率有关.
- 尽管取得了进展,但IFI仍然是免疫功能低下的HM患者的治疗挑战.
研究的目的:
- 审查免疫功能低下的血液瘤学患者的侵入性真菌感染 (IFI) 的诊断和管理.
- 强调早期和具体的基于风险的抗真菌策略的重要性.
- 为了应对新出现的挑战,如抗真菌耐药性和突破性感染.
主要方法:
- 对HM患者IFI诊断和管理的当前文献的综述.
- 讨论诊断标准,包括概率水平 (已证明,可能,可能).
- 对各种抗真菌策略的分析:预防,预防和实证疗法.
主要成果:
- 非特异性症状往往模仿细菌感染,需要微生物学和成像诊断.
- 基于风险的预防建议有所不同:低风险患者使用可纳,高风险患者使用波萨可纳/沃里可纳.
- 抗真菌耐药性和突破性感染构成了新的威胁.
结论:
- 早期诊断和基于风险的抗真菌策略对于管理HM患者的IFI至关重要.
- 强烈建议对沃里科纳进行治疗药物监测 (TDM),因为其药理动力学是可变的.
- 需要持续保持警和研究,以应对免疫性受损人群中不断变化的IFI挑战.
更多相关视频
08:01Detection of Invasive Pulmonary Aspergillosis in Haematological Malignancy Patients by using Lateral-flow Technology
Published on: March 22, 2012
28.1K
06:02A Contemporary Warming/Restraining Device for Efficient Tail Vein Injections in a Murine Fungal Sepsis Model
Published on: November 6, 2020
15.0K
相关概念视频
Skin Diseases and Disorders
3.9K
Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
3.9K
Bone Marrow Sampling and Transplants
363
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...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
363
Fungal Phylum Microsporidia
43
Microsporidia are a group of obligate intracellular fungi that were initially classified as protists but were later reclassified based on phylogenetic, molecular, and structural evidence linking them to the Chytridiomycota. These unicellular, non-motile organisms are highly specialized parasites that infect a wide range of animal hosts, including humans. They have evolved extensive genomic and metabolic reductions, making them highly dependent on their hosts for survival.Morphology and Genomic...
43
Treatment Resistant Cancers
3.4K
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.4K
Pulmonary Tuberculosis I
286
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
286
Tissue Transplantation
417
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
417
