儿童的侵袭性真菌感染治疗了血液病的恶性疾病 - - 一个为期五年的单一实验中心
Domagoj Buljan1, Izabela Kranjčec1, Ivan Pavić2,3
1Department of Oncology and Hematology, Zagreb Children's Hospital, Zagreb, Croatia.
Acta clinica Croatica
|October 23, 2023
概括
侵入性真菌感染 (IFI) 影响15%的儿科血液病患者,主要是急性淋巴细胞白血病 (ALL) 患者. 大多数患者通过标准的抗真菌治疗恢复过来,这凸显了改善预防和早期检测策略的必要性.
科学领域:
- 儿科瘤学 儿科瘤学
- 传染性疾病 传染性疾病
- 血液学 血液学 血液学
背景情况:
- 侵袭性真菌感染 (IFI) 在接受密集化疗的儿科患者中是严重的并发症.
- 在这个弱势群体中,国际金融机构的发病率在2%到21%之间.
研究的目的:
- 描述小儿瘤学患者使用FI的5年经验.
- 分析临床表现,放射学发现,治疗和FIIs在患有血液性瘤的儿童的结果.
主要方法:
- 2016年1月至2020年12月为白血病和淋巴瘤治疗的儿童 (0-17岁) 的IFI回顾性和描述性调查.
- 查看萨格勒布儿童医院瘤和血液学部的医疗表格.
主要成果:
- 在60名患有血液性恶性瘤的儿科患者中,9人 (15%) 患有FI,主要是急性淋巴细胞白血病 (ALL) 患者 (75%).
- 最常见的诊断是可能的肺性阿斯伯吉洛症;在只有一个病例中确定了特定的致病原体.
- 所有患者都接受了标准的抗真菌预防和治疗,大多数患者康复.
结论:
- 儿童血液病患者的IFI预防,诊断和治疗仍然具有挑战性.
- 统一的预防和治疗方案,以及环境控制,对于制定更好的管理策略至关重要.
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