在血液性恶性瘤的背景下,性传播感染
Tamim Alsuliman1, Paolo Musiu1, Nicolas Stocker1
1Sorbonne University, Paris, France; Department of Hematology and Cellular Therapy, Saint-Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France; INSERM, Centre de Recherche Saint-Antoine, F-75012, Paris, France.
The Lancet. Haematology
|September 23, 2024
概括
性传播感染 (STIs) 对接受血液恶性瘤治疗的免疫受损患者构成重大风险. 早期检测和保护措施至关重要,以减轻与这种脆弱人群中性传播感染相关的发病率和死亡率.
科学领域:
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
- 免疫学 免疫学 免疫学
背景情况:
- 接受血液性恶性瘤治疗的免疫功能低下患者面临性传播感染 (STIs) 的风险增加.
- 化疗和干细胞移植进一步损害了身体的自然防御,增加了对性病的易感性.
- 性病可以在癌症治疗期间对患者的发病率和死亡率产生不利影响.
研究的目的:
- 审查特定性传播感染对血液恶性瘤患者的影响.
- 讨论这个患者群体的保护措施和疫苗.
- 突出需要进一步研究免疫功能低下的癌症患者的性传播感染管理.
主要方法:
- 关于与血液性恶性瘤治疗相关的性传播疾病的文献综述.
- 讨论常见的性传播感染,包括克拉米迪亚瘤,尼塞利亚淋病,梅毒,艾滋病毒,HSV,HPV和HBV.
- 与癌症治疗相关的性传播感染发病率和严重性的分析.
主要成果:
- 几种性传播感染 (甲状腺炎,淋病,梅毒,HIV,HSV,HPV,HBV) 与血液恶性瘤治疗中的风险增加有关.
- 这些感染可以增加恶性瘤的发病率或恶化治疗结果.
- 抗菌素耐药性在这些患者的性传播感染管理中构成了重大挑战.
结论:
- 性传播感染对患有血液性恶性瘤的免疫受损患者来说是一个关键的健康挑战.
- 积极的保护策略和疫苗接种对于管理性传播感染风险至关重要.
- 需要进行进一步的大规模研究,以系统地分析STI的影响,并解决这一群体中抗菌素耐药性的问题.
相关概念视频
Sexually Transmitted Infections
286
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
286
Immunodeficiency Diseases
919
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...
There are three main causes of immunodeficiency...
919
Pulmonary Tuberculosis I
224
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...
224
Bone Marrow Sampling and Transplants
313
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...
313
Disorders of Leukocytes
903
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...
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...
903
Regulation of Hematopoietic Stem Cells
3.2K
All blood and immune cells are produced from the multipotent hematopoietic stem cells (HSCs) by the process of hematopoiesis. However, they all have a limited life span. In addition, many are depleted in immune surveillance or combatting an injury or infection. This makes blood one of the most regenerative tissues. Hematopoiesis helps replenish these blood and immune cells, restoring the body's normal functioning. However, overproduction of blood and immune cells can make them cancerous or...
3.2K


