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血液学和肿瘤学中免疫治疗和分子靶向药物相关感染。欧洲白血病感染会议(ECIL)立场文件。

Infections associated with immunotherapeutic and molecular targeted agents in hematology and oncology. A position paper by the European Conference on Infections in Leukemia (ECIL).

机构信息

Department of Hematology, Oncology and Palliative Care, Klinikum Ernst von Bergmann, Charlottenstrasse 72, 14467, Potsdam, Germany.

Department of Internal Medicine and Infectious Diseases, Saint-Luc University Hospital, Université Catholique de Louvain, Brussels, Belgium.

出版信息

Leukemia. 2019 Apr;33(4):844-862. doi: 10.1038/s41375-019-0388-x. Epub 2019 Jan 30.

Abstract

A multitude of new agents for the treatment of hematologic malignancies has been introduced over the past decade. Hematologists, infectious disease specialists, stem cell transplant experts, pulmonologists and radiologists have met within the framework of the European Conference on Infections in Leukemia (ECIL) to provide a critical state-of-the-art on infectious complications associated with immunotherapeutic and molecular targeted agents used in clinical routine. For brentuximab vedotin, blinatumomab, CTLA4- and PD-1/PD-L1-inhibitors as well as for ibrutinib, idelalisib, HDAC inhibitors, mTOR inhibitors, ruxolitinib, and venetoclax, a detailed review of data available until August 2018 has been conducted, and specific recommendations for prophylaxis, diagnostic and differential diagnostic procedures as well as for clinical management have been developed.

摘要

在过去的十年中,已经有许多新的药物被引入到血液恶性肿瘤的治疗中。血液学家、传染病专家、干细胞移植专家、肺病学家和放射学家在欧洲白血病感染会议(ECIL)的框架内进行了合作,提供了与临床常规使用的免疫治疗和分子靶向药物相关的感染并发症的最新技术状况。对于 Brentuximab vedotin、blinatumomab、CTLA4 和 PD-1/PD-L1 抑制剂以及伊布替尼、idelalisib、HDAC 抑制剂、mTOR 抑制剂、鲁索利替尼和 Venetoclax,我们对截至 2018 年 8 月的可用数据进行了详细审查,并制定了预防、诊断和鉴别诊断程序以及临床管理的具体建议。

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