Infection Prevention and Management in Patients Living With Multiple Myeloma.

IF 0.9 4区 医学 Q3 NURSING
Samantha Shenoy, Beth Faiman, Donna Catamero
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Abstract

Background: The landscape of multiple myeloma (MM) treatment has been revolutionized by the emergence of quadruplet therapies and T-cell-redirecting immunotherapies. Although these advancements offer unprecedented responses and lengths of remission, they simultaneously create a profound state of immune compromise. Infection is a leading cause of death and a significant cause of morbidity in patients living with MM.

Objectives: This article explores the complex landscape of infection in patients with MM, highlighting nurse responsibilities in early detection and management. Through targeted prevention and treatment strategies, nurses improve the longevity and the daily lived experiences of their patients.

Methods: This article is a narrative review of risk factors for infection and current practices for the prevention and management of infections in patients with MM, highlighting updated guidelines for nurses.

Findings: Risk factors for infection in MM include MM-related immune system dysfunction, disease-related factors such as renal failure, comorbid conditions, and treatment-related immunosuppression or cytopenias. By fostering competence through education, supporting autonomy through structured transitions of care, and maintaining relatedness through the patient-nurse relationship, oncology nurses can mitigate the infection risks associated with modern MM therapy.

多发性骨髓瘤患者感染的预防和管理。
背景:随着四联体疗法和t细胞重定向免疫疗法的出现,多发性骨髓瘤(MM)治疗的前景发生了革命性的变化。虽然这些进步提供了前所未有的反应和缓解时间,但它们同时也造成了一种深刻的免疫妥协状态。感染是MM患者死亡的主要原因,也是发病率的重要原因。目的:本文探讨MM患者感染的复杂情况,强调护士在早期发现和管理中的责任。通过有针对性的预防和治疗策略,护士可以改善患者的寿命和日常生活体验。方法:本文对MM患者感染的危险因素和目前预防和管理感染的做法进行了叙述性回顾,重点介绍了护士的最新指南。发现:MM感染的危险因素包括MM相关的免疫系统功能障碍、疾病相关因素如肾衰竭、合并症和治疗相关的免疫抑制或细胞减少。通过教育培养能力,通过结构化的护理过渡支持自主权,并通过医患关系保持相关性,肿瘤科护士可以减轻现代MM治疗相关的感染风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
127
审稿时长
6-12 weeks
期刊介绍: The Clinical Journal of Oncology Nursing (CJON) is an official publication of the Oncology Nursing Society (ONS) and is directed to the practicing nurse specializing in the care of patients with an actual or potential diagnosis of cancer. CJON is a vehicle to promote the mission of ONS, which is to advance excellence in oncology nursing and quality cancer care. The CJON mission is twofold: to provide practical information necessary to care for patients and their families across the cancer continuum and to develop publication skills in oncology nurses.
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