Does PTCY increase the risk of infections?

IF 6.9 2区 医学 Q1 HEMATOLOGY
Malgorzata Mikulska , Claudia Bartalucci , Anna Maria Raiola , Chiara Oltolini
{"title":"Does PTCY increase the risk of infections?","authors":"Malgorzata Mikulska ,&nbsp;Claudia Bartalucci ,&nbsp;Anna Maria Raiola ,&nbsp;Chiara Oltolini","doi":"10.1016/j.blre.2023.101092","DOIUrl":null,"url":null,"abstract":"<div><p>PTCY has been mainly used in haploidentical transplant (haploHSCT), but its use in matched donors allowed better evaluation of infectious risk conferred separately by PTCY or donor type.</p><p>PTCY increased the risk of bacterial infections, both in haploidentical and matched donors, mainly pre-engraftment bacteremias. Bacterial infections, particularly due to multidrug-resistant Gram-negatives, were main causes of infection-related deaths.</p><p><span>Higher rates of CMV<span> and other viral infections were reported, mainly in haploHSCT. The role of donor might be more important than the role of PTCY. PTCY increased the risk of BK virus<span> associated hemorrhagic cystitis, and seemed associated with higher risk of </span></span></span>respiratory viral infections.</p><p>Fungal infections<span> were frequent in haploHSCT PCTY cohorts without mold active prophylaxis, but the exact role of PTCY needs to be established.</span></p><p>Infections appear to be increased in patients receiving PTCY, although the exact role of GvHD prophylaxis and donor type can only be assessed in prospective trials.</p></div>","PeriodicalId":56139,"journal":{"name":"Blood Reviews","volume":"62 ","pages":"Article 101092"},"PeriodicalIF":6.9000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Blood Reviews","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0268960X2300053X","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEMATOLOGY","Score":null,"Total":0}
引用次数: 1

Abstract

PTCY has been mainly used in haploidentical transplant (haploHSCT), but its use in matched donors allowed better evaluation of infectious risk conferred separately by PTCY or donor type.

PTCY increased the risk of bacterial infections, both in haploidentical and matched donors, mainly pre-engraftment bacteremias. Bacterial infections, particularly due to multidrug-resistant Gram-negatives, were main causes of infection-related deaths.

Higher rates of CMV and other viral infections were reported, mainly in haploHSCT. The role of donor might be more important than the role of PTCY. PTCY increased the risk of BK virus associated hemorrhagic cystitis, and seemed associated with higher risk of respiratory viral infections.

Fungal infections were frequent in haploHSCT PCTY cohorts without mold active prophylaxis, but the exact role of PTCY needs to be established.

Infections appear to be increased in patients receiving PTCY, although the exact role of GvHD prophylaxis and donor type can only be assessed in prospective trials.

PTCY会增加感染的风险吗?
PTCY主要用于单倍体移植(haploHSCT),但在匹配供体中使用PTCY可以更好地评估PTCY或供体类型分别赋予的感染风险。PTCY增加了细菌感染的风险,在单倍体相同和匹配的供体中,主要是移植前的细菌血症。细菌感染,特别是多药耐药革兰氏阴性菌引起的细菌感染,是导致感染相关死亡的主要原因。据报道,CMV和其他病毒感染率较高,主要发生在单倍造血干细胞移植中。捐助者的作用可能比PTCY的作用更重要。PTCY增加了BK病毒相关出血性膀胱炎的风险,并且似乎与呼吸道病毒感染的高风险相关。真菌感染在没有霉菌积极预防的单倍hsct PCTY队列中很常见,但PTCY的确切作用需要确定。虽然只有在前瞻性试验中才能评估GvHD预防和供体类型的确切作用,但接受PTCY的患者感染似乎有所增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Blood Reviews
Blood Reviews 医学-血液学
CiteScore
13.80
自引率
1.40%
发文量
78
期刊介绍: Blood Reviews, a highly regarded international journal, serves as a vital information hub, offering comprehensive evaluations of clinical practices and research insights from esteemed experts. Specially commissioned, peer-reviewed articles authored by leading researchers and practitioners ensure extensive global coverage across all sub-specialties of hematology.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信