European guidelines for diagnosis and treatment of adenovirus infection in leukemia and stem cell transplantation: summary of ECIL-4 (2011)

被引:194
|
作者
Matthes-Martin, S. [2 ]
Feuchtinger, T. [3 ]
Shaw, P. J. [4 ]
Engelhard, D. [5 ]
Hirsch, H. H. [6 ]
Cordonnier, C. [7 ,8 ]
Ljungman, P. [1 ,9 ]
机构
[1] Karolinska Univ Hosp, Dept Hematol, S-141861 Stockholm, Sweden
[2] Med Univ, Dept Pediat, Stem Cell Transplantat Unit, St Anna Childrens Hosp, Vienna, Austria
[3] Univ Tubingen Hosp, Dept Pediat, Tubingen, Germany
[4] Childrens Hosp Westmead, Oncol Unit, Sydney, NSW, Australia
[5] Hadassah Univ Hosp, Dept Pediat, IL-91120 Jerusalem, Israel
[6] Univ Basel Hosp, Dept Virol, CH-4031 Basel, Switzerland
[7] Hop Henri Mondor, Assistance Publ Hop Paris, Dept Hematol, F-94010 Creteil, France
[8] Univ Paris Est Creteil, Creteil, France
[9] Karolinska Inst, Dept Med Huddinge, Sect Hematol, Stockholm, Sweden
关键词
human adenovirus; leukemia; stem cell; guidelines; REAL-TIME PCR; BONE-MARROW-TRANSPLANTATION; ACUTE LYMPHOBLASTIC-LEUKEMIA; CHRONIC LYMPHOCYTIC-LEUKEMIA; POLYMERASE-CHAIN-REACTION; PERIPHERAL-BLOOD; PEDIATRIC-PATIENTS; T-CELLS; IMMUNE RECONSTITUTION; REDUCED-INTENSITY;
D O I
10.1111/tid.12022
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Human adenovirus (HAdV) infections are increasingly recognized as important pathogens in immunocompromised hosts, especially in patients with severely suppressed T-cell function. The 4th European Conference of Infections in Leukemia (ECIL-4) has developed evidence-based guidelines for diagnosis and management of HAdV infections. The risk for HAdV-associated disease is increased in children, and risk factors for HAdV disease are T-cell depletion, unrelated and cord blood hematopoietic stem cell transplantation, graft-versus-host disease grades IIIIV, and lymphopenia. The recommended technique for monitoring of high-risk patients is quantitative polymerase chain reaction. Cidofovir is the most used antiviral therapy, although no controlled study has been performed. HAdV-specific T-cell therapy is in development.
引用
收藏
页码:555 / 563
页数:9
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