Supportive Care During Pediatric Hematopoietic Stem Cell Transplantation: Prevention of Infections. A Report From Workshops on Supportive Care of the Paediatric Diseases Working Party (PDWP) of the European Society for Blood and Marrow Transplantation (EBMT)

被引:30
作者
Ifversen, Marianne [1 ]
Meisel, Roland [2 ]
Sedlacek, Petr [3 ]
Kalwak, Krzysztof [4 ]
Sisinni, Luisa [5 ]
Hutt, Daphna [6 ]
Lehrnbecher, Thomas [7 ]
Balduzzi, Adriana [8 ]
Diesch, Tamara [9 ]
Jarisch, Andrea [10 ]
Gungor, Tayfun [11 ]
Stein, Jerry [12 ]
Yaniv, Isaac [12 ]
Bonig, Halvard [13 ]
Kuhlen, Michaela [14 ]
Ansari, Marc [15 ,16 ]
Nava, Tiago [15 ,16 ]
Dalle, Jean-Hugues [17 ,18 ]
Diaz-de-Heredia, Cristina [19 ]
Trigoso, Eugenia [20 ]
Falkenberg, Ulrike [21 ]
Hartmann, Mihaela [21 ]
Deiana, Marco [22 ]
Canesi, Marta [8 ]
Broggi, Chiara [8 ]
Bertaina, Alice [23 ,24 ]
Gibson, Brenda [25 ]
Krivan, Gergely [26 ]
Vettenranta, Kim [27 ,28 ]
Matic, Toni [29 ]
Buechner, Jochen [30 ]
Lawitschka, Anita [21 ]
Peters, Christina [21 ]
Yesilipek, Akif [31 ,32 ]
Yalcin, Koray [33 ]
Lucchini, Giovanna [34 ]
Bakhtiar, Shahrzad [10 ]
Turkiewicz, Dominik [35 ]
Niinimaki, Riitta [36 ]
Wachowiak, Jacek [37 ]
Cesaro, Simone [38 ]
Dalissier, Arnaud [39 ]
Corbacioglu, Selim [40 ]
Willasch, Andre Manfred [10 ]
Bader, Peter [10 ]
机构
[1] Copenhagen Univ Hosp, Dept Paediat & Adolescent Med, Rigshospitalet, Copenhagen, Denmark
[2] Heinrich Heine Univ, Dept Pediat Oncol Hematol & Clin Immunol, Div Pediat Stem Cell Therapy, Med Fac, Dusseldorf, Germany
[3] Charles Univ Prague, Hosp Motol, Dept Pediat Hematol & Oncol, Prague, Czech Republic
[4] Wroclaw Med Univ, Dept Pediat Hematol Oncol & Bone Marrow Transplan, Wroclaw, Poland
[5] Hosp Santa Creu & Sant Pau, Pediat Hematol Oncol & Hematopoiet Stem Cell Tran, Barcelona, Spain
[6] Edmond & Lily Safra Childrens Hosp, Div Pediat Hematol Oncol & Bone Marrow Transplant, Tel Aviv, Israel
[7] Goethe Univ, Univ Hosp, Hosp Children & Adolescents, Div Pediat Hematol & Oncol, Frankfurt, Germany
[8] Univ Milano Bicocca, Clin Pediat, Fdn Monza & Brianza Bambino & Sua Mamma, Osped San Gerardo, Monza, Italy
[9] Univ Childrens Hosp Basel, Div Pediat Hematol Oncol, Basel, Switzerland
[10] Goethe Univ, Univ Hosp, Hosp Children & Adolescents, Div Stem Cell Transplantat Immunol & Intens Care, Frankfurt, Germany
[11] Univ Childrens Hosp Zurich, Dept Hematol Immunol Oncol & Stem Cell Transplant, Zurich, Switzerland
[12] Schneider Childrens Med Ctr Israel, Div Pediat Hematoloy Oncol, Petah Tiqwa, Israel
[13] Goethe Univ, German Red Cross Blood Serv Baden Wurttemberg Hes, Inst Transfus Med & Immunohematol, Frankfurt, Germany
[14] Univ Augsburg, Med Fac, Paediat & Adolescent Med, Augsburg, Germany
[15] Univ Hosp Geneva, Div Pediat Hematol Oncol, Geneva, Switzerland
[16] Univ Geneva, Dept Paediat Gynaecol & Obstet, Cansearch Res Platform Paediat Oncol & Haematol, Fac Med, Geneva, Switzerland
[17] Robert Debre Hosp, AP HP, Hematol & Immunol Dept, Paris, France
[18] Univ Paris, Paris, France
[19] Hosp Univ Vall dHebron, Dept Pediat Oncol & Hematol, Barcelona, Spain
[20] Hosp Univ & Polytech, Hosp LA FE, Paediat Transplant Unit, Valencia, Spain
[21] Med Univ Vienna, St Anna Childrens Hosp, Dept Pediat, Stem Cell Transplantat Unit, Vienna, Austria
[22] Ist Ricovero & Cura Carattere Sci G Gaslini, Paediat Haematol Oncol Dept, Genoa, Italy
[23] Bambino Gesu Pediat Hosp, Dept Pediat Hematol Oncol & Cell & Gene Therapy, Ist Ricovero & Cura Carattere Sci, Rome, Italy
[24] Stanford Univ, Sch Med, Dept Pediat, Div Stem Cell Transplantat & Regenerat Med, Stanford, CA 94305 USA
[25] Royal Hosp Children, Dept Paediat Haematol Oncol, Glasgow, Lanark, Scotland
[26] Cent Hosp Southern Pest, Natl Inst Hematol & Infect Dis, Budapest, Hungary
[27] Univ Helsinki, Childrens Hosp, Helsinki, Finland
[28] Univ Helsinki, Pediat Res Ctr, Helsinki, Finland
[29] Univ Hosp Ctr Zagreb, Dept Pediat, Zagreb, Croatia
[30] Oslo Univ Hosp, Dept Pediat Hematol & Oncol, Oslo, Norway
[31] Antalya & Goztepe Medicalpark Hosp, Dept Pediat Hematol, Antalya, Turkey
[32] Antalya & Goztepe Medicalpark Hosp, Pediat Stem Cell Transplantat Unit, Antalya, Turkey
[33] Medicalpark Goztepe Hosp, Dept Pediat, Bone Marrow Transplantat Unit, Istanbul, Turkey
[34] Great Ormond St Hosp Sick Children, Dept Bone Marrow Transplantat, Natl Hlth Serv Fdn Trust, London, England
[35] Lund Univ, Div Mol Hematol, Lund, Sweden
[36] Oulu Univ Hosp, Dept Pediat, Oulu, Finland
[37] Poznan Univ Med Sci, Dept Pediat Oncol Hematol & Hematopoiet Stem Cell, Poznan, Poland
[38] Azienda Osped Univ Integrata, Dept Mother & Child, Pediat Hematol Oncol, Verona, Italy
[39] Hop St Antoine, European Soc Blood & Marrow Transplantat Paris Of, Paris, France
[40] Univ Hosp Regensburg, Dept Pediat Hematol Oncol & Stem Cell Transplanta, Regensburg, Germany
来源
FRONTIERS IN PEDIATRICS | 2021年 / 9卷
关键词
infection precaution; allogeneic hematological stem cell transplantation; children; antibiotic prophylactic therapy; vaccination; PARTICULATE AIR FILTRATION; NEUTROPENIC DIET; RECIPIENTS; GUIDELINES; PROPHYLAXIS; COMPLICATIONS; CHILDREN; LEUKEMIA; CHEMOTHERAPY; CANCER;
D O I
10.3389/fped.2021.705179
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Specific protocols define eligibility, conditioning, donor selection, graft composition and prophylaxis of graft vs. host disease for children and young adults undergoing hematopoietic stem cell transplant (HSCT). However, international protocols rarely, if ever, detail supportive care, including pharmaceutical infection prophylaxis, physical protection with face masks and cohort isolation or food restrictions. Supportive care suffers from a lack of scientific evidence and implementation of practices in the transplant centers brings extensive restrictions to the child's and family's daily life after HSCT. Therefore, the Board of the Pediatric Diseases Working Party (PDWP) of the European Society for Blood and Marrow Transplantation (EBMT) held a series of dedicated workshops since 2017 with the aim of initiating the production of a set of minimal recommendations. The present paper describes the consensus reached within the field of infection prophylaxis.
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