Bacterial Pneumonia in Patients with Cancer Novel Risk Factors and Management

被引：62

作者：

Wong, Justin L. ^{[1
]}

Evans, Scott E. ^{[2
]}

机构：

[1] Univ Texas Houston, Hlth Sci Ctr, Dept Pulm Crit Care & Sleep Med, Div Internal Med, 6431 Fannin St,MSB 1-434, Houston, TX 77030 USA

[2] Univ Texas MD Anderson Canc Ctr, Dept Pulm Med, Div Internal Med, 1515 Holcombe Blvd,Unit 1100, Houston, TX 77030 USA

来源：

CLINICS IN CHEST MEDICINE | 2017年 / 38卷 / 02期

关键词：

Bacterial pneumonia; Cancer; Neutropenia; Hematologic malignancy; Stem cell transplant; Immunocompromised host pneumonia; STEM-CELL TRANSPLANTATION; INVASIVE PNEUMOCOCCAL DISEASE; COMMUNITY-ACQUIRED PNEUMONIA; URINARY ANTIGEN TEST; STREPTOCOCCUS-PNEUMONIAE; HEMATOLOGIC MALIGNANCIES; ORAL MUCOSITIS; LUNG-CANCER; INFECTIOUS COMPLICATIONS; POSTOPERATIVE PNEUMONIA;

D O I：

10.1016/j.ccm.2016.12.005

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

Bacterial pneumonias exact unacceptable morbidity on patients with cancer. Although the risk is often most pronounced among patients with treatment-induced cytopenias, the numerous contributors to life-threatening pneumonias in cancer populations range from derangements of lung architecture and swallow function to complex immune defects associated with cytotoxic therapies and graft-versus-host disease. These structural and immunologic abnormalities often make the diagnosis of pneumonia challenging in patients with cancer and impact the composition and duration of therapy. This article addresses host factors that contribute to pneumonia susceptibility, summarizes diagnostic recommendations, and reviews current guidelines for management of bacterial pneumonia in patients with cancer.

引用

页码：263 / +

页数：16

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