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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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Effect of transplant characteristics on infectious risk in hematopoietic cell transplant recipients

Effect of transplant characteristics on infectious risk in hematopoietic cell transplant recipients
Transplant parameter Effect on host barriers and immunity Infectious consequences
Type of transplant Allogeneic: slower B and T cell immune reconstitution Greater risk for infections of all types, but especially invasive fungal and herpesvirus infections; longer interval of risk
Type of allogeneic donor Unrelated or mismatched donor: slower B and T cell immune reconstitution Greater risk for infections of all types, but especially invasive fungal and herpesvirus infections; longer interval of risk
Type of stem cell graft

Peripheral blood: faster neutrophil engraftment, more chronic GVHD

Cord blood: slower neutrophil engraftment, less GVHD, slower B and T cell immune reconstitution
Different risks for infections associated with neutropenia and GVHD
Stem cell graft manipulation T cell depletion: greater risk for graft rejection, slower B and T cell immune reconstitution Greater risk for neutropenic infections, lower risk for infections associated with chronic GVHD, greater and longer risk for herpesvirus and invasive fungal infections
Conditioning regimen Intensive regimens: more mucosal injury, shorter time to neutropenia and longer period of neutropenia Greater risk for neutropenic infections, especially neutropenic enterocolitis (typhlitis)
Immunosuppressive regimen (allogeneic)

ATG: more profound deficiency of T cell immunity

Methotrexate: more mucosal injury, longer time to neutrophil recovery
Greater risk for invasive fungal and herpesvirus infections
Central venous catheter Breach in skin barrier Greater risk for bacterial and (less frequently) fungal infections
ATG: antithymocyte globulin; GVHD: graft-versus-host disease.
Reproduced from: Wingard JR, Hsu J, Hiemenz JW. Hematopoietic stem cell transplantation: an overview of infection risks and epidemiology. Infect Dis Clin North Am 2010; 24:257. Table used with the permission of Elsevier Inc. All rights reserved.
Graphic 98314 Version 1.0

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