Community-acquired respiratory infections are common in patients with non-Hodgkin lymphoma and multiple myeloma

作者: Noa Lavi , Irit Avivi , Zipora Kra-Oz , Ilana Oren , Emilia Hardak

DOI: 10.1007/S00520-018-4079-3

关键词:

摘要: Available data suggest that respiratory infections are associated with increased morbidity and mortality in patients hospitalized due to acute leukemia allogeneic stem cell transplantation (allo-SCT). However, the precise incidence, risk factors, severity of infection, mainly community-acquired, lymphoma multiple myeloma (MM) not fully determined. The current study aimed investigate factors for their clinical significance B non-Hodgkin (NHL) first year diagnosis. Data consecutive diagnosed NHL or MM treated at Rambam Hematology Inpatient Outpatient Units between 01/2011 03/2012 were evaluated. Information regarding anticancer treatment, incidence course infections, infection-related outcomes was analyzed. One hundred sixty episodes recorded 103 (49%) 211 (73-MM, 138-NHL) patients; 126 (79%) 47 (29%) them required hospitalization. In univariate analysis, age < 60 years, diagnosis, autologous SCT infection (P = 0.058, 0.038, 0.001, respectively). Ninety (56% all episodes) examined viral pathogens. Viral documented 25/90 (28%) episodes, 21 (84%) requiring hospitalization 5 (24%) cases. Anti-flu vaccination performed 119 (56%) patients. Two six influenza vaccinated. Respiratory including ones, common MM. Most community-acquired have a favorable outcome. Rapid identification pathogens allows avoiding antibiotic overuse this patient population.

参考文章(21)
H Griffiths, V Brennan, J Lea, C Bunch, M Lee, H Chapel, Crossover study of immunoglobulin replacement therapy in patients with low-grade B-cell tumors Blood. ,vol. 73, pp. 366- 368 ,(1989) , 10.1182/BLOOD.V73.2.366.366
Élie Azoulay, Pulmonary Involvement in Patients with Hematological Malignancies Pulmonary Involvement in Patients with Hematological Malignancies. pp. 5- 7 ,(2011) , 10.1007/978-3-642-15742-4_2
Roni Bitterman, Noa Eliakim‐Raz, Inbal Vinograd, Anca Zalmanovici Trestioreanu, Leonard Leibovici, Mical Paul, Influenza vaccines in immunosuppressed adults with cancer Cochrane Database of Systematic Reviews. ,vol. 2013, ,(2013) , 10.1002/14651858.CD008983.PUB2
Shau Yin Ha, Daniel KL Cheuk, Alan KS Chiang, Tsz Leung Lee, Godfrey CF Chan, Vaccines for prophylaxis of viral infections in patients with hematological malignancies Cochrane Database of Systematic Reviews. ,(2011) , 10.1002/14651858.CD006505.PUB2
Minna Koskenvuo, Merja Möttönen, Jaana Rahiala, Ulla M. Saarinen-Pihkala, Pekka Riikonen, Matti Waris, Thedi Ziegler, Matti Uhari, Toivo T. Salmi, Olli Ruuskanen, Respiratory viral infections in children with leukemia. Pediatric Infectious Disease Journal. ,vol. 27, pp. 974- 980 ,(2008) , 10.1097/INF.0B013E31817B0799
U Hohenthal, J Nikoskelainen, R Vainionpää, R Peltonen, M Routamaa, M Itälä, P Kotilainen, Parainfluenza virus type 3 infections in a hematology unit. Bone Marrow Transplantation. ,vol. 27, pp. 295- 300 ,(2001) , 10.1038/SJ.BMT.1702776
Benjamin W. Teh, Leon J. Worth, Simon J. Harrison, Karin A. Thursky, Monica A. Slavin, Risks and burden of viral respiratory tract infections in patients with multiple myeloma in the era of immunomodulatory drugs and bortezomib: experience at an Australian Cancer Hospital. Supportive Care in Cancer. ,vol. 23, pp. 1901- 1906 ,(2015) , 10.1007/S00520-014-2550-3
MIKKO AROLA, OLLI RUUSKANEN, THEDI ZIEGLER, TOIVO T. SALMI, Respiratory virus infections during anticancer treatment in children. Pediatric Infectious Disease Journal. ,vol. 14, pp. 690- 694 ,(1995) , 10.1097/00006454-199508000-00008
Małgorzata Mikulska, Valerio Del Bono, Nemo Gandolfo, Simone Dini, Alida Dominietto, Carmen Di Grazia, Stefania Bregante, Riccardo Varaldo, Andrea Orsi, Filippo Ansaldi, Andrea Bacigalupo, Claudio Viscoli, Epidemiology of viral respiratory tract infections in an outpatient haematology facility Annals of Hematology. ,vol. 93, pp. 669- 676 ,(2014) , 10.1007/S00277-013-1912-0