Updates in hematopoietic cell transplant and cellular therapies that enhance the risk for opportunistic infections

Author:

Cuvelier Geoffrey D. E.123,Paulson Kristjan345,Bow Eric J.3456

Affiliation:

1. Department of Paediatrics and Child Health Section of Paediatric Haematology/Oncology‐BMT, Max Rady College of Medicine, the University of Manitoba Winnipeg Manitoba Canada

2. Department of Paediatric Haematology/Oncology‐BMT, CancerCare Manitoba Winnipeg Manitoba Canada

3. Manitoba Blood and Marrow Transplant Programme, CancerCare Manitoba Winnipeg Manitoba Canada

4. Section of Haematology/Oncology Department of Internal Medicine, Max Rady College of Medicine, the University of Manitoba Winnipeg Manitoba Canada

5. Department of Medical Oncology and Haematology CancerCare Manitoba, Winnipeg, Manitoba Winnipeg Manitoba Canada

6. Section of Infectious Diseases Department of Internal Medicine Max Rady College of Medicine The University of Manitoba Winnipeg Manitoba Canada

Abstract

BackgroundInfectious disease physicians may be asked to evaluate and manage a variety of infections in immunocompromised hosts undergoing hematopoietic cell transplant (HCT) and cellular therapies. Over the last decade, several advances in cellular therapy have occurred, with implications for the types of infectious complications that may be seen.AimsThe purpose of this review is to update the infectious disease physician on newer advances in HCT and cellular therapy, including haploidentical transplant, expanding indications for transplant in older individuals and children, and chimeric antigen receptor T‐cells. We will review how these advances might influence infectious disease complications following HCT. We will also provide a perspective that infectious disease physicians can use to evaluate the degree of immune suppression in an individual patient to help determine the type of infections that may be encountered.

Publisher

Wiley

Subject

Infectious Diseases,Transplantation

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