Management of vaccinations in patients with non‐Hodgkin lymphoma

Author:

Merli Michele1ORCID,Costantini Andrea2,Tafuri Silvio3ORCID,Bavaro Davide Fiore4,Minoia Carla5,Meli Erika6,Luminari Stefano78ORCID,Gini Guido9ORCID

Affiliation:

1. Division of Hematology Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milan Italy

2. Clinical Immunology Unit Azienda Ospedaliero Universitaria delle Marche ‐ Università Politecnica delle Marche Ancona Italy

3. Department of Biomedical Sciences and Human Oncology Aldo Moro University of Bari Bari Italy

4. Department of Biomedical Sciences and Human Oncology, Clinic of Infectious Diseases Aldo Moro University of Bari Bari Italy

5. Hematology Unit IRCCS Istituto Tumori “Giovanni Paolo II” Bari Italy

6. Division of Hematology ASST Grande Ospedale Metropolitano Niguarda Milano Italy

7. Hematology Unit Azienda USL‐IRCCS di Reggio Emilia Reggio Emilia Italy

8. Surgical Medical and Dental Department of Morphological Sciences Related to Transplant, Oncology and Regenerative Medicine University of Modena and Reggio Emilia Modena Italy

9. Clinic of Hematology Azienda Ospedaliero Universitaria Delle Marche – Università Politecnica Delle Marche Ancona Italy

Abstract

SummaryVaccinations are fundamental tools in preventing infectious diseases, especially in immunocompromised patients like those affected by non‐Hodgkin lymphomas (NHLs). The COVID‐19 pandemic made clinicians increasingly aware of the importance of vaccinations in preventing potential life‐threatening SARS‐CoV‐2‐related complications in NHL patients. However, several studies have confirmed a significant reduction in vaccine‐induced immune responses after anti‐CD20 monoclonal antibody treatment, thus underscoring the need for refined immunization strategies in NHL patients. In this review, we summarize the existing data about COVID‐19 and other vaccine's efficacy in patients with NHL and propose multidisciplinary team‐based recommendations for the management of vaccines in this specific group of patients.

Publisher

Wiley

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