[Allogeneic hematopoietic stem cell transplantation during the normalization stage of COVID-19 management].
At present, the world has entered the normalization stage of coronavirus disease 2019 (COVID-19) management. COVID-19 continues to affect patients with allogeneic hematopoietic stem cell transplantation (allo-HSCT) for a long period. The author discussed the possible effect of COVID-19 on HSCT strategy and prognosis during this period based on literature reports. Transplantation should be deferred until clinical resolution and negative severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in patients infected with SARS-CoV-2 before transplantation. Donors infected with SARS-CoV-2 during the stem cell collection may not affect apheresis. Allo-HSCT recipients demonstrated a high rate of severe COVID-19 if COVID-19 occurred at the early stage of transplantation. Severe COVID-19 remains a risk factor for nonrelapse mortality and survival after transplantation. The association between COVID-19 and post-transplantation complications, such as other infections, endothelial injury-related complications, and relapse, needs to be further investigated in large samples.
Authors
- Qifa Liu
- Ren Lin (ORCID: https://orcid.org/0000-0002-9402-0883)
Institutions
- Southern Medical University (CN)
Publication Details
- Journal
- PubMed
- Published
- 2024-11-14
- DOI
- https://doi.org/10.3760/cma.j.cn121090-20240817-00308
- Citations
- 1
- Primary Topic
- Immune responses and vaccinations
- Type
- article