Practical management of the patients with hematological diseases during the COVID-19 pandemic in Japan

PCR assay cannot always detect the SARS-CoV2 virus, which might be due to differences in the sensitivities of each sampling site. Under these circumstances, immunochromatography may serve as an alternative method to detect anti-SARS-CoV-2 IgG antibodies that can demonstrate a history of infection. In patients with severe COVID-19 infection, 14 of 19 serum samples were shown to be positive, whereas 6 of 10 samples from patients with asymptomatic or mild cases were negative for IgG antibodies. Two patients with immune thrombocytopenia, who were treated with prednisolone, experienced aggressive behavior of COVID-19-related respiratory failure and eventually died. Patients who were before an achievement of remission and those who received steroid-based chemotherapy possessed a higher risk of death, and more deaths were observed in patients with lymphoid malignancies including lymphoma and myeloma compared with those with myeloid malignancies. As for daily medical care in hematological department, a stricter cohorting strategy using repeat PCR tests or isolation to a private room should be adopted in order to prevent viral spread to the environment.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:62

Enthalten in:

Rinsho ketsueki] The Japanese journal of clinical hematology - 62(2021), 2 vom: 01., Seite 115-124

Sprache:

Japanisch

Beteiligte Personen:

Hagihara, Masao [VerfasserIn]
Ohara, Shin [VerfasserIn]
Uchida, Tomoyuki [VerfasserIn]
Inoue, Morihiro [VerfasserIn]

Links:

Volltext

Themen:

Anti-SARS-CoV2 IgG
Antibodies, Viral
COVID-19
Journal Article
Nosocomial infection
RNA, Viral
Survival

Anmerkungen:

Date Completed 10.03.2021

Date Revised 10.03.2021

published: Print

Citation Status MEDLINE

doi:

10.11406/rinketsu.62.115

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM322360048