Rev Esp Quimioter 2023;36(Suppl.1):52-53
Post-CART-T Cell Infection: Etiology, pathogenesis, and therapeutic approaches
NICOL GARCÍA-POUTÓN, OLIVER PEYRONY, MARIANA CHUMBITA, FRANCESCO AIELLO, PATRICIA MONZO, ANTONIO GALLARDO-PIZARRO, CAROLINA GARCIA-VIDAL
Published: 24 November 2023
http://www.doi.org/10.37201/req/s01.12.2023
ABSTRACT
Chimeric antigen receptor (CAR) T cell therapy targeting CD-19 has revolutionized the treatment of refractory B-cell malignancies. However, patients undergoing this therapy face an increased risk of infections due to compromised immune function, lymphodepleting chemotherapy, hospitalization, and therapy-related complications such as cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome. Patients with systemic corticosteroid use, low immunoglobulin levels, and severe CRS, are at higher risk of infection. This review article highlights the spectrum of infections encountered in CAR T cell therapy, including bacterial, viral, and fungal infections. Following consensus guidelines for vaccination and immunoglobulin replacement is recommended. Clear criteria for antibiotic usage and vaccinating household members against respiratory viruses are crucial. Understanding the risk factors, spectrum of infections, and implementing appropriate prophylactic measures are essential to optimize outcomes in patients undergoing CAR T cell therapy. By prioritizing infection prevention strategies, healthcare professionals can effectively improve patient care.
Rev Esp Quimioter 2023; 36(Suppl.1):52-53 [Full-text PDF]
