Serveur d'exploration COVID et hydrochloroquine

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Management of lung transplantation in the COVID-19 era-An international survey.

Identifieur interne : 000347 ( Main/Exploration ); précédent : 000346; suivant : 000348

Management of lung transplantation in the COVID-19 era-An international survey.

Auteurs : Benjamin Coiffard [France] ; Philipp M. Lepper [Allemagne] ; Eloi Prud'Homme [France] ; Florence Daviet [France] ; Nadim Cassir [France] ; Heinrike Wilkens [Allemagne] ; Sami Hraiech [France] ; Frank Langer [Allemagne] ; Pascal A. Thomas [France] ; Martine Reynaud-Gaubert [France] ; Robert Bals [Allemagne] ; Hans-Joachim Sch Fers [Allemagne] ; Laurent Papazian [France] ; Frederik Seiler [Allemagne]

Source :

RBID : pubmed:33084144

Descripteurs français

English descriptors

Abstract

It is unknown if solid organ transplant recipients are at higher risk for severe COVID-19. The management of a lung transplantation (LTx) program and the therapeutic strategies to adapt the immunosuppressive regimen and antiviral measures is a major issue in the COVID-19 era, but little is known about worldwide practice. We sent out to 180 LTx centers worldwide in June 2020 a survey with 63 questions, both regarding the management of a LTx program in the COVID-19 era and the therapeutic strategies to treat COVID-19 LTx recipients. We received a total of 78 responses from 15 countries. Among participants, 81% declared a reduction of the activity and 47% restricted LTx for urgent cases only. Sixteen centers observed deaths on waiting listed patients and eight centers performed LTx for COVID-19 disease. In 62% of the centers, COVID-19 was diagnosed in LTx recipients, most of them not severe cases. The most common immunosuppressive management included a decreased dose or pausing of the cell cycle inhibitors. Remdesivir, hydroxychloroquine, and azithromycin were the most proposed antiviral strategies. Most of the centers have been affected by the COVID-19 pandemic and proposed an active therapeutic strategy to treat LTx recipients with COVID-19.

DOI: 10.1111/ajt.16368
PubMed: 33084144


Affiliations:


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Le document en format XML

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<term>COVID-19 (diagnosis)</term>
<term>COVID-19 (therapy)</term>
<term>Humans (MeSH)</term>
<term>Immunosuppressive Agents (therapeutic use)</term>
<term>Lung Transplantation (MeSH)</term>
<term>Pandemics (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Transplant Recipients (MeSH)</term>
<term>Waiting Lists (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Facteurs de risque (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Immunosuppresseurs (usage thérapeutique)</term>
<term>Listes d'attente (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Receveurs de transplantation (MeSH)</term>
<term>Transplantation pulmonaire (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Immunosuppressive Agents</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>COVID-19</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>COVID-19</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr">
<term>Immunosuppresseurs</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Humans</term>
<term>Lung Transplantation</term>
<term>Pandemics</term>
<term>Risk Factors</term>
<term>Transplant Recipients</term>
<term>Waiting Lists</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Facteurs de risque</term>
<term>Humains</term>
<term>Listes d'attente</term>
<term>Pandémies</term>
<term>Receveurs de transplantation</term>
<term>Transplantation pulmonaire</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">It is unknown if solid organ transplant recipients are at higher risk for severe COVID-19. The management of a lung transplantation (LTx) program and the therapeutic strategies to adapt the immunosuppressive regimen and antiviral measures is a major issue in the COVID-19 era, but little is known about worldwide practice. We sent out to 180 LTx centers worldwide in June 2020 a survey with 63 questions, both regarding the management of a LTx program in the COVID-19 era and the therapeutic strategies to treat COVID-19 LTx recipients. We received a total of 78 responses from 15 countries. Among participants, 81% declared a reduction of the activity and 47% restricted LTx for urgent cases only. Sixteen centers observed deaths on waiting listed patients and eight centers performed LTx for COVID-19 disease. In 62% of the centers, COVID-19 was diagnosed in LTx recipients, most of them not severe cases. The most common immunosuppressive management included a decreased dose or pausing of the cell cycle inhibitors. Remdesivir, hydroxychloroquine, and azithromycin were the most proposed antiviral strategies. Most of the centers have been affected by the COVID-19 pandemic and proposed an active therapeutic strategy to treat LTx recipients with COVID-19.</div>
</front>
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<Year>2021</Year>
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<Day>27</Day>
</DateCompleted>
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<Year>2021</Year>
<Month>04</Month>
<Day>27</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1600-6143</ISSN>
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<Volume>21</Volume>
<Issue>4</Issue>
<PubDate>
<Year>2021</Year>
<Month>04</Month>
</PubDate>
</JournalIssue>
<Title>American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons</Title>
<ISOAbbreviation>Am J Transplant</ISOAbbreviation>
</Journal>
<ArticleTitle>Management of lung transplantation in the COVID-19 era-An international survey.</ArticleTitle>
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<MedlinePgn>1586-1596</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/ajt.16368</ELocationID>
<Abstract>
<AbstractText>It is unknown if solid organ transplant recipients are at higher risk for severe COVID-19. The management of a lung transplantation (LTx) program and the therapeutic strategies to adapt the immunosuppressive regimen and antiviral measures is a major issue in the COVID-19 era, but little is known about worldwide practice. We sent out to 180 LTx centers worldwide in June 2020 a survey with 63 questions, both regarding the management of a LTx program in the COVID-19 era and the therapeutic strategies to treat COVID-19 LTx recipients. We received a total of 78 responses from 15 countries. Among participants, 81% declared a reduction of the activity and 47% restricted LTx for urgent cases only. Sixteen centers observed deaths on waiting listed patients and eight centers performed LTx for COVID-19 disease. In 62% of the centers, COVID-19 was diagnosed in LTx recipients, most of them not severe cases. The most common immunosuppressive management included a decreased dose or pausing of the cell cycle inhibitors. Remdesivir, hydroxychloroquine, and azithromycin were the most proposed antiviral strategies. Most of the centers have been affected by the COVID-19 pandemic and proposed an active therapeutic strategy to treat LTx recipients with COVID-19.</AbstractText>
<CopyrightInformation>© 2020 The American Society of Transplantation and the American Society of Transplant Surgeons.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>Coiffard</LastName>
<ForeName>Benjamin</ForeName>
<Initials>B</Initials>
<Identifier Source="ORCID">0000-0002-8896-5346</Identifier>
<AffiliationInfo>
<Affiliation>Department of Respiratory Medicine and Lung Transplantation, Aix Marseille Univ, APHM, Hôpital Nord, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Lepper</LastName>
<ForeName>Philipp M</ForeName>
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<Affiliation>Department of Internal Medicine V - Pneumology, Allergology and Intensive Care Medicine, Saarland University Medical Center, Homburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Prud'Homme</LastName>
<ForeName>Eloi</ForeName>
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<AffiliationInfo>
<Affiliation>Aix Marseille Univ, APHM, Hôpital Nord, Intensive Care Unit, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Daviet</LastName>
<ForeName>Florence</ForeName>
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<AffiliationInfo>
<Affiliation>Aix Marseille Univ, APHM, Hôpital Nord, Intensive Care Unit, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Cassir</LastName>
<ForeName>Nadim</ForeName>
<Initials>N</Initials>
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<Affiliation>Aix Marseille Univ, IRD, APHM, MEPHI, IHU-Méditerranée Infection, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Wilkens</LastName>
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<Affiliation>Department of Internal Medicine V - Pneumology, Allergology and Intensive Care Medicine, Saarland University Medical Center, Homburg, Germany.</Affiliation>
</AffiliationInfo>
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</Author>
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<AffiliationInfo>
<Affiliation>Department of Thoracic and Cardiovascular Surgery, Saarland University Medical Center, Homburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Thomas</LastName>
<ForeName>Pascal A</ForeName>
<Initials>PA</Initials>
<AffiliationInfo>
<Affiliation>Department of Thoracic Surgery, Aix Marseille Univ, APHM, Hôpital Nord, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Reynaud-Gaubert</LastName>
<ForeName>Martine</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Department of Respiratory Medicine and Lung Transplantation, Aix Marseille Univ, APHM, Hôpital Nord, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bals</LastName>
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<AffiliationInfo>
<Affiliation>Department of Internal Medicine V - Pneumology, Allergology and Intensive Care Medicine, Saarland University Medical Center, Homburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Schäfers</LastName>
<ForeName>Hans-Joachim</ForeName>
<Initials>HJ</Initials>
<AffiliationInfo>
<Affiliation>Department of Thoracic and Cardiovascular Surgery, Saarland University Medical Center, Homburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Papazian</LastName>
<ForeName>Laurent</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>Aix Marseille Univ, APHM, Hôpital Nord, Intensive Care Unit, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Seiler</LastName>
<ForeName>Frederik</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Department of Internal Medicine V - Pneumology, Allergology and Intensive Care Medicine, Saarland University Medical Center, Homburg, Germany.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic">
<Year>2020</Year>
<Month>11</Month>
<Day>05</Day>
</ArticleDate>
</Article>
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<Country>United States</Country>
<MedlineTA>Am J Transplant</MedlineTA>
<NlmUniqueID>100968638</NlmUniqueID>
<ISSNLinking>1600-6135</ISSNLinking>
</MedlineJournalInfo>
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<RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D007166">Immunosuppressive Agents</NameOfSubstance>
</Chemical>
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<DescriptorName UI="D000086382" MajorTopicYN="N">COVID-19</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D007166" MajorTopicYN="N">Immunosuppressive Agents</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016040" MajorTopicYN="Y">Lung Transplantation</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D066027" MajorTopicYN="N">Transplant Recipients</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D014850" MajorTopicYN="N">Waiting Lists</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="Y">antibiotic: antiviral</Keyword>
<Keyword MajorTopicYN="Y">clinical research / practice</Keyword>
<Keyword MajorTopicYN="Y">immunosuppression / immune modulation</Keyword>
<Keyword MajorTopicYN="Y">immunosuppressive regimens</Keyword>
<Keyword MajorTopicYN="Y">infection and infectious agents - viral</Keyword>
<Keyword MajorTopicYN="Y">infectious disease</Keyword>
<Keyword MajorTopicYN="Y">lung transplantation / pulmonology</Keyword>
<Keyword MajorTopicYN="Y">recipient selection</Keyword>
<Keyword MajorTopicYN="Y">waitlist management</Keyword>
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<Year>2020</Year>
<Month>10</Month>
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</PubMedPubDate>
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<Year>2020</Year>
<Month>08</Month>
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<ReferenceList>
<Title>REFERENCES</Title>
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<name sortKey="Papazian, Laurent" sort="Papazian, Laurent" uniqKey="Papazian L" first="Laurent" last="Papazian">Laurent Papazian</name>
<name sortKey="Prud Homme, Eloi" sort="Prud Homme, Eloi" uniqKey="Prud Homme E" first="Eloi" last="Prud'Homme">Eloi Prud'Homme</name>
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<name sortKey="Wilkens, Heinrike" sort="Wilkens, Heinrike" uniqKey="Wilkens H" first="Heinrike" last="Wilkens">Heinrike Wilkens</name>
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