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Practical Recommendations for the Management of Patients with ITP During the COVID-19 Pandemic
The current COVID-19 pandemic requires revisiting our current approach to major blood disorders, including ITP (Immune Thrombocytopenia), stirring up the production of several disease-specific practical guidelines. This report describes an updated version of consensus-based practical guidelines on t...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Università Cattolica del Sacro Cuore
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8114883/ https://www.ncbi.nlm.nih.gov/pubmed/34007420 http://dx.doi.org/10.4084/MJHID.2021.032 |
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author | Rodeghiero, Francesco Cantoni, Silvia Carli, Giuseppe Carpenedo, Monica Carrai, Valentina Chiurazzi, Federico De Stefano, Valerio Santoro, Cristina Siragusa, Sergio Zaja, Francesco Vianelli, Nicola |
author_facet | Rodeghiero, Francesco Cantoni, Silvia Carli, Giuseppe Carpenedo, Monica Carrai, Valentina Chiurazzi, Federico De Stefano, Valerio Santoro, Cristina Siragusa, Sergio Zaja, Francesco Vianelli, Nicola |
author_sort | Rodeghiero, Francesco |
collection | PubMed |
description | The current COVID-19 pandemic requires revisiting our current approach to major blood disorders, including ITP (Immune Thrombocytopenia), stirring up the production of several disease-specific practical guidelines. This report describes an updated version of consensus-based practical guidelines on the management of ITP, adapted to the Italian health system and social context. It highlights the role of the hematologist in offering guidance for choosing differentiated approaches in relation to specific circumstances and is intended to provide them with a useful tool for sharing the decision-making process with their patients. Probably, the greatest risk to avoid for a patient with suspected, ongoing or relapsed ITP - that is not severe enough to place him or her at risk for major bleeding - is to be infected in non-hospital and hospital healthcare settings. This risk must be carefully considered when adapting the diagnostic and therapeutic approach. More in detail, the document first addresses the appropriate management for COVID-19 negative patients with newly diagnosed ITP or who experience a relapse of previous ITP, according to first and second lines of treatment and then the management of COVID-19 positive patients according to their severity, from paucisymptomatic to those requiring admission to Intensive Cure Units (ICU). The pros and cons of the different treatments required to correct platelet count are discussed, as are some specific situations, including chronic ITP, splenectomy, thromboembolic complication and anti COVID-19 vaccination. |
format | Online Article Text |
id | pubmed-8114883 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Università Cattolica del Sacro Cuore |
record_format | MEDLINE/PubMed |
spelling | pubmed-81148832021-05-17 Practical Recommendations for the Management of Patients with ITP During the COVID-19 Pandemic Rodeghiero, Francesco Cantoni, Silvia Carli, Giuseppe Carpenedo, Monica Carrai, Valentina Chiurazzi, Federico De Stefano, Valerio Santoro, Cristina Siragusa, Sergio Zaja, Francesco Vianelli, Nicola Mediterr J Hematol Infect Dis Review Article The current COVID-19 pandemic requires revisiting our current approach to major blood disorders, including ITP (Immune Thrombocytopenia), stirring up the production of several disease-specific practical guidelines. This report describes an updated version of consensus-based practical guidelines on the management of ITP, adapted to the Italian health system and social context. It highlights the role of the hematologist in offering guidance for choosing differentiated approaches in relation to specific circumstances and is intended to provide them with a useful tool for sharing the decision-making process with their patients. Probably, the greatest risk to avoid for a patient with suspected, ongoing or relapsed ITP - that is not severe enough to place him or her at risk for major bleeding - is to be infected in non-hospital and hospital healthcare settings. This risk must be carefully considered when adapting the diagnostic and therapeutic approach. More in detail, the document first addresses the appropriate management for COVID-19 negative patients with newly diagnosed ITP or who experience a relapse of previous ITP, according to first and second lines of treatment and then the management of COVID-19 positive patients according to their severity, from paucisymptomatic to those requiring admission to Intensive Cure Units (ICU). The pros and cons of the different treatments required to correct platelet count are discussed, as are some specific situations, including chronic ITP, splenectomy, thromboembolic complication and anti COVID-19 vaccination. Università Cattolica del Sacro Cuore 2021-05-01 /pmc/articles/PMC8114883/ /pubmed/34007420 http://dx.doi.org/10.4084/MJHID.2021.032 Text en https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Rodeghiero, Francesco Cantoni, Silvia Carli, Giuseppe Carpenedo, Monica Carrai, Valentina Chiurazzi, Federico De Stefano, Valerio Santoro, Cristina Siragusa, Sergio Zaja, Francesco Vianelli, Nicola Practical Recommendations for the Management of Patients with ITP During the COVID-19 Pandemic |
title | Practical Recommendations for the Management of Patients with ITP During the COVID-19 Pandemic |
title_full | Practical Recommendations for the Management of Patients with ITP During the COVID-19 Pandemic |
title_fullStr | Practical Recommendations for the Management of Patients with ITP During the COVID-19 Pandemic |
title_full_unstemmed | Practical Recommendations for the Management of Patients with ITP During the COVID-19 Pandemic |
title_short | Practical Recommendations for the Management of Patients with ITP During the COVID-19 Pandemic |
title_sort | practical recommendations for the management of patients with itp during the covid-19 pandemic |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8114883/ https://www.ncbi.nlm.nih.gov/pubmed/34007420 http://dx.doi.org/10.4084/MJHID.2021.032 |
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