Skip to main content

Infections in the Immunocompromised Host

  • Chapter
  • First Online:
Management of Antimicrobials in Infectious Diseases

Part of the book series: Infectious Disease ((ID))

  • 1742 Accesses

Abstract

Infections remain a significant issue in the care of immunocompromised patients, including those with malignancies, HIV infection, rheumatologic disorders, or those who undergo solid organ or stem cell transplantation. Risk factors for infection in these patients include not only neutropenia but also immune deficiencies inherent to the primary disease process, such as those seen in patients with a variety of hematologic disorders, as well as HIV infection. In addition, therapeutic agents used for these disorders, such as the purine analogs or tumor necrosis factor-α inhibitors, may also result in immune disregulation. A characteristic spectrum of infectious complications may be seen in each of these disorders, as well as in association with specific therapeutic modalities. In this chapter, the predisposing factors for infection, delineation of specific infections, and approaches to the prophylaxis and therapy of these complications are presented for immunocompromised patients including those with cancer, HIV infection, neutropenia, recipients of stem cell or solid organ transplants, and individuals receiving tumor necrosis factor-α inhibitor therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 269.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Morrison VA (1998). The infectious complications of chronic lymphocytic leukemia. Semin Oncol 25:98–106.

    Google Scholar 

  2. Morrison VA, Rai KR, Peterson B, et al. (2001). The impact of therapy with chlorambucil, fludarabine, or fludarabine plus chlorambucil on infections in patients with chronic lymphocytic leukemia: An intergroup study (CALGB 9011). J Clin Oncol 19:3611–3621.

    Google Scholar 

  3. Pomeroy C, Oken MM, Rydell RE, Filice GA (1991). Infection in myelodysplastic syndromes. Am J Med 90:338–344.

    Google Scholar 

  4. National Comprehensive Cancer Network (2007). Practice Guidelines in Oncology (Prevention and Treatment of Cancer-Related Infections), Volume 2.

    Google Scholar 

  5. Smith TJ, Khatcheressian J, Lyman GH, et al. (2006). 2006 Update of recommendations for the use of white blood cell growth factors: An evidence-based clinical practice guideline. J Clin Oncol 24(19):3187–3205.

    Google Scholar 

  6. Mermel LA. Farr BM, Sheretz, RJ, et al. (2001). Guidelines for the management of intravascular catheter-related infection. Clin Infect Dis 32:1249–1272.

    Google Scholar 

  7. Hughes WT, Armstrong, D, Bodey GP, et al. (2002). 2002 Guidelines for the use of antimicrobial agents in neutropenic patients with cancer. Clin Infect Dis 34:730–751.

    Google Scholar 

  8. Meyers JD (1985). Infection in Recipients of Bone Marrow Transplants. In: Remington JS, Swartz MN, (eds) Current Clinical Topics in Infectious Diseases. New York: McGraw-Hill, 262–292.

    Google Scholar 

  9. Mossad SB, Longworth DL, Goormastic M, Serkey JM, Keys TF, Bolwell BJ (1996). Early infectious complications in autologous bone marrow transplantation; a review of 219 patients. Bone Marrow Transplant 18:265–271.

    Google Scholar 

  10. Morrison VA, Haake RF, Weisdorf DJ (1993). The spectrum of non-Candida fungal infections following bone marrow transplantation. Medicine 72:78–89.

    Google Scholar 

  11. Anaissie E, Bodey GP, Kantarjian H, et al. (1989). New spectrum of fungal infections in patients with cancer. Rev Infect Dis 11:369–378.

    Google Scholar 

  12. Serody JS, Shea TC (1997). Prevention of infections in bone marrow transplant recipients. Infect Dis Clin North Am 11:459–477.

    Google Scholar 

  13. Stocchi R, Ward KN, Fanin R, Baccarani M, Apperley, JF (1999). Management of human cytomegalovirus infection and disease after allogeneic bone marrow transplantation. Haematologica 84:71–79.

    Google Scholar 

  14. Pappas PG. Rex JH, Sobel JD, et al. (2004). Guidelines for treatment of candidiasis. Clin Infect Dis 38:161–189.

    Google Scholar 

  15. Stevens DA. Kan VL, Judson MA, et al. (2000). Practice guidelines for diseases caused by Aspergillus. Infectious Diseases Society of America. Clin Infect Dis 30(4):696–709.

    Google Scholar 

  16. Sia IG, Paya CV (1998). Infectious complications following renal transplantation. Surg Clin North Am 78:95–112.

    Google Scholar 

  17. Chaparro C, Kesten S (1997). Infections in lung transplant recipients. Clin Chest Med 18: 339–351.

    Google Scholar 

  18. Thaler SJ, Rubin RH (1996). Opportunistic infections in the cardiac transplant patient. Curr Opin Cardiol 11:191–203.

    Google Scholar 

  19. Singh N (1998). Infectious diseases in the liver transplant recipient. Seminars in Gastrointest Dis 9:136–146.

    Google Scholar 

  20. Mazurek GH, Jereb J, Lobue P, et al. (2005). Guidelines for using the QuantiFERON®-TB Gold test for detecting Mycobacterium tuberculosis Infection, United States. MMWR Recomm Rep 54:49–55.

    Google Scholar 

  21. Benson CA, Kaplan JE, Masur H, et al. (2004). Treating opportunistic infections among HIV-infected adults and adolescents: Recommendations from CDC, the National Institutes of Health, and the HIV Medicine Association/Infectious Diseases Society of America. MMWR Recomm Rep 53(RR-15):1–112.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Cristina Baker .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Baker, C., Morrison, V.A. (2010). Infections in the Immunocompromised Host. In: Mainous III, A., Pomeroy, C. (eds) Management of Antimicrobials in Infectious Diseases. Infectious Disease. Humana Press. https://doi.org/10.1007/978-1-60327-239-1_19

Download citation

  • DOI: https://doi.org/10.1007/978-1-60327-239-1_19

  • Published:

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-60327-238-4

  • Online ISBN: 978-1-60327-239-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics