Hematopoietic Stem Cell Transplantation:
- HSCT is utilized for a range of disorders, including cancers and nonneoplastic diseases.
- Indications for autologous and allogeneic transplants differ based on the type of cancer.
Conditioning Regimen and Immune Recovery:
- A conditioning regimen is utilized before transplantation to eradicate malignant cells.
- Post-transplant, immune system recovery follows predictable patterns.
Posttransplant Phases:
- The posttransplant period is divided into preengraftment, early posttransplant, and late posttransplant phases.
- Each phase has distinct characteristics based on immune system recovery.
ICU Admission Indications:
- ICU admission for HSCT recipients is common due to potentially life-threatening complications.
- Pulmonary complications are a major reason for ICU admission.
Infectious Complications:
- Allogeneic transplant recipients are more prone to infectious complications.
- Prophylactic strategies have reduced the occurrence of certain infections.
Bacterial Pneumonia:
- Bacterial pneumonia is prevalent during the preengraftment period.
- Initiating broad-spectrum antibiotics promptly is crucial in suspected cases.
Aspergillus Infection:
- Invasive aspergillosis remains a significant complication post-HSCT.