Care of a child with human herpesvirus-6B encephalitis after chimeric antigen receptor T-cell therapy
10.3760/cma.j.cn211501-20231102-00902
- VernacularTitle:嵌合抗原受体T细胞治疗并发人疱疹病毒6B脑炎1例的护理
- Author:
Yi YANG
1
;
Junxia WANG
;
Yuwen CHEN
;
Huimin ZHANG
;
Mengchuan WANG
Author Information
1. 中国医学科学院血液病医院(中国医学科学院血液学研究所) 血液与健康全国重点实验室 国家血液系统疾病临床医学研究中心 细胞生态海河实验室,天津 300020
- Keywords:
Cord blood stem cell transplantation;
Encephalitis;
Herpesvirus 6, human;
Pediatrics;
Chimeric antigen receptor
- From:
Chinese Journal of Practical Nursing
2024;40(9):687-692
- CountryChina
- Language:Chinese
-
Abstract:
Summarizing the nursing experience of a child with HHV-6B encephalitis after umbilical cord blood transplantation and CAR-T therapy. The child was 4 years old and was diagnosed with acute T lymphocytic leukemia on May 28, 2021. Nursing points: meticulously observe symptoms for early diagnosis and treatment; develop a specialized management plan, implement individualized care; enhance medication management to improve the quality of care; establish a shared decision-making communication model to prevent hospital-acquired infections; provide patient-centered care for lumbar puncture; assess the needs of the child and family, alleviate negative emotions; improve pre-discharge preparation, emphasize continuity of care. With proactive treatment and careful nursing, the child′s condition improved, and they were discharged. Follow-up for six months showed the child in a sustained remission state with no adverse sequelae, and normal life resumed.