Executive summary of consensus clinical practice guidelines for the prevention of infection in patients with multiple myeloma

Intern Med J. 2023 Aug;53(8):1469-1477. doi: 10.1111/imj.16100. Epub 2023 Jul 12.

Abstract

Infection remains a significant contributor to morbidity and mortality in patients with myeloma. This guideline was developed by a multidisciplinary group of clinicians who specialise in the management of patients with myeloma and infection from the medical and scientific advisory group from Myeloma Australia and the National Centre for Infections in Cancer. In addition to summarising the current epidemiology and risk factors for infection in patients with myeloma, this guideline provides recommendations that address three key areas in the prevention of infection: screening for latent infection, use of antimicrobial prophylaxis and immunoglobulin replacement and vaccination against leading respiratory infections (severe acute respiratory syndrome coronavirus 2, influenza and Streptococcus pneumoniae) and other preventable infections. This guideline provides a practical approach to the prevention of infection in patients with myeloma and harmonises the clinical approach to screening for infection, use of prophylaxis and vaccination to prevent infectious complications.

Keywords: guidelines; infection; myeloma; prevention.

Publication types

  • Practice Guideline

MeSH terms

  • Anti-Infective Agents*
  • COVID-19* / complications
  • Consensus
  • Humans
  • Multiple Myeloma* / complications
  • Multiple Myeloma* / drug therapy
  • Vaccination

Substances

  • Anti-Infective Agents