Boqué, ConcepciónSánchez Ramón, SilviaCórdoba, RaúlMoreno, CarolCabezudo, Elena2024-04-092024-04-092023-10-042077-0383https://hdl.handle.net/2445/209564A Delphi-based survey was designed to assess the opinions of clinical hematologists (n = 17) and clinical immunologists (n = 18) from across Spain on secondary immunodeficiencies (SID) in the management of oncohematological patients. There was 100% agreement on the need to have available guidelines for the management of immunodeficiency in hematological patients; to perform a baseline immunological evaluation in patients with chronic lymphocytic leukemia (CLL), multiple myeloma (MM), lymphoma and hematopoietic stem cell transplantation (HSCT) recipients; and to quantify serum IgG, IgA and IgM levels when SID is suspected. More than 90% agreed on the need for active immunization against seasonal influenza and H1N1, pneumococcus and Haemophilus influenzae. There was a consensus on the monitoring of IgG levels every 3 months (83%) and the need to have available a clinical protocol for the use of IVIG in the management of SID (94%), to monitor trough IgG levels to determine the correct IVIG dose (86%) and to discontinue IVIG after the recovery of IgG levels after 12 months of follow-up (77%). The findings of the present survey may be useful recommendations for hematologists and immunologists to improve the management of SID in daily practice.14 p.application/pdfengcc by (c) Boqué, Concepción et al, 2023http://creativecommons.org/licenses/by/3.0/es/Malalties hematològiquesResposta immunitàriaHematologic diseasesImmune responseinfo:eu-repo/semantics/article2024-04-04info:eu-repo/semantics/openAccess37835000