Competency information

Details

Perform chimerism analysis to assess and monitor patients post HSCT.

Considerations

  • How to assure the quality of personal practice.
  • HSC transplant complications including:
    • Acute graft versus host disease (GVHD)
    • Chronic GVHD
    • Graft failure, non-engraftment and delayed engraftment
    • Infection
    • Relapse in leukaemia, infertility, secondary malignancies
  • Local immunosuppression regimes and assessment as to whether immunosuppression is adequate.
  • Local protocols for the clinical and laboratory monitoring of patients who have received haematopoietic stem cell transplantation.
  • Conditioning regimens and applicability of chimaerism analysis.
  • Principles of methods employed for post transplant monitoring including:
    • Fluorescence in-situ hybridisation (FISH)
    • Minimal Residual Disease Monitoring
    • STR/microsatellite analysis
    • Real-time PCR
  • Relevance of Cell Lineage Analysis.
  • National guidelines for chimerism analysis.
  • The need to manage records and all other information in accordance with applicable legislation, protocols and guidelines.

Relevant learning outcomes

# Outcome
# 1 Outcome Perform the clinical and laboratory investigation of patients being considered for HSCT including the interpretation and reporting of results in the correct clinical context.
# 4 Outcome Perform clinical and laboratory monitoring of patients who have received haematopoietic stem cell transplantation.