Effect of Cytomegalovirus Infection on Survival of Older Kidney Transplant Patients (D+/R+): Impact of Valganciclovir Prophylaxis Versus Preemptive Therapy

2016 ◽  
Vol 48 (9) ◽  
pp. 2931-2937 ◽  
Author(s):  
E. Luna ◽  
F. Caravaca ◽  
F. Ferreira ◽  
N. Fernandez ◽  
P. Martín ◽  
...  
Intervirology ◽  
2018 ◽  
Vol 61 (1) ◽  
pp. 23-29 ◽  
Author(s):  
Massimiliano Bergallo ◽  
Valentina Daprà ◽  
Cristina Calvi ◽  
Paola Montanari ◽  
Ilaria Galliano ◽  
...  

2015 ◽  
Vol 17 (4) ◽  
pp. 518-526 ◽  
Author(s):  
M. Almehmadi ◽  
A. Hammad ◽  
S. Heyworth ◽  
J. Moberly ◽  
D. Middleton ◽  
...  

2012 ◽  
Vol 34 (3) ◽  
pp. 326-330 ◽  
Author(s):  
Wei Zhao ◽  
May Fakhoury ◽  
Marc Fila ◽  
Véronique Baudouin ◽  
Georges Deschênes ◽  
...  

1999 ◽  
Vol 8 (2) ◽  
pp. 85-90 ◽  
Author(s):  
A.S. Pacsa ◽  
A. El-Shazly ◽  
R.K. Gupta ◽  
K.V. Johny ◽  
M.R.N. Nampoory ◽  
...  

Author(s):  
Cassia F.B. Caurio ◽  
Odelta S. Allende ◽  
Roger Kist ◽  
Kênya L. Santos ◽  
Izadora C.S. Vasconcellos ◽  
...  

Abstract Introduction: Cytomegalovirus (CMV) is one of the most common agents of infection in solid organ transplant patients, with significant morbidity and mortality. Objective: This study aimed to establish a threshold for initiation of preemptive treatment. In addition, the study compared the performance of antigenemia with qPCR results. Study design: This was a prospective cohort study conducted in 2017 in a single kidney transplant center in Brazil. Clinical validation was performed by comparing in-house qPCR results, against standard of care at that time (Pp65 CMV Antigenemia). ROC curve analysis was performed to determine the ideal threshold for initiation of preemptive therapy based on the qPCR test results. Results: Two hundred and thirty two samples from 30 patients were tested with both antigenemia and qPCR, from which 163 (70.26%) were concordant (Kappa coefficient: 0.435, p<0.001; Spearman correlation: 0.663). PCR allowed for early diagnoses. The median number of days for the first positive result was 50 (range, 24-105) for antigenemia and 42 (range, 24-74) for qPCR (p<0.001). ROC curve analysis revealed that at a threshold of 3,430 IU/mL (Log 3.54), qPCR had a sensitivity of 97.06% and a specificity of 74.24% (AUC 0.92617 ± 0.0185, p<0.001), in the prediction of 10 cells/105 leukocytes by antigenemia and physician's decision to treat. Conclusions: CMV Pp65 antigenemia and CMV qPCR showed fair agreement and a moderate correlation in this study. The in-house qPCR was revealed to be an accurate method to determine CMV DNAemia in kidney transplant patients, resulting in positive results weeks before antigenemia.


Intervirology ◽  
1981 ◽  
Vol 15 (4) ◽  
pp. 228-234 ◽  
Author(s):  
I. Sarov ◽  
M. Siqueira-Linhares ◽  
Y. Chardonnet ◽  
E. Levy ◽  
M. Aymard ◽  
...  

2017 ◽  
Vol 43-44 ◽  
pp. 60-63
Author(s):  
Massimiliano Bergallo ◽  
Stefano Gambarino ◽  
Paola Montanari ◽  
Valentina Daprà ◽  
Marco Rassu ◽  
...  

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