Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1999-8-19
pubmed:abstractText
A prospective longitudinal study of 87 renal allograft recipients identified 31 patients with cytomegalovirus (CMV) viraemia. Previous studies have identified CMV viraemia, donor positivity, and CMV load in urine as independent risk factors for disease following renal transpl antation. We used quantitative-competitive polymerase chain reaction (QC-PCR) to quantify the CMV DNA load in blood from these patients, and report that it is a significant and independent risk factor for CMV disease. Patients with symptomatic CMV infection had significantly higher maximum CMV loads than those with no disease (P = .0003). We also found that peak loads were significantly higher in individuals experiencing primary CMV infection (P < .01), and CMV re-infection (P < .05) compared with recipients reactivating endogenous CMV. Univariate analysis revealed that CMV DNA load in blood, donor seropositivity, and receipt of antithymocyte globulin (ATG) were all significantly associated with disease (P = .005, .04, and .05, respectively). However, the association of donor/recipient serostatus, and receipt of ATG became nonsignificant in multivariate analyses whereas the significance of the quantity of CMV DNAemia was maintained, illustrating that CMV load plays a central role in the pathogenesis of CMV disease.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0146-6615
pubmed:author
pubmed:issnType
Print
pubmed:volume
58
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
182-7
pubmed:dateRevised
2010-8-25
pubmed:meshHeading
pubmed-meshheading:10335868-Adolescent, pubmed-meshheading:10335868-Adult, pubmed-meshheading:10335868-Aged, pubmed-meshheading:10335868-Antilymphocyte Serum, pubmed-meshheading:10335868-Cytomegalovirus, pubmed-meshheading:10335868-Cytomegalovirus Infections, pubmed-meshheading:10335868-DNA, Viral, pubmed-meshheading:10335868-Glucocorticoids, pubmed-meshheading:10335868-Humans, pubmed-meshheading:10335868-Immunosuppressive Agents, pubmed-meshheading:10335868-Kidney Transplantation, pubmed-meshheading:10335868-Longitudinal Studies, pubmed-meshheading:10335868-Methylprednisolone, pubmed-meshheading:10335868-Middle Aged, pubmed-meshheading:10335868-Polymerase Chain Reaction, pubmed-meshheading:10335868-Prospective Studies, pubmed-meshheading:10335868-Risk Factors, pubmed-meshheading:10335868-Tissue Donors, pubmed-meshheading:10335868-Viremia
pubmed:year
1999
pubmed:articleTitle
Quantity of human cytomegalovirus (CMV) DNAemia as a risk factor for CMV disease in renal allograft recipients: relationship with donor/recipient CMV serostatus, receipt of augmented methylprednisolone and antithymocyte globulin (ATG).
pubmed:affiliation
Department of Virology, Royal Free and University College Medical School, London, England.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't