Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
2001-11-15
pubmed:abstractText
The natural history of cytomegalovirus (CMV) disease associated with solid organ transplantation has been modified as a result of the widespread use of antiviral prophylaxis. Anecdotal reports have indicated a reduction of CMV disease at the expense of its later occurrence after completion of ganciclovir prophylaxis. The present study investigated the occurrence of CMV disease and its risk factors among 37 liver and kidney transplant recipients with CMV D+/R- status who received oral ganciclovir during the first 100 days posttransplantation. CMV disease occurred in 9 patients (24.3%) at a median of 144 days posttransplantation (range, 95-190 days). Allograft rejection was found to be strongly associated with the occurrence of late-onset CMV disease (risk ratio, 6.6; 95% confidence interval, 1.4-32.1; P=.02). Thus, CMV D+/R- solid organ transplant recipients receiving 3 months of oral ganciclovir who develop allograft rejection during the period of antiviral prophylaxis may benefit from extended and/or enhanced antiviral prophylaxis to prevent late-onset CMV disease.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0022-1899
pubmed:author
pubmed:issnType
Print
pubmed:day
1
pubmed:volume
184
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1461-4
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:11709790-Administration, Oral, pubmed-meshheading:11709790-Adult, pubmed-meshheading:11709790-Aged, pubmed-meshheading:11709790-Antibodies, Viral, pubmed-meshheading:11709790-Antiviral Agents, pubmed-meshheading:11709790-Cytomegalovirus, pubmed-meshheading:11709790-Cytomegalovirus Infections, pubmed-meshheading:11709790-Disease-Free Survival, pubmed-meshheading:11709790-Female, pubmed-meshheading:11709790-Forecasting, pubmed-meshheading:11709790-Ganciclovir, pubmed-meshheading:11709790-Graft Rejection, pubmed-meshheading:11709790-Humans, pubmed-meshheading:11709790-Incidence, pubmed-meshheading:11709790-Kidney Transplantation, pubmed-meshheading:11709790-Kinetics, pubmed-meshheading:11709790-Liver Transplantation, pubmed-meshheading:11709790-Male, pubmed-meshheading:11709790-Middle Aged, pubmed-meshheading:11709790-Organ Transplantation, pubmed-meshheading:11709790-Risk Factors
pubmed:year
2001
pubmed:articleTitle
Allograft rejection predicts the occurrence of late-onset cytomegalovirus (CMV) disease among CMV-mismatched solid organ transplant patients receiving prophylaxis with oral ganciclovir.
pubmed:affiliation
Division of Infectious Diseases, Mayo Clinic, Rochester, Minnesota 55905, USA. razonable.raymund@mayo.edu
pubmed:publicationType
Journal Article, Clinical Trial