Source:http://linkedlifedata.com/resource/pubmed/id/20626711
Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
2010-11-2
|
pubmed:abstractText |
Varicella zoster virus (VZV) disease is a frequent complication after allogeneic hematopoietic stem cell transplantation (HSCT). ?We carried out a trial of 1-year low-dose valacyclovir (VCV) prophylaxis against VZV disease to evaluate its efficacy and safety. Patients received oral acyclovir (ACV) 1000mg/day until day 35 after HSCT. Oral VCV 500mg/day, 3 times a week, was started on day 36 and continued until 1 year after HSCT. The development of VZV disease was monitored until 2 years after HSCT. A total of 40 patients with a median age of 43 years were enrolled. VCV was well tolerated in all but 1 patient who discontinued it on day 224 because of thrombocytopenia of unknown cause. Seven patients developed VZV disease at a median of 479 days (range 145-651) after HSCT, with a cumulative incidence of 18.5%. Two patients developed breakthrough disease during VCV prophylaxis. The other 5 patients developed VZV disease after the discontinuation of VCV, and 3 of these had developed extensive chronic graft-versus-host disease. Visceral involvement and serious complications were completely eliminated. All patients responded to the therapeutic dose of VCV or ACV. One-year low-dose VCV can be safely and effectively administered for the prevention of VZV disease after allogeneic HSCT.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Oct
|
pubmed:issn |
1399-3062
|
pubmed:author | |
pubmed:copyrightInfo |
© 2010 John Wiley & Sons A/S.
|
pubmed:issnType |
Electronic
|
pubmed:volume |
12
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
421-7
|
pubmed:meshHeading |
pubmed-meshheading:20626711-Acyclovir,
pubmed-meshheading:20626711-Adolescent,
pubmed-meshheading:20626711-Adult,
pubmed-meshheading:20626711-Antiviral Agents,
pubmed-meshheading:20626711-Female,
pubmed-meshheading:20626711-Hematopoietic Stem Cell Transplantation,
pubmed-meshheading:20626711-Herpes Zoster,
pubmed-meshheading:20626711-Humans,
pubmed-meshheading:20626711-Incidence,
pubmed-meshheading:20626711-Male,
pubmed-meshheading:20626711-Middle Aged,
pubmed-meshheading:20626711-Prospective Studies,
pubmed-meshheading:20626711-Risk Factors,
pubmed-meshheading:20626711-Transplantation, Homologous,
pubmed-meshheading:20626711-Treatment Outcome,
pubmed-meshheading:20626711-Valine
|
pubmed:year |
2010
|
pubmed:articleTitle |
One-year low-dose valacyclovir as prophylaxis for varicella zoster virus disease after allogeneic hematopoietic stem cell transplantation. A prospective study of the Japan Hematology and Oncology Clinical Study Group.
|
pubmed:affiliation |
Division of Hematology, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, Non-U.S. Gov't
|