Infections and risk factors for infection-related mortality after pediatric allogeneic hematopoietic stem cell transplantation in Mexico: A single center retrospective study

To identify the type of infections and risk factors for infection-related mortality (IRM) after allogeneic hematopoietic stem cell transplantation (HSCT). Retrospective cohort study of patients 15 years: aHR = 3.34; 95% CI: 1.18-9.45); b) for viral infection (graft versus host disease: aHR = 5.36; 9...

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Veröffentlicht in:PloS one 2023-09, Vol.18 (9), p.e0284628-e0284628
Hauptverfasser: Jiménez-Hernández, Elva, Núñez-Enriquez, Juan Carlos, Arellano-Galindo, José, de los Angeles Del Campo-Martínez, María, Reynoso-Arenas, Perla Verónica, Reyes-López, Alfonso, Delgado-Gaytan, Alejandra Viridiana, Del Socorro Méndez-Tovar, María, Marín-Palomares, Teresa, Dueñas-Gonzalez, María Teresa, Ortíz-Fernández, Antonio, Montero-Ponce, Inés, Espinosa-Hernández, Laura Eugenia, Núñez-Villegas, Nora Nancy, Pérez-Casillas, Ruy, Sánchez-Jara, Berenice, García-Soto, Angel, Herver-Olivares, Annecy Nelly, Jaimes-Reyes, Ethel Zulie, Tiznado-García, Hector Manuel, Martínez-Villegas, Octavio, Valdez-Garibay, Betzayda, Del Rocío Loza-Santiaguillo, Paloma, García-Jiménez, Xochiketzalli, Ortíz-Torres, Guadalupe, Fernández-Castillo, Gabriela Jazmin, Aguilar-Olivares, Dulce María, Díaz-Padilla, Luis Alejandro, Noya-Rodríguez, Mario Alberto, García-Jiménez, Mariana, Mejía-Aranguré, Juan Manuel
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Zusammenfassung:To identify the type of infections and risk factors for infection-related mortality (IRM) after allogeneic hematopoietic stem cell transplantation (HSCT). Retrospective cohort study of patients 15 years: aHR = 3.34; 95% CI: 1.18-9.45); b) for viral infection (graft versus host disease: aHR = 5.36; 95% CI: 1.62-17.68), however, for fungal infection statistically significant predictors were not identified. Related mortality was 30% (n = 12). Increased risk for infection-related mortality was observed in patients with unrelated donor and umbilical cord stem cells recipients (HR = 3.12; 95% CI: 1.00-9.85). Frequencies of infections and infection-related mortality appear to be similar to those reported. Unrelated donors and stem cells from umbilical cord recipients were associated with a high risk of mortality.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0284628