Impact of Cytomegalovirus Infection on Long-Term Survival After Orthotopic Liver Transplantation

Cytomegalovirus (CMV) is one of the most common and serious opportunistic infections in solid organ transplant patients. In different series the incidence of CMV infection ranges from 25% to 85%. An indirect effect of infection includes reduced long-term patient and allograft survival. Our objective...

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Veröffentlicht in:Transplantation proceedings 2006-07, Vol.38 (6), p.1924-1925
Hauptverfasser: Hoppe, L., Marroni, C.A., Bressane, R., Lago, L., Schiavo, F.L., Cigerza, G.C., Brandão, A.B.M., Zanotelli, M.L., Cantisani, G.P.C.
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container_end_page 1925
container_issue 6
container_start_page 1924
container_title Transplantation proceedings
container_volume 38
creator Hoppe, L.
Marroni, C.A.
Bressane, R.
Lago, L.
Schiavo, F.L.
Cigerza, G.C.
Brandão, A.B.M.
Zanotelli, M.L.
Cantisani, G.P.C.
description Cytomegalovirus (CMV) is one of the most common and serious opportunistic infections in solid organ transplant patients. In different series the incidence of CMV infection ranges from 25% to 85%. An indirect effect of infection includes reduced long-term patient and allograft survival. Our objective was to determine the relationship between CMV infection and patient survival after orthotopic liver transplantation. From January 1999 to December 2001, 163 orthotopic liver transplantations were performed in 154 patients. The inclusion criteria for this analysis were the absence of retransplantation and survival of more than 6 months. One hundred fifteen patients met the inclusion criteria. CMV infection was detected by positive antigenemia. CMV infection occurred in 65.8% of patients after orthotopic liver transplantation. Their 5-year survival was 85%, with no difference observed between patients with or without infection ( P = .8). CMV infection did not interfere with patient survival after orthotopic liver transplantation.
doi_str_mv 10.1016/j.transproceed.2006.06.074
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In different series the incidence of CMV infection ranges from 25% to 85%. An indirect effect of infection includes reduced long-term patient and allograft survival. Our objective was to determine the relationship between CMV infection and patient survival after orthotopic liver transplantation. From January 1999 to December 2001, 163 orthotopic liver transplantations were performed in 154 patients. The inclusion criteria for this analysis were the absence of retransplantation and survival of more than 6 months. One hundred fifteen patients met the inclusion criteria. CMV infection was detected by positive antigenemia. CMV infection occurred in 65.8% of patients after orthotopic liver transplantation. Their 5-year survival was 85%, with no difference observed between patients with or without infection ( P = .8). 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source MEDLINE; Elsevier ScienceDirect Journals
subjects Biological and medical sciences
Cytomegalovirus Infections - epidemiology
Cytomegalovirus Infections - mortality
Cytomegalovirus Infections - physiopathology
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Humans
Liver Transplantation - mortality
Liver Transplantation - physiology
Medical sciences
Patient Selection
Postoperative Complications - mortality
Postoperative Complications - virology
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Survival Analysis
Survivors
Tissue, organ and graft immunology
title Impact of Cytomegalovirus Infection on Long-Term Survival After Orthotopic Liver Transplantation
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