BK Virus and Cytomegalovirus Coinfections in Kidney Transplantation and Their Impact on Allograft Loss.

BK virus allograft loss cytomegalovirus kidney transplantation

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
24 Aug 2021
Historique:
received: 26 07 2021
revised: 17 08 2021
accepted: 20 08 2021
entrez: 10 9 2021
pubmed: 11 9 2021
medline: 11 9 2021
Statut: epublish

Résumé

We aimed to ascertain the interaction and effects of combined reactivations of BK virus and cytomegalovirus on kidney graft function. All consecutive kidney transplant recipients (KTR) between 2003 and 2016 were included. Of 1976 patients who received a kidney transplant, 23 (1.2%) presented BKV-associated nephropathy (BKVAN). Factors independently associated with BKVAN were diabetes mellitus (odds ratios (OR) 3.895%, confidence intervals (CI) (1.4-10.5)), acute allograft rejection (OR 2.8 95%, CI (1.1-7.6)) and nephrostomy requirement (OR 4.195%, CI (1.3-13)). Cytomegalovirus infection was diagnosed in 19% of KTR patients. Recipients with BKVAN presented more frequently with cytomegalovirus (CMV) infection compared to patients without BKVAN (39% vs. 19%,

Identifiants

pubmed: 34501226
pii: jcm10173779
doi: 10.3390/jcm10173779
pmc: PMC8432040
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Sabina Herrera (S)

Infectious Diseases Department, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona and Hospital Clinic, 08036 Barcelona, Spain.

Javier Bernal-Maurandi (J)

Infectious Diseases Department, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona and Hospital Clinic, 08036 Barcelona, Spain.
Facultad de Medicina, Universidad de Alcalá, Alcalá de Henares, 28805 Madrid, Spain.

Frederic Cofan (F)

Department of Nephrology and Renal Transplantation, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona and Hospital Clinic, 08036 Barcelona, Spain.

Pedro Ventura (P)

Department of Nephrology and Renal Transplantation, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona and Hospital Clinic, 08036 Barcelona, Spain.

Maria Angeles Marcos (MA)

Microbiology Department, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona and Hospital Clinic, 08036 Barcelona, Spain.

Laura Linares (L)

Infectious Diseases Department, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona and Hospital Clinic, 08036 Barcelona, Spain.

Genoveva Cuesta (G)

Microbiology Department, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona and Hospital Clinic, 08036 Barcelona, Spain.

Fritz Diekmann (F)

Department of Nephrology and Renal Transplantation, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona and Hospital Clinic, 08036 Barcelona, Spain.

Asunción Moreno (A)

Infectious Diseases Department, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona and Hospital Clinic, 08036 Barcelona, Spain.

Marta Bodro (M)

Infectious Diseases Department, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona and Hospital Clinic, 08036 Barcelona, Spain.

Classifications MeSH