Valganciclovir is not associated with decreased EBV infection rate in pediatric kidney transplantation.

Epstein–Barr virus PTLD pediatric kidney transplantation prophylaxis valganciclovir

Journal

Frontiers in pediatrics
ISSN: 2296-2360
Titre abrégé: Front Pediatr
Pays: Switzerland
ID NLM: 101615492

Informations de publication

Date de publication:
2022
Historique:
received: 31 10 2022
accepted: 12 12 2022
entrez: 27 1 2023
pubmed: 28 1 2023
medline: 28 1 2023
Statut: epublish

Résumé

Primary infection or reactivation of Epstein-Barr Virus (EBV) is a significant cause of morbidity and mortality in pediatric kidney transplantation. Valganciclovir (VGC) treatment is recommended for prophylaxis of cytomegalovirus infection, but its role for the prevention of EBV infection remains controversial. All pediatric kidney transplant recipients aged <18 years old were considered for inclusion in this retrospective study. EBV negative recipients with an EBV positive donor (a group at risk of primary infection) or EBV positive recipients (a group at risk of reactivation) were included. Severe infection was defined by post-transplant lymphoproliferative disorder (PTLD), symptomatic EBV infection or by asymptomatic EBV infection with a viral load >4.5 log/ml. Outcomes were compared between patients receiving VGC prophylaxis (group P+) and those not receiving VGC prophylaxis (group P-). A total of 79 patients were included, 57 (72%) in the P+ group and 22 (28%) in the P- group; 25 (31%) were at risk of primary infection and 54 (69%) at risk of reactivation. During the first year post-transplant, the occurrence of severe EBV infection was not different between the P+ group ( Our observational study suggests no effect of VGC for the prevention of EBV infection in pediatric kidney transplant recipients, irrespective of their EBV status. Adverse effects revealed an increased risk of neutropenia.

Identifiants

pubmed: 36704127
doi: 10.3389/fped.2022.1085101
pmc: PMC9871758
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1085101

Informations de copyright

© 2023 Cheyssac, Savadogo, Lagoutte, Baudouin, Charbit, Novo, Sellier-Leclerc, Fila, Decramer, Merieau, Zaloszyc, Harambat and Roussey.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Elodie Cheyssac (E)

Department of Pediatric Nephrology, Robert Debré University Hospital, APHP, Paris, France.

Hamidou Savadogo (H)

Department of Pediatrics, Pediatric Nephrology Unit, Nantes University Hospital, Nantes, France.

Nathan Lagoutte (N)

Department of Pediatrics, Pediatric Nephrology Unit, Nantes University Hospital, Nantes, France.

Véronique Baudouin (V)

Department of Pediatric Nephrology, Robert Debré University Hospital, APHP, Paris, France.

Marina Charbit (M)

Department of Pediatric Nephrology, Necker Enfants Malades University Hospital, APHP, Paris, France.

Robert Novo (R)

Pediatric Nephrology Unit, Lille University Hospital, Lille, France.

Anne-Laure Sellier-Leclerc (AL)

Department of Pediatric Nephrology, HFME, Lyon University Hospital, Lyon, France.

Marc Fila (M)

Pediatric Nephrology Unit, Montpellier University Hospital, Montpellier, France.

Stéphane Decramer (S)

Pediatric Nephrology Unit, Toulouse University Hospital, Toulouse, France.

Elodie Merieau (E)

Department of Pediatrics, Tours University Hospital, Tours, France.

Ariane Zaloszyc (A)

Department of Pediatrics, Strasbourg University Hospital, France, Strasbourg, France.

Jérôme Harambat (J)

Pediatric Nephrology Unit, Bordeaux University Hospital, Bordeaux, France.

Gwenaelle Roussey (G)

Department of Pediatrics, Pediatric Nephrology Unit, Nantes University Hospital, Nantes, France.

Classifications MeSH