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  • Comparison of intravenous ganciclovir and cytomegalovirus hyperimmune globulinpre-emptive treatment in cytomegalovirus-positive heart transplant recipients
    Vrtovec, Bojan, 1972- ...
    We compared the use of intravenous ganciclovir and cytomegalovirus hyperimmuneglobulin (CMVIG) as a pre-emptive treatment for cytomegalovirus (CMV)-positive heart transplant recipients. Of 59 ... CMV-seropositive adult hearttransplant recipients enrolled in Group 1,37 tested positive for pp65 antigen within 12 weeks post-transplantation. These patients were randomized to receive either intravenous ganciclovir (n = 23) or CMVIG (n = 14). Group 2 included 133 CMV-seropositive heart transplant recipients who were not tested for CMV antigenemia and who received no anti-CMV therapy. CMV disease developed in 0 of 59 patients from Group 1, and in 27 of 133 patients (20%) inGroup 2 (p = 0.0001). The incidence of superinfections was lower in Group 1 (0.28 0.46) than in Group 2 (1.10 1- 1.33) (p = 0.01). The 2 groups did not differ with regard to incidence of rejection (0.7 0.9 in Group 1 vs 1.0 1.2 in Group 2; p = NS), transplant coronary artery disease at 1 year (14% in Group 1 vs 16°/ in Group 2; p = NS) or post-transplant lymphoproliferative disease (0% in Group 1 vs 2% in Group 2; p = NS). Ganciclovir and CMVIG therapies were associated with similar rates of rejection (0.52 0.6 with ganciclovir vs 0.50 0.60 with CMVIG; p = NS), superinfection (0.30 0.48 with ganciclovir vs 0.25 0.46 with CMVIG; p = NS), and transplant coronary artery disease at 1 year <13% with ganciclovir vs 14% with CMVIG, p = NS). Thepre-emptive anti-CMV approach is superior to prophylaxis in CMV-seropositive heart transplant recipients. Both ganciclovir and CMVIG are equally effective. J Heart Lung Transplant 2004;23:461-465.
    Source: Journal of heart and lung transplantation. - ISSN 1053-2498 (Letn. 23, št. 4, 2004, str. 461-465)
    Type of material - article, component part
    Publish date - 2004
    Language - english
    COBISS.SI-ID - 20294873