Updated International Consensus Guidelines on the Management of Cytomegalovirus in Solid-Organ Transplantation

被引:581
作者
Kotton, Camille N. [1 ]
Kumar, Deepali [2 ]
Caliendo, Angela M. [3 ]
Asberg, Anders [4 ]
Chou, Sunwen [5 ]
Danziger-Isakov, Lara [6 ]
Humar, Atul [7 ]
机构
[1] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Div Infect Dis, Boston, MA 02114 USA
[2] Univ Alberta, Edmonton, AB, Canada
[3] Brown Univ, Alpert Med Sch Brown, Providence, RI 02912 USA
[4] Univ Oslo, Sch Pharm, Dept Pharmaceut Biosci, Oslo, Norway
[5] Oregon Hlth & Sci Univ, Div Infect Dis, Portland, OR 97201 USA
[6] Cincinnati Childrens Hosp Med Ctr, Div Infect Dis, Cincinnati, OH 45229 USA
[7] Univ Alberta, Dept Med, Alberta Transplant Inst, Edmonton, AB, Canada
关键词
Cytomegalovirus; CMV; Ganciclovir; Prevention; Prophylaxis; Resistance; Treatment; Valganciclovir; T-CELL RESPONSES; DRUG-RESISTANT CYTOMEGALOVIRUS; EPSTEIN-BARR-VIRUS; EXTENDED VALGANCICLOVIR PROPHYLAXIS; BRONCHIOLITIS OBLITERANS SYNDROME; BRONCHOALVEOLAR LAVAGE FLUID; HEPATIC-ARTERY THROMBOSIS; MANNOSE-BINDING LECTIN; VS. ORAL GANCICLOVIR; LONG-TERM RECIPIENT;
D O I
10.1097/TP.0b013e31829df29d
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Cytomegalovirus (CMV) continues to be one of the most common infections after solid-organ transplantation, resulting in significant morbidity, graft loss, and adverse outcomes. Management of CMV varies considerably among transplant centers but has been become more standardized by publication of consensus guidelines by the Infectious Diseases Section of The Transplantation Society. An international panel of experts was reconvened in October 2012 to revise and expand evidence and expert opinion-based consensus guidelines on CMV management, including diagnostics, immunology, prevention, treatment, drug resistance, and pediatric issues. The following report summarizes the recommendations.
引用
收藏
页码:333 / 360
页数:28
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