Prevention and Treatment of Cytomegalovirus Infections in Solid Organ Transplant Recipients

被引:21
作者
Koval, Christine E. [1 ]
机构
[1] Cleveland Clin Fdn, Dept Infect Dis, 9500 Euclid Ave,Box G21, Cleveland, OH 44195 USA
关键词
CMV; Cytomegalovirus; Herpesvirus infection; Solid organ transplantation; CMV prophylaxis; CMV treatment; EXTENDED VALGANCICLOVIR PROPHYLAXIS; ANTICYTOMEGALOVIRUS COMPOUND AIC246; HEMATOPOIETIC-CELL TRANSPLANTATION; DRUG-RESISTANT CYTOMEGALOVIRUS; SINGLE-CENTER; STEM-CELL; GANCICLOVIR-RESISTANT; LUNG TRANSPLANTATION; MEDIATED-IMMUNITY; CLINICAL-ASPECTS;
D O I
10.1016/j.idc.2018.04.008
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Despite advances in prevention and treatment, cytomegalovirus (CMV) infection and disease remain an expected problem in solid organ transplant recipients. Because of the effect of immunosuppressing medications, CMV primary, secondary, and reactivated infection requires antiviral medications to prevent serious direct and indirect effects of the virus. Side effects and drug resistance, however, often limit the capacity of traditional antiviral therapies. This article updates the clinician on current and promising approaches to the management and control of CMV in the solid organ transplant recipient.
引用
收藏
页码:581 / +
页数:18
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