The use of CMVIg rescue therapy in cardiothoracic transplantation: A single-center experience over 6 years (2011-2017).

Author: Al-AloulMohamed, CallanPaul, KarimiEbrahim, SanthanakrishnanKarthik, VenkateswaranRajamiyer, YonanNizar

Paper Details 
Original Abstract of the Article :
Cytomegalovirus (CMV) is the most important infectious agent in solid organ transplant recipients and has a major impact on morbidity and mortality. Most cases are well managed with antiviral agents, but CMV hyperimmune globulin (CMVIg) can be used alongside antiviral therapy for prophylaxis in high...See full text at original site
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引用元:
https://doi.org/10.1111/ctr.13655

データ提供:米国国立医学図書館(NLM)

CMV Rescue Therapy: A Vital Tool in Cardiothoracic Transplantation

This study examines the use of cytomegalovirus (CMV) hyperimmune globulin (CMVIg) as a rescue therapy in cardiothoracic transplant recipients. CMV is a significant infectious agent in organ transplant recipients, contributing to morbidity and mortality. While antiviral agents effectively manage most CMV cases, CMVIg can be used alongside antiviral therapy for prophylaxis in high-risk recipients and for treating life-threatening CMV infection or disease. This retrospective study reviewed CMVIg use as rescue therapy in 35 cardiothoracic transplant recipients (12 single lung, 11 double lung, and 12 heart transplants). The study found that CMVIg was safe and well-tolerated, with significant reductions in CMV DNA levels observed after one week of therapy. After four weeks, CMV DNA was undetectable in 73% of patients. The study also reported a low mortality rate associated with CMV-related disease.

CMVIg: A Valuable Weapon in the Fight Against CMV

This study demonstrates the effectiveness of CMVIg rescue therapy in controlling viral replication in cardiothoracic transplant recipients. The researchers found that CMVIg, when used in combination with antiviral therapy and reduced immunosuppression, significantly reduced CMV DNA levels and improved patient outcomes. This finding suggests that CMVIg can be a valuable tool in the management of CMV infection in transplant recipients.

Protecting Transplant Recipients: A Multifaceted Approach

This study highlights the importance of a multi-pronged approach to managing CMV infection in transplant recipients. The study emphasizes the value of proactive prophylaxis, aggressive antiviral therapy, and targeted interventions like CMVIg rescue therapy. These measures can help prevent and manage CMV infection, minimizing its impact on patient health and maximizing the success of transplantation.

Dr.Camel's Conclusion

This research underscores the critical role of CMVIg rescue therapy in protecting the health of cardiothoracic transplant recipients. The study demonstrates its effectiveness in controlling CMV infection and improving patient outcomes. As a researcher, I am inspired by the ongoing development of innovative strategies to manage infectious diseases in the context of organ transplantation.

Date :
  1. Date Completed 2020-09-11
  2. Date Revised 2020-09-11
Further Info :

Pubmed ID

31251425

DOI: Digital Object Identifier

10.1111/ctr.13655

Related Literature

SNS
PICO Info
in preparation
Languages

English

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