Ganciclovir prophylaxis decreases frequency and severity of cytomegalovirus disease in seropositive liver transplant recipients treated with OKT3 monoclonal antibodies

Author:

Lumbreras C1,Otero J R1,Herrero J A1,Gomez R1,Lizasoain M1,Aguado J M1,Colina F1,Garcia I1,Moreno E1,Noriega A R1

Affiliation:

1. Infectious Diseases Unit, Hospital Doce de Octubre, Madrid, Spain.

Abstract

The efficacy of ganciclovir, given prophylactically, to prevent cytomegalovirus-related disease was evaluated in liver transplant recipients, mostly seropositive, under treatment with OKT3 monoclonal antibodies. The incidence of cytomegalovirus disease and visceral involvement was reduced, respectively, from 52 and 36% in the control group to 12 and 8% in the ganciclovir-treated patients. Leukopenia was a frequent (32%) side effect of ganciclovir administration.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference21 articles.

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2. The role of CMV immunoprophylaxis in patients at risk of primary CMV infection following orthotopic liver transplantation;Bell R.;Transplant. Proc.,1989

3. Prevalence of resistance in patients receiving ganciclovir for serious cytomegalovirus infection;Drew W. L.;J. Infect. Dis.,1991

4. Cytomegalovirus infection in pediatric liver recipients: a virologic screening and prophylaxis with CMV immunoglobulin and early DHPG treatment;Dussaix E.;Transplantation,1989

5. Comparison of three regimens for cytomegalovirus prophylaxis in 147 liver transplant recipients;Freise C. E.;Transplant. Proc.,1991

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