Significance of Qualitative Polymerase Chain Reaction Combined with Quantitation of Viral Load in the Diagnosis and Follow-Up of Cytomegalovirus Infection after Solid-Organ Transplantation
| Autor: | Raymond Vanholder, H. Vanpoucke, B. van Vlem, L. van Renterghem |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Congenital cytomegalovirus infection
Cytomegalovirus Biology Antiviral Agents Polymerase Chain Reaction law.invention Serology Postoperative Complications law Virology medicine Humans Polymerase chain reaction Retrospective Studies Reproducibility of Results virus diseases Organ Transplantation Viral Load medicine.disease Cytomegalovirus infection Transplantation surgical procedures operative Infectious Diseases Real-time polymerase chain reaction Evaluation Studies as Topic Cytomegalovirus Infections DNA Viral Immunology Female Solid organ transplantation Viral load |
| Zdroj: | Intervirology. 42:398-404 |
| ISSN: | 1423-0100 0300-5526 |
| DOI: | 10.1159/000053977 |
| Popis: | Quantitative PCR was evaluated in the monitoring of patients with ongoing posttransplantation cytomegalovirus (CMV) infection and antiviral therapy, compared to leukoDNAemia and serology. From January 1998 until May 1999, 61 patients were followed up weekly during 3 months after transplantation by a qualitative PCR. The quantitative PCR was performed on plasma samples from 21 selected patients, of whom 12 had a primary infection and 9 a reactivation or reinfection. Analysis of the viral load differences showed that the viral loads in patients with a primary infection were significantly higher than viral loads in patients with a reactivation (p < 0.01). Based on the results of our study, we can state that qualitative PCR is a good marker for initiating preemptive therapy. In addition, viral quantitation is clinically useful for accurate diagnosis of established CMV disease, and monitoring of antiviral therapy. |
| Databáze: | OpenAIRE |
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