Cytomegalovirus infection management in solid organ transplant recipients across European centers in the time of molecular diagnostics: An ESGICH survey

Autor: Navarro, David, San-Juan, Rafael, Manuel, Oriol, Gimã©nez, Estela, Fernández-Ruiz, Mario, Hirsch, Hans H., Grossi, Paolo Antonio, Aguado, José María, Abram, Maja, Abramowicz, Daniel, Álamo, José-María, Alp, Sehnaz, Andres-Belmonte, Amado, Anne-Catherine, Pouleur, Antonelli, Barbara, Arnol, Miha, Arslan, Ayse Hande, Asderakis, Argiris, Baldanti, Fausto, Beneyto-Castello, Isabel, Benoit, Kabamba Mukadi, Blanes, Marino, Boggian, Katia, Bonofiglio, Renzo, Bubonja-Sonje, Marina, Caillard, Sophie, Calvo, Jorge, Capone, Alessandro, Cappelli, Gianni, Carmellini, Mario, Casafont, Fernando, Beatriz Castro-Hernandez, M., Catalan, Pilar, Celine, Bressollette-Bodin, Christoph, Berger, Cordero, Elisa, Costa, Cristina, Coussement, Julien, Cuervas-Mons, Valentin, David, Miruna, de la Torre Cisneros, Juliã¡n, Delgado, Juan F., Dello Strologo, Luca, Detry, Olivier, Dexter, Laura, Dieter, Hoffmann, Meis-Hübinger, Anna, Epailly, Eric, Ericzon, Bo-Goran, Eriksson, Britt-Marie, Fehervari, Imre, Fitzgerald, Susan, Folgueira, Lola, Fortun, Jesus, Franceschini, Erica, Francois, Proot, Friman, Vanda, Frimmel, Silvius, Garzoni, Christian, Gimeno, Adelina, Gkrania-Klotsas, Effrossyni, Greer, Mark, Griffiths, Paul, Grinyã³, Josep M., Guaraldi, Giovanni, Gupte, Girish, Hammad, Abdul, Hart, Ian, Helanterã¤, Ilkka, Hellemans, Rachel, Hernã¡ndez, Domingo, Herrero, Jose Ignacio, Hiesse, Christian, Hoppe-Lotichius, Maria, Hryniewiecka, Ewa, Jaksch, Peter, Jan, Lerut, Paul, Brion Jean, Jensen-Fangel, Soren, Joerg, Steinmann, Johan, Vanhaecke, Johannessen, Ingolfur, Johansson, Inger, Kamar, Nassim, Kizilates, Filiz, Knoop, Christiane, Laurent, Belec, Lauro, Augusto, Lautenschlager, Irmeli, Lauzurica, Ricardo, Liebert, U. G., dela Monica, Paolalilla, Llado, Laura, Lopez-Andujar, Rafael, Luciani, Filippo, Maccherini, Massimo, Maertens, Johan, Maggiore, Umberto, Manrique, Alejandro, Marcos, Maria Angeles, Marekovic, Ivana, Marques, Nuno, Martin, Nitschke, Martine, Neau, Martinez-Sapiña, Ana, Mateos Lindemann, M. Luisa, Mazuecos, Auxiliadora, Merino, Esperanza, Moreso, Francesc, Mueller, Nicolas, Muir, David, Mularoni, Alessandra, Muã±oz, Patricia, Muñoz-Sanz, Agustã­n, Nadalin, Silvio, Laura Ambra, Nicolini, Nosotti, Mario, Gorman, Joanne O., Osman, Husam, Padalko, Elizaveta, Palop-Borrás, Begoã±a, Javirparmer, Null, Pascual, Sonia, Pena López, María José, Pérez-Sáenz, José Luis, Pistello, Mauro, Francisca Portero, M., Puchhammer, Elisabeth, Racca, Sara, Rahamat-Langendoen, Janette, Ramos, Antonio, Boluda, Esther Ramos, Raza, Mohammad, Regalia, Enrico, Reina, Gabriel, Reischig, Tomas, Reuter, Stefan, Rodríguez-Ferrero, M. Luisa, Roilides, Emmanuel, Rolla, Serena, Rollag, Halvor, Rostaing, Lionel, Russo, Francesco Paolo, Sabã©, Nãºria, Saliba, Faouzi, Sánchez-Fructuoso, Ana, Scotton, Giorgio, Serra, Nuria, Sgarabotto, Dino, Stojanovic, Jelena, Tasbakan, Meltem, Telenti, Mauricio, Terhes, Gabriella, Thorban, Stefan, Tihic, Nijaz, Travi, Giovanna, Tulissi, Patrizia, Van Delden, Christian, Van Leer, Coretta, Van Loo, Inge, Varona-Bosque, María Aránzazu, Veroux, Massimiliano, Vila-Santandreu, Ana, Waugh, Sheila, Zibar, Lada, Zschiedr, Stefan
Jazyk: angličtina
Rok vydání: 2017
Předmět:
0301 basic medicine
cytomegalovirus
solid organ transplantation
survey
Cross-sectional study
Cytomegalovirus
Transplants
Practice Patterns
030230 surgery
Organ transplantation
law.invention
0302 clinical medicine
Postoperative Complications
law
03.02. Klinikai orvostan
Viral
Practice Patterns
Physicians'

Polymerase chain reaction
Viral Load
Europe
Infectious Diseases
Cytomegalovirus Infections
Practice Guidelines as Topic
Antibiotic Prophylaxis
Antiviral Agents
Cross-Sectional Studies
DNA
Viral

Guideline Adherence
Health Care Surveys
Humans
Immunocompromised Host
Immunosuppression
Organ Transplantation
Real-Time Polymerase Chain Reaction
Transplant Recipients
Transplantation
medicine.medical_specialty
030106 microbiology
Congenital cytomegalovirus infection
03 medical and health sciences
medicine
Intensive care medicine
Immunosuppression Therapy
Physicians'
business.industry
DNA
medicine.disease
Molecular diagnostics
Cytomegalovirus infection
Solid organ transplantation
Survey
Immunology
business
Popis: Background Scant information is available about how transplant centers are managing their use of quantitative molecular testing (QNAT) assays for active cytomegalovirus (CMV) infection monitoring in solid organ transplant (SOT) recipients. The current study was aimed at gathering information on current practices in the management of CMV infection across European centers in the era of molecular testing assays. Methods A questionnaire-based cross-sectional survey study was conducted by the European Study Group of Infections in Immunocompromised Hosts (ESGICH) of the Society of Clinical Microbiology and Infectious Diseases (ESCMID). The invitation and a weekly reminder with a personal link to an internet service provider (h t t p s://es.surveymonkey. com/) was sent to transplant physicians, transplant infectious diseases specialists, and clinical virologists working at 340 European transplant centers. Results Of the 1181 specialists surveyed, a total of 173 responded (14.8%): 73 transplant physicians, 57 transplant infectious diseases specialists, and 43 virologists from 173 institutions located at 23 different countries. The majority of centers used QNAT assays for active CMV infection monitoring. Most centers preferred commercially-available real-time polymerase chain reaction (RT-PCR) assays over laboratory-developed procedures for quantifying CMV DNA load in whole blood or plasma. Use of a wide variety of DNA extraction platforms and RT-PCR assays was reported. All programs used antiviral prophylaxis, preemptive therapy, or both, according to current guidelines. However, the centers used different criteria for starting preemptive antiviral treatment, for monitoring systemic CMV DNA load, and for requesting genotypic assays to detect emerging CMV-resistant variants. Conclusions Significant variation in CMV infection management in SOT recipients still remains across European centers in the era of molecular testing. International multicenter studies are required to achieve commutability of CMV testing and antiviral management procedures. This article is protected by copyright. All rights reserved.
Databáze: OpenAIRE