Respiratory viral infections during the first 28 days after transplantation in pediatric hematopoietic stem cell transplant recipients.
Identifieur interne : 000263 ( Ncbi/Curation ); précédent : 000262; suivant : 000264Respiratory viral infections during the first 28 days after transplantation in pediatric hematopoietic stem cell transplant recipients.
Auteurs : Ji Hyun Lee [Corée du Sud] ; Ja-Hyun Jang ; Soo Hyun Lee ; Yae-Jean Kim ; Keon Hee Yoo ; Ki-Woong Sung ; Nam Yong Lee ; Chang-Seok Ki ; Hong Heo KooSource :
- Clinical transplantation [ 1399-0012 ]
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Centres de soins tertiaires, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Incidence, Infections à Picornaviridae (mortalité), Infections à Picornaviridae (épidémiologie), Infections à Picornaviridae (étiologie), Infections à virus respiratoire syncytial (mortalité), Infections à virus respiratoire syncytial (épidémiologie), Infections à virus respiratoire syncytial (étiologie), Jeune adulte, Mâle, Nourrisson, Nouveau-né, Pronostic, Rhinovirus (pathogénicité), République de Corée (épidémiologie), Taux de survie, Transplantation de cellules souches hématopoïétiques (effets indésirables), Tumeurs hématologiques (), Tumeurs hématologiques (mortalité), Virus respiratoires syncytiaux (pathogénicité), Études de suivi, Études rétrospectives.
- MESH :
- effets indésirables : Transplantation de cellules souches hématopoïétiques.
- mortalité : Infections à Picornaviridae, Infections à virus respiratoire syncytial, Tumeurs hématologiques.
- pathogénicité : Rhinovirus, Virus respiratoires syncytiaux.
- épidémiologie : Infections à Picornaviridae, Infections à virus respiratoire syncytial, République de Corée.
- étiologie : Infections à Picornaviridae, Infections à virus respiratoire syncytial.
- Adolescent, Adulte, Centres de soins tertiaires, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Incidence, Jeune adulte, Mâle, Nourrisson, Nouveau-né, Pronostic, Taux de survie, Tumeurs hématologiques, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent, Adult, Child, Child, Preschool, Female, Follow-Up Studies, Hematologic Neoplasms (mortality), Hematologic Neoplasms (therapy), Hematopoietic Stem Cell Transplantation (adverse effects), Humans, Incidence, Infant, Infant, Newborn, Male, Picornaviridae Infections (epidemiology), Picornaviridae Infections (etiology), Picornaviridae Infections (mortality), Prognosis, Republic of Korea (epidemiology), Respiratory Syncytial Virus Infections (epidemiology), Respiratory Syncytial Virus Infections (etiology), Respiratory Syncytial Virus Infections (mortality), Respiratory Syncytial Viruses (pathogenicity), Retrospective Studies, Rhinovirus (pathogenicity), Survival Rate, Tertiary Care Centers, Young Adult.
- MESH :
- geographic , epidemiology : Republic of Korea.
- adverse effects : Hematopoietic Stem Cell Transplantation.
- epidemiology : Picornaviridae Infections, Respiratory Syncytial Virus Infections.
- etiology : Picornaviridae Infections, Respiratory Syncytial Virus Infections.
- mortality : Hematologic Neoplasms, Picornaviridae Infections, Respiratory Syncytial Virus Infections.
- pathogenicity : Respiratory Syncytial Viruses, Rhinovirus.
- therapy : Hematologic Neoplasms.
- Adolescent, Adult, Child, Child, Preschool, Female, Follow-Up Studies, Humans, Incidence, Infant, Infant, Newborn, Male, Prognosis, Retrospective Studies, Survival Rate, Tertiary Care Centers, Young Adult.
Abstract
Respiratory viruses (RVs) are a known cause of morbidity and mortality after hematopoietic stem cell transplantation (HSCT). In this retrospective study, we focused on the first 28 d after transplantation in pediatric HSCT recipients and showed that a multiplex PCR assay significantly increased RV detection compared with a viral culture method. Among 176 pediatric HSCT recipients, 84 with respiratory symptoms within one yr after HSCT were tested by viral culture or multiplex PCR. Within 28 d after HSCT, nine patients were infected with RVs; the incidence of a first episode of RV infection within 28 d after HSCT was 5.1%. Eight patients recovered without complications. However, one patient died of adenovirus (AdV) pneumonia with pulmonary hemorrhage; the mortality rate of RV infection within 28 d after HSCT was 0.57%. In the nine patients with RV infection, five different types of RV were identified, either alone or with another RV. These were corona virus (CoV), rhinovirus (RhV) and respiratory syncytial virus combined with CoV; AdV combined with RhV; and parainfluenza virus. Viral culture detected only one case of RV infection, while multiplex PCR detected eight, suggesting that screening of respiratory infections using multiplex PCR is better than the conventional culture method.
DOI: 10.1111/j.1399-0012.2012.01607.x
PubMed: 22385011
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pubmed:22385011Le document en format XML
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<term>Adult</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Hematologic Neoplasms (mortality)</term>
<term>Hematologic Neoplasms (therapy)</term>
<term>Hematopoietic Stem Cell Transplantation (adverse effects)</term>
<term>Humans</term>
<term>Incidence</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Male</term>
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<term>Picornaviridae Infections (etiology)</term>
<term>Picornaviridae Infections (mortality)</term>
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<term>Republic of Korea (epidemiology)</term>
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<term>Respiratory Syncytial Virus Infections (etiology)</term>
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<term>Respiratory Syncytial Viruses (pathogenicity)</term>
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<term>Rhinovirus (pathogenicity)</term>
<term>Survival Rate</term>
<term>Tertiary Care Centers</term>
<term>Young Adult</term>
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<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Incidence</term>
<term>Infections à Picornaviridae (mortalité)</term>
<term>Infections à Picornaviridae (épidémiologie)</term>
<term>Infections à Picornaviridae (étiologie)</term>
<term>Infections à virus respiratoire syncytial (mortalité)</term>
<term>Infections à virus respiratoire syncytial (épidémiologie)</term>
<term>Infections à virus respiratoire syncytial (étiologie)</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
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<term>Rhinovirus (pathogénicité)</term>
<term>République de Corée (épidémiologie)</term>
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<term>Études rétrospectives</term>
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<term>Respiratory Syncytial Virus Infections</term>
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<term>Picornaviridae Infections</term>
<term>Respiratory Syncytial Virus Infections</term>
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<term>Tumeurs hématologiques</term>
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<term>Infections à virus respiratoire syncytial</term>
<term>République de Corée</term>
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<term>Infections à virus respiratoire syncytial</term>
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<term>Adult</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Incidence</term>
<term>Infant</term>
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<term>Male</term>
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<term>Retrospective Studies</term>
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<front><div type="abstract" xml:lang="en">Respiratory viruses (RVs) are a known cause of morbidity and mortality after hematopoietic stem cell transplantation (HSCT). In this retrospective study, we focused on the first 28 d after transplantation in pediatric HSCT recipients and showed that a multiplex PCR assay significantly increased RV detection compared with a viral culture method. Among 176 pediatric HSCT recipients, 84 with respiratory symptoms within one yr after HSCT were tested by viral culture or multiplex PCR. Within 28 d after HSCT, nine patients were infected with RVs; the incidence of a first episode of RV infection within 28 d after HSCT was 5.1%. Eight patients recovered without complications. However, one patient died of adenovirus (AdV) pneumonia with pulmonary hemorrhage; the mortality rate of RV infection within 28 d after HSCT was 0.57%. In the nine patients with RV infection, five different types of RV were identified, either alone or with another RV. These were corona virus (CoV), rhinovirus (RhV) and respiratory syncytial virus combined with CoV; AdV combined with RhV; and parainfluenza virus. Viral culture detected only one case of RV infection, while multiplex PCR detected eight, suggesting that screening of respiratory infections using multiplex PCR is better than the conventional culture method.</div>
</front>
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