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Parvovirus B19 status in liver,kidney and pancreas transplant candidates:A single center experience

World Journal of Transplantation 2022年第11期12卷 378-387页

作者： Bojana Simunov Anna Mrzljak Zeljka Jurekovic Snjezana Zidovec Lepej Ana Bainrauch Jadranka Pavicic Saric Zeljka Hruskar leona radmanic Tatjana Vilibic-Cavlek Department of Nephrology Merkur University HospitalZagreb 10000Croatia Department of Gastroenterology and Hepatology University Clinical Hospital ZagrebZagreb 10000Croatia School of Medicine University of ZagrebZagreb 10000Croatia Department of Immunological and Molecular Diagnostics University Hospital for Infectious Diseases“Dr.Fran Mihaljevic”Zagreb 10000Croatia Department of Medicine Merkur University HospitalZagreb 10000Croatia Department of Anesthesiology Merkur University HospitalZagreb 10000Croatia Department of Virology Croatian Institute of Public HealthZagreb 10000Croatia

BACKGROUND Parvovirus B19(B19V)is associated with a wide range of clinical *** major presentation is erythema ***,a persistent infection may cause pure red cell aplasia and chronic anemia in immunocompromized *** B19V seroprevalence varies with age and geographical *** To determine the B19V serological status and DNAemia in kidney,liver,and pancreas transplant *** Patients who underwent kidney,liver,or simultaneous kidney and pancreas/liver transplantation between January 2021 and May 2022 were included in the *** serum samples were collected before *** detection of B19V DNA,a LightMix Kit B19V EC(TIB MOLBIOL,Berlin,Germany)was used.B19V IgM and IgG antibodies were detected using a commercial ELISA test(Euroimmun,Lübeck,Germany).RESULTS One hundred and thirty-one transplant candidates were included in the study,71.0%male,with an average age of 53.27 years±12.71 *** were 68.7%liver,27.5%kidney,3.0%simultaneous pancreas/kidney transplant(SPKT),and 0.8%simultaneous liver/kidney transplant *** patients had detectable B19V DNA.B19V IgG seroprevalence was 77.1%.No acute or recent infections were detected(IgM antibodies).There was no difference in the mean age of seronegative and seropositive patients(51.8 years±12.9 years vs 53.7 years±12.7 years,t=-0.603;P=0.548).Although seropositivity was lower in patients aged less than 30 years(66.6%)compared to the patients aged 30-59 years and>60 years(80.4%and 78.1%,respectively),this difference was not *** addition,there was no difference in seropositivity between male and female transplant candidates,76.3%and 78.9%(χ^(2)=0.104;P=0.748).The seroprevalence did not differ among organ recipients,with 77.8%,80.6%,and 50.0%for liver,kidney,and SPKT,respectively,(χ^(2)=5.297;P=0.151).No significant difference was found in the seroprevalence in kidney transplant patients according to dialysis *** was 71.

关键词： Parvovirus B19 Seroprevalence DNA Kidney transplantation Liver transplantation Pancreas transplantation

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