Risk factors of cytomegalovirus infection in patients after allogeneic hematopoietic stem cells transplantation

Cytomegalovirus infection (CMV) is an extremely serious problem in patients after hematopoietic stem cells transplantation (HSCT). We have evaluated importance of major risk factors CMV development in patients after allogeneic HSCT (n = 168) from related (n = 56), unrelated (n = 90) or haploidentica...

Full description

Bibliographic Details
Main Authors: D. N. Balashov, P. E. Trakhtman, E. V. Skorobogatova, Yu. V. Skvortsova, I. P. Schipitsyna, A. A. Maschan
Format: Article
Language:Russian
Published: ABV-press 2022-11-01
Series:Онкогематология
Subjects:
Online Access:https://oncohematology.abvpress.ru/ongm/article/view/759
_version_ 1826557114968965120
author D. N. Balashov
P. E. Trakhtman
E. V. Skorobogatova
Yu. V. Skvortsova
I. P. Schipitsyna
A. A. Maschan
author_facet D. N. Balashov
P. E. Trakhtman
E. V. Skorobogatova
Yu. V. Skvortsova
I. P. Schipitsyna
A. A. Maschan
author_sort D. N. Balashov
collection DOAJ
description Cytomegalovirus infection (CMV) is an extremely serious problem in patients after hematopoietic stem cells transplantation (HSCT). We have evaluated importance of major risk factors CMV development in patients after allogeneic HSCT (n = 168) from related (n = 56), unrelated (n = 90) or haploidentical donors (n = 22). Clinical importance of HSCT type as risk factors CMV development was shown; patients after unrelated or haploidentical HSCT had the worst prognosis. We also demonstrated that ≥ 2 grade acute GVHD statistically significant increase CMV reactivation probability after any types of HSCT. Comparison of infection reactivation frequency and event-free survival between subgroups of patients, received HSCT from CMV-positive and CMV-negative donors, absence of any differences was revealed. In the second group CMV infection was more severe. Preventive gancyclovir treatment has not shown efficacy and any influence on frequency of CMV reactivation.
first_indexed 2024-04-09T20:23:30Z
format Article
id doaj.art-c2825ca4c229483e9f11f2546ff57212
institution Directory Open Access Journal
issn 1818-8346
2413-4023
language Russian
last_indexed 2025-03-14T08:23:27Z
publishDate 2022-11-01
publisher ABV-press
record_format Article
series Онкогематология
spelling doaj.art-c2825ca4c229483e9f11f2546ff572122025-03-02T13:07:16ZrusABV-pressОнкогематология1818-83462413-40232022-11-01042026637Risk factors of cytomegalovirus infection in patients after allogeneic hematopoietic stem cells transplantationD. N. Balashov0P. E. Trakhtman1E. V. Skorobogatova2Yu. V. Skvortsova3I. P. Schipitsyna4A. A. Maschan5Federal Research Center of Pediatric Hematology, Oncology and Immunology; Russian Children Clinical HospitalFederal Research Center of Pediatric Hematology, Oncology and Immunology; Russian Children Clinical HospitalFederal Research Center of Pediatric Hematology, Oncology and Immunology; Russian Children Clinical HospitalFederal Research Center of Pediatric Hematology, Oncology and Immunology; Russian Children Clinical HospitalFederal Research Center of Pediatric Hematology, Oncology and Immunology; Russian Children Clinical HospitalFederal Research Center of Pediatric Hematology, Oncology and ImmunologyCytomegalovirus infection (CMV) is an extremely serious problem in patients after hematopoietic stem cells transplantation (HSCT). We have evaluated importance of major risk factors CMV development in patients after allogeneic HSCT (n = 168) from related (n = 56), unrelated (n = 90) or haploidentical donors (n = 22). Clinical importance of HSCT type as risk factors CMV development was shown; patients after unrelated or haploidentical HSCT had the worst prognosis. We also demonstrated that ≥ 2 grade acute GVHD statistically significant increase CMV reactivation probability after any types of HSCT. Comparison of infection reactivation frequency and event-free survival between subgroups of patients, received HSCT from CMV-positive and CMV-negative donors, absence of any differences was revealed. In the second group CMV infection was more severe. Preventive gancyclovir treatment has not shown efficacy and any influence on frequency of CMV reactivation.https://oncohematology.abvpress.ru/ongm/article/view/759cytomegalovirushematopoietic stem cells transplantationrisk factorspreventive treatment
spellingShingle D. N. Balashov
P. E. Trakhtman
E. V. Skorobogatova
Yu. V. Skvortsova
I. P. Schipitsyna
A. A. Maschan
Risk factors of cytomegalovirus infection in patients after allogeneic hematopoietic stem cells transplantation
Онкогематология
cytomegalovirus
hematopoietic stem cells transplantation
risk factors
preventive treatment
title Risk factors of cytomegalovirus infection in patients after allogeneic hematopoietic stem cells transplantation
title_full Risk factors of cytomegalovirus infection in patients after allogeneic hematopoietic stem cells transplantation
title_fullStr Risk factors of cytomegalovirus infection in patients after allogeneic hematopoietic stem cells transplantation
title_full_unstemmed Risk factors of cytomegalovirus infection in patients after allogeneic hematopoietic stem cells transplantation
title_short Risk factors of cytomegalovirus infection in patients after allogeneic hematopoietic stem cells transplantation
title_sort risk factors of cytomegalovirus infection in patients after allogeneic hematopoietic stem cells transplantation
topic cytomegalovirus
hematopoietic stem cells transplantation
risk factors
preventive treatment
url https://oncohematology.abvpress.ru/ongm/article/view/759
work_keys_str_mv AT dnbalashov riskfactorsofcytomegalovirusinfectioninpatientsafterallogeneichematopoieticstemcellstransplantation
AT petrakhtman riskfactorsofcytomegalovirusinfectioninpatientsafterallogeneichematopoieticstemcellstransplantation
AT evskorobogatova riskfactorsofcytomegalovirusinfectioninpatientsafterallogeneichematopoieticstemcellstransplantation
AT yuvskvortsova riskfactorsofcytomegalovirusinfectioninpatientsafterallogeneichematopoieticstemcellstransplantation
AT ipschipitsyna riskfactorsofcytomegalovirusinfectioninpatientsafterallogeneichematopoieticstemcellstransplantation
AT aamaschan riskfactorsofcytomegalovirusinfectioninpatientsafterallogeneichematopoieticstemcellstransplantation