Controlled trial of prophylactic versus therapeutic use of ganciclovir after liver transplantation in adults
β Scribed by Alexander T. Cohen; John G. O'Grady; Sheena Sutherland; Richard Sallie; K.-C. Tan; Dr. Roger Williams
- Book ID
- 102906279
- Publisher
- John Wiley and Sons
- Year
- 1993
- Tongue
- English
- Weight
- 538 KB
- Volume
- 40
- Category
- Article
- ISSN
- 0146-6615
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β¦ Synopsis
Abstract
The potential of prophylactic ganciclovir for the control of cytomegalovirus (CMV) infection was evaluated in a prospective controlled trial of 65 patients after liver transplantation. A group of 33 patients received ganciclovir (10 mg/kg/day) during the third and fourth weeks after transplantation, while 32 patients were randomised to receive ganciclovir (10 mg/kg/day) only when clinical CMV disease was diagnosed. Eight patients (25%) in the latter group received ganciclovir and included the only death attributed to CMV infection in the study. Prophylactic ganciclovir was associated with a lower incidence of serologically diagnosed secondary infection and the development of the IgM antiβCMV antibody. However, the frequency of clinical infections was similar in the two groups (9/33 vs. 11/32). Liver function tests during the second month after transplantation were not significantly better in the patients receiving prophylactic ganciclovir. Leucopaenia was not seen in patients receiving prophylactic ganciclovir. Β© 1993 WileyβLiss, Inc.
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