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Provedor de dados:  BJMBR
País:  Brazil
Título:  Detection of human cytomegalovirus DNA in various blood components after liver transplantation
Autores:  Chen,X.Y.
Hou,P.F.
Bi,J.
Ying,C.M.
Data:  2014-04-01
Ano:  2014
Palavras-chave:  HCMV DNA
Blood components
Real-time quantitative PCR
Liver transplantation
Resumo:  The quantification of human cytomegalovirus (HCMV DNA) by real-time PCR is currently a primary option for laboratory diagnosis of HCMV infection. However, the optimal sample material remains controversial due to the use of different PCR assays. To explore the best blood component for HCMV DNA surveillance after liver transplantation, whole blood (WB), serum (SE), and plasma (PL) specimens were collected simultaneously from targeted patients and examined for HCMV DNA using one commercially available assay. The HCMV DNA-positive rate with WB (16.67%) was higher than that with either SE or PL (8.33%, both P<0.01). Quantitative DNA levels in WB were of greater magnitude than those in SE (WB-SE mean log-transformed difference, 0.99; 95%CI=0.74-1.25; P<0.0001) and PL (WB-PL mean log-transformed difference, 1.37; 95%CI=1.07-1.66; P<0.0001). Dynamic monitoring revealed that HCMV DNA in WB was positive sooner and had higher values for a longer period of time during therapy. With earlier positive detection, higher sensitivity, and yield of greater viral loads, WB compared favorably to SE or PL and hence is recommended as the superior material for HCMV DNA surveillance after liver transplantation. In addition, infant recipients require more intensive monitoring and prophylactic care because of their higher susceptibility to primary HCMV infection.
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-879X2014000400340
Editor:  Associação Brasileira de Divulgação Científica
Relação:  10.1590/1414-431X20133353
Formato:  text/html
Fonte:  Brazilian Journal of Medical and Biological Research v.47 n.4 2014
Direitos:  info:eu-repo/semantics/openAccess
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