000 nab a22 7a 4500
999 _c16374
_d16374
003 PC16374
005 20210625062821.0
008 210428b xxu||||| |||| 00| 0 eng d
040 _cH12O
041 _aeng
100 _9263
_aFernández Ruiz, Mario
_eMedicina Interna
100 _9162
_aLópez Medrano, Francisco
_eEnfermedades Infecciosas
100 _91508
_aAllende Martínez, Luis Miguel
_eInmunología
100 _91321
_aAndrés Belmonte, Amado
_eNefrología
100 _91210
_aGarcía Reyne, Ana
_eMedicina Interna
100 _9873
_aLumbreras Bermejo, Carlos
_eMedicina Interna
100 _9869
_aSan Juan Garrido, Rafael
_eMedicina Interna
100 _9576
_aMorales Cerdán, José María
_eNefrología
100 _91510
_aPaz Artal, Estela
_eInmunología
100 _9876
_aAguado García, José María
_eEnfermedades Infecciosas
245 0 0 _aKinetics of peripheral blood lymphocyte subpopulations predicts the occurrence of opportunistic infection after kidney transplantation.
_h[artículo]
260 _bTransplant international : official journal of the European Society for Organ Transplantation,
_c2014
300 _a27(7):674-85.
500 _aFormato Vancouver: Fernández-Ruiz M, López-Medrano F, Allende LM, Andrés A, García-Reyne A, Lumbreras C et al. Kinetics of peripheral blood lymphocyte subpopulations predicts the occurrence of opportunistic infection after kidney transplantation. Transpl Int. 2014 Jul;27(7):674-85.
501 _aPMID: 24650360
504 _aContiene 44 referencias
520 _aSerial monitoring of peripheral blood lymphocyte subpopulations (PBLSs) counts might be useful in predicting post-transplant opportunistic infection (OI) after kidney transplantation (KT). PBLSs were prospectively measured in 304 KT recipients at baseline and post-transplant months 1 and 6. Areas under receiver operating characteristic curves were used to evaluate the accuracy of different subpopulations in predicting the occurrence of overall OI and, specifically, cytomegalovirus (CMV) disease. We separately analyzed patients not receiving (n = 164) or receiving (n = 140) antithymocyte globulin (ATG) as induction therapy. In the non-ATG group, a CD8(+) T-cell count at month 1 <0.100 × 10(3) cells/μl had negative predictive values of 0.84 and 0.86 for the subsequent occurrence of overall OI and CMV disease, respectively. In the multivariate Cox model, a CD8(+) T-cell count <0.100 × 10(3) cells/μl was an independent risk factor for OI (adjusted hazard ratio: 3.55; P-value = 0.002). In the ATG group, a CD4(+) T-cell count at month 1 <0.050 × 10(3) cells/μl showed negative predictive values of 0.92 for the subsequent occurrence of overall OI and CMV disease. PBLSs monitoring effectively identify KT recipients at low risk of OI, providing an opportunity for individualizing post-transplant prophylaxis practices.
710 _96
_aServicio de Medicina Interna
710 _9395
_aServicio de Inmunología
710 _986
_aServicio de Nefrología
710 _9625
_aInstituto de Investigación imas12
856 _uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/1/pc16374.pdf
_ySolicitar documento
942 _2ddc
_cART
_n0