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Prepublished online as a Blood First Edition Paper on October 24, 2002; DOI 10.1182/blood-2002-07-2110.

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2002-07-2110v1
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Blood, 1 March 2003, Vol. 101, No. 5, pp. 2067-2069

TRANSPLANTATION
Brief report

Donor CMV serostatus has no impact on CMV viremia or disease when prophylactic granulocyte transfusions are given following allogeneic peripheral blood stem cell transplantation

Ravi Vij, John F. DiPersio, Partha Venkatraman, Kathryn Trinkaus, Lawrence T. Goodnough, Randy A. Brown, Hanna J. Khoury, Steven M. Devine, Aarti Oza, Shalini Shenoy, William Blum, and Douglas Adkins

From the Section of Bone Marrow Transplantation and Leukemia, Washington University School of Medicine, St Louis; and Division of Pediatric Hematology Oncology, Washington University School of Medicine, St Louis, MO.

We studied the impact of donor cytomegalovirus (CMV) serologic status on CMV viremia and disease when prophylactic granulocyte colony-stimulating factor (G-CSF)-mobilized granulocyte transfusions (GTs) were given following allogeneic peripheral blood stem cell (AlloPBSC) transplantation. A cohort of 83 patients who received 2 prophylactic GTs from ABO-compatible stem cell donors following AlloPBSC transplantation was compared with a cohort of 142 patients who did not. AlloPBSC donors were eligible for granulocyte donation irrespective of their CMV serostatus. Recipients received no prophylactic therapy for CMV. Donor CMV serostatus had no impact on CMV viremia and disease in the 2 cohorts. Our data show that in an era of effective surveillance and preemptive therapy for CMV, AlloPBSC recipients can safely receive 2 transfusions of prophylactic G-CSF-mobilized granulocyte components from CMV-seropositive AlloPBSC donors. This knowledge may help expand the donor pool in areas with a high prevalence of CMV in the general population.

© 2003 by The American Society of Hematology.
 

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W. G. Nichols, T. Price, M. Boeckh, R. Vij, J. DiPersio, H. Khoury, L. T. Goodnough, S. M. Devine, W. Blum, and D. Adkins
Donor serostatus and CMV infection and disease among recipients of prophylactic granulocyte transfusions
Blood, June 15, 2003; 101(12): 5091 - 5092.
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