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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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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.

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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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