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Tytuł pozycji:

Possible nosocomial transmission of virus-associated hemorrhagic cystitis after allogeneic hematopoietic stem cell transplantation.

Tytuł:
Possible nosocomial transmission of virus-associated hemorrhagic cystitis after allogeneic hematopoietic stem cell transplantation.
Autorzy:
Onda Y; Department of Hematology and Oncology, Graduate School of Medicine, Kyoto University, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
Kanda J; Department of Hematology and Oncology, Graduate School of Medicine, Kyoto University, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan. .
Hanaoka N; Center for Infectious Disease Risk Management, National Institute of Infectious Diseases, Tokyo, Japan.
Watanabe M; Department of Hematology and Oncology, Graduate School of Medicine, Kyoto University, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
Arai Y; Department of Hematology and Oncology, Graduate School of Medicine, Kyoto University, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
Hishizawa M; Department of Hematology and Oncology, Graduate School of Medicine, Kyoto University, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
Kondo T; Department of Hematology and Oncology, Graduate School of Medicine, Kyoto University, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
Yamashita K; Department of Hematology and Oncology, Graduate School of Medicine, Kyoto University, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
Nagao M; Department of Clinical Laboratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Fujimoto T; Center for Infectious Disease Risk Management, National Institute of Infectious Diseases, Tokyo, Japan.
Takaori-Kondo A; Department of Hematology and Oncology, Graduate School of Medicine, Kyoto University, 54 Kawaharacho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.
Źródło:
Annals of hematology [Ann Hematol] 2021 Mar; Vol. 100 (3), pp. 753-761. Date of Electronic Publication: 2021 Jan 13.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Publication: Berlin : Springer Verlag
Original Publication: Berlin ; New York : Springer International, c1991-
MeSH Terms:
Cross Infection/*etiology
Cystitis/*virology
Hematopoietic Stem Cell Transplantation/*adverse effects
Hemorrhage/*virology
Virus Diseases/*etiology
Adenoviridae/isolation & purification ; Adenoviridae/physiology ; Adenoviridae Infections/epidemiology ; Adenoviridae Infections/etiology ; Adolescent ; Adult ; Aged ; BK Virus/isolation & purification ; BK Virus/physiology ; Cohort Studies ; Cross Infection/epidemiology ; Cystitis/epidemiology ; Cystitis/etiology ; Female ; Hematopoietic Stem Cell Transplantation/statistics & numerical data ; Hemorrhage/epidemiology ; Hemorrhage/etiology ; Humans ; JC Virus/isolation & purification ; JC Virus/physiology ; Japan/epidemiology ; Male ; Middle Aged ; Polyomavirus Infections/epidemiology ; Polyomavirus Infections/etiology ; Retrospective Studies ; Risk Factors ; Transplantation, Homologous/adverse effects ; Transplantation, Homologous/statistics & numerical data ; Tumor Virus Infections/epidemiology ; Tumor Virus Infections/etiology ; Urinary Tract Infections/epidemiology ; Urinary Tract Infections/etiology ; Virus Diseases/epidemiology ; Young Adult
References:
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Grant Information:
10110713 the Ministry of Health, Labour, and Welfare.
Contributed Indexing:
Keywords: Adenovirus; Allogeneic transplantation; BK virus; Hemorrhagic cystitis; Nosocomial transmission
Entry Date(s):
Date Created: 20210113 Date Completed: 20210305 Latest Revision: 20210305
Update Code:
20240105
DOI:
10.1007/s00277-021-04414-1
PMID:
33439306
Czasopismo naukowe
Adenovirus (ADV)- or BK virus (BKV)-associated hemorrhagic cystitis (HC) is a common complication after allogeneic hematopoietic stem cell transplantation (allo-HSCT). Several risk factors have been previously reported; however, it is unclear whether virus-associated HC can be transmitted. To clarify this point, we performed a retrospective cohort study on 207 consecutive patients who underwent allo-HSCT at Kyoto University Hospital between 2012 and 2018. We evaluated the incidence and risk factors of virus-associated HC and performed a phylogenetic analysis of the ADV partial sequence. The median age at transplantation was 50 (range, 17-68) years. Fifty-eight patients (28%) developed HC. ADVs were detected in 18 cases, BKVs were detected in 51, both were detected in 12, and only John Cunningham virus (JCV) was detected in 1 case. No factor was significantly associated with HC. However, both ADV- and BKV-HC occurred intensively between April 2016 and September 2017, which suggested possible nosocomial transmission of ADV and BKV. Genome sequencing of the hexon, E3, and penton regions of detected ADVs identified 7 cases of ADV type 11, 2 cases of type 35, and 3 cases of a type 79-related strain. A sequence analysis revealed that these strains in each type were almost identical, except for one case of a type 79-related strain. In conclusion, ADV-HCs with possible nosocomial transmission were described based on genotyping of the virus and partial sequencing of the viral genome. Although viral HC after allo-HSCT is thought to mainly be due to reactivation of a latent virus, nosocomial transmission of ADV or BKV should also be considered.

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