Clinical description and evolution of renal transplant pediatric patients treated with alemtuzumab [documento electrónico] / Catalina Vélez Echeverri, ; Gustavo Adolfo Zuluaga Valencia, ; Catalina Ocampo Kohn, ; Arbey Aristizabal Álzate, ; Lina Maria Serna Higuita, ; John Jairo Zuleta Tobón, ; Juan José Vanegas Ruiz,  . - 2011.
Obra : Transplantation Proceedings

Idioma : Francés (fre) Idioma original : Inglés (eng)

Resumen :	Background: Renal transplantation is the most effective treatment for children with end-stage renal disease. Recent work suggests that induction with alemtuzumab in the pediatric population permits the use of lower doses of maintenance immunosuppressive therapy. In addition, it has a low cost compared with other induction therapies. Objective: To conduct a clinical description of pediatric renal transplant patients comparing induction protocols to evaluate graft and patient survival, infections complications, and lymphoproliferative diseases. Materials and Methods. This descriptive and retrospective study, of evaluated pediatric renal transplant patients between 2006 and 2010. Results: The agents for induction therapy were: alemtuzumab (61.5%), daclizumab (19.25%), and thymoglobulin (19.25%). Graft survival was better among the alemtuzumab group (87.5%) compared with the other two induction therapies (80%). The frequency of acute rejection episodes during the first year posttransplantation as well as chronic rejection was lower among the alemtuzumab group. Cytomegalovirus infection was noted in 30% of patients with greater frequency among those induced with alemtuzumab. Conclusion: Induction therapy with alemtuzumab was safe in a pediatric population not predisposing to a greater risk of acute or chronic rejection. Except for a greater incidence of Cytomegalovirus, there was no difference in other complications.
Mención de responsabilidad :	C Velez, G Zuluaga, C Ocampo, A Aristizabal, L M Serna, A K Serrano Gayubo, J A Florez, J J Zuleta, J J Vanegas Ruiz
Referencia :	Transplant Proc. 2011 Nov;43(9):3350-4.
DOI (Digital Object Identifier) :	10.1016/j.transproceed.2011.09.101
PMID :	22099794
En línea :	https://linkinghub.elsevier.com/retrieve/pii/S0041-1345(11)01380-7
Enlace permanente :	https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3583