Adenovirus DNA positivity in nasopharyngeal aspirate preceding hematopoietic stem cell transplantation: a very strong risk factor for adenovirus DNAemia in pediatric patients

Clin Infect Dis. 2009 Nov 15;49(10):1536-9. doi: 10.1086/644739.

Abstract

Human adenovirus (HAdV)-positive nasopharyngeal aspirate preceding hematopoietic stem cell transplantation was prospectively analyzed in 62 patients. By multivariate Cox proportional hazard models, HAdV-positive nasopharyngeal aspirate was the only predictor for HAdV DNAemia after hematopoietic stem cell transplantation (P < .001). HAdV DNAemia was a predictor for alloreactive disease. Early detection and intervention might help to prevent HAdV disease after hematopoietic stem cell transplantation.

MeSH terms

  • Adenoviridae Infections / epidemiology*
  • Adenoviridae Infections / virology
  • Adenoviruses, Human / isolation & purification*
  • Adolescent
  • Carrier State / epidemiology*
  • Carrier State / virology
  • Child
  • Child, Preschool
  • DNA, Viral / isolation & purification
  • Female
  • Graft Rejection / epidemiology
  • Hematopoietic Stem Cell Transplantation / adverse effects*
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Nasopharynx / virology*
  • Prevalence
  • Prospective Studies
  • Risk Factors
  • Viremia / epidemiology*
  • Viremia / virology
  • Young Adult

Substances

  • DNA, Viral