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자료유형
학술저널
저자정보
W. James Chon (Division of Nephrology & Hypertension University of Arkansas for Medical Sciences Little Rock A) Nidhi Aggarwal (Section of Nephrology Department of Medicine University of Chicago Chicago IL USA) Masha Kocherginsky (Department of Health Studies University of Chicago Chicago IL USA) Brenna Kane (Section of Transplantation Department of Surgery University of Chicago Chicago IL USA) Michelle A. Josephson (Section of Nephrology Department of Medicine University of Chicago Chicago IL USA)
저널정보
대한신장학회 Kidney Research and Clinical Practice Kidney Research and Clinical Practice Vol.35 No.3
발행연도
2016.1
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176 - 181 (6page)

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Background: Although early monitoring of BK virus infection in renal transplant patients has led to improved outcomes over the past decade, it remains unclear whether monitoring for viremia is the best screening tool for BK virus nephropathy (BKVN). Methods: We conducted a retrospective review of the medical records of 368 renal transplant recipients who had a minimum of 18 months of posttransplantation follow-up. The relationship between the presence of BK viruria and a composite end point of BK viremia/BKVN was established, and the predictive value of high-grade BK viruria for development of viremia/BKVN was determined. Results: High grade of BK viruria was present in 110 (30.1%) of the renal transplant recipients. BK viremia/BKVN was present in 64 (17.4%) patients and was 50 times more likely to be present in patients with high-grade BK viruria. The risk of developing BK viremia/BKVN was 3 times higher in high-grade viruria patients, and viruria preceded viremia by nearly 7 weeks. Conclusion: The presence of high-grade viruria is an early marker for developing BK viremia/BKVN. Detection of high-grade viruria should prompt early allograft biopsy and/or preemptive reduction in immunosuppression.

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