Prevalence of JCV infection in kidney transplant patients at the 108 Military Central Hospital from March 2018 to June 2022

  • Hồ Trung Hiếu Bệnh viện Trung ương Quân đội 108

Main Article Content

Keywords

Kidney transplantation, JC Viremia, JC viruria

Abstract

Objective: To identify the prevalence of JCV infection in kidney transplant patients at the 108 Military Central Hospital. Subject and method: A longitudinal study to follow up 94 out of 114 patients who had first-time kidney transplantation at 108 Military Central Hospital. Patients followed the routine clinical examination every three months in the first-year post-transplantation (T1, T3, T6, T9, T12) and every six months in the following years (T18, T24, T30, T36, T42, T48, T60). Result: Prevalence of JCV in the kidney transplant recipients was 62 (66.0%), There was 16.0% patients had positive with JCV at T1, 16.0% at T3, 11.7% at T9, 21.2% at T12, 22 (23.4%) at T18, 23.4% at T24, 22.3% at T30, 16% at T36, 14.9% at T42, 8.5% at T48, 4.2% at T54, and 1.06% at T60. The number of JCV in T6 was highest at 30.8%, higher significantly than other times, p<0.05 (Chi-square- Test). The number of JC Viremia infections was 27/663 (4.2%), lower significant than the number of JC viruria 229/663 (34.5%). Conclusion: The incidence of JCV infection at T6 was the highest number and decreased steadily over time. The prevalence of JC viremia was notably lower than JC viruria. The monitoring for post-transplant JCV infection is recommended to be done regularly and continuously throughout post-kidney treatment.

Article Details

References

1. Safaei F et al (2021) Viruria of Human BK virus and john cunningham virus among renal transplant recipients and healthy control in Southeast of Caspian Sea. Intervirology 64(3): 111-118.
2. Vanichanan J et al (2018) Common viral infections in kidney transplant recipients. Kidney Res Clin Pract 37(4): 323-337.
3. Chadban SJ et al (2020) KDIGO clinical practice guideline on the evaluation and management of candidates for kidney transplantation. Transplantation 104(4-1-1): 11-103.
4. Hasannia T et al (2016) Active CMV and EBV infections in renal transplant recipients with unexplained fever and elevated serum creatinine. Ren Fail 38(9): 1418-1424.
5. Nguyen Thi Thuy, Ha Phan Hai An et al (2021) JCV infection affter kidney transplantation: A case report at Viet - Duc Hospital, Hue University of Medicine and Pharmacy. Journal of medicine and pharmacy: 105-108.
6. Jalanko H (2019) Congenital nephrotic syndrome. Pediatr Nephrol 24(11): 2121-2128. doi:10.1007/ s00467-007-0633-9.
7. Taheri S, Kafilzadeh F, Shafa M, Yaran M, Mortazavi M, Seirafian S et al (2011) Comparison of polyomavirus (BK virus and JCVes) viru- ria in renal transplant recipients with and without kidney dysfunction. J Res Med Sci 16(7): 916-922.
8. Atyabi SR, Bouzari M (2015) Frequency of JCV in rheumatoid arthritis patients in Isfahan, Iran.
9. Delbue S, Ferraresso M, Ghio L et al (2013) A review on JCV infection in kidney transplant recipients. Clinical & developmental immunology 926391.
10. Kamminga S et al (2021) JC and Human polyomavirus 9 after kidney transplantation: An exploratory serological cohort study. J Clin Virol 143: 104944.
11. Kusne S et al (2012) Polyomavirus JC urinary shedding in kidney and liver transplant recipients associated with reduced creatinine clearance. J Infect Dis 206(6): 875-880.