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10.1093/ckj/sfab025

http://scihub22266oqcxt.onion/10.1093/ckj/sfab025
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34282376!7929031!34282376
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suck abstract from ncbi


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pmid34282376      Clin+Kidney+J 2021 ; 14 (4): 1229-1235
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  • Immunosuppression minimization in kidney transplant recipients hospitalized for COVID-19 #MMPMID34282376
  • Anton Pampols P; Trujillo H; Melilli E; Urban B; Sandino J; Fava A; Gutierrez E; Bestard O; Mancebo E; Sevillano A; Cruzado JM; Morales E
  • Clin Kidney J 2021[Apr]; 14 (4): 1229-1235 PMID34282376show ga
  • BACKGROUND: Immunosuppressed patients such as kidney transplant recipients (KTs) have increased mortality risk in the setting of coronavirus disease 2019 (COVID-19). The role and management of chronic immunosuppressive therapies during COVID-19 must be characterized. METHODS: Herein, we report the follow-up of a cohort of 47 KTs admitted at two Spanish Kidney Transplant Units, who survived COVID-19. The impact of the management of immunosuppression during COVID-19 on graft function and immunologic events was evaluated. RESULTS: At least one immunosuppressive agent was withdrawn in 83% of patients, with antimetabolites being the most frequent. Steroids were generally not stopped and the dose was even increased in 15% of patients as part of the treatment of COVID-19. Although immunosuppressive drugs were suspended during a median time of 17 days, no rejection episodes or de novo donor-specific antibodies were observed up to 3 months after discharge, and no significant changes occurred in calculated panel reactive antibodies. Acute graft dysfunction was common (55%) and the severity was related to tacrolimus trough levels, which were higher in patients receiving antivirals. At the end of follow-up, all patients recovered baseline kidney function. CONCLUSIONS: Our observational study suggests that immunosuppression in KTs hospitalized due to COVID-19 could be safely minimized.
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