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10.1186/s12879-016-1652-6

http://scihub22266oqcxt.onion/10.1186/s12879-016-1652-6
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C4957298!4957298!27448566
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suck abstract from ncbi


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pmid27448566      BMC+Infect+Dis 2016 ; 16 (ä): ä
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  • Optimal use of plasma and urine BK viral loads for screening and predicting BK nephropathy #MMPMID27448566
  • Boan P; Hewison C; Swaminathan R; Irish A; Warr K; Sinniah R; Pryce TM; Flexman J
  • BMC Infect Dis 2016[]; 16 (ä): ä PMID27448566show ga
  • Background: BK virus is a polyoma virus causing renal allograft nephropathy. Reduction of immunosuppression with the early recognition of significant BK viral loads in urine and plasma can effectively prevent BKV associated nephropathy (BKVN), however the optimal compartment and frequency of BK viral load measurement post renal transplantation are undetermined. Our purpose was to examine time to detection and viral loads in urine compared to plasma, and establish viral load cut-offs associated with histological BKVN. Methods: We performed a retrospective analysis of the BKV screening frequency and compartment(s) of 277 adult renal transplant recipients (RTR). Results: BKVN was histologically diagnosed in 17 (6.1 %) RTR. In cases where both urine and plasma were tested fortnightly for 6 months (n?=?53), BKV was detected in the urine 29 days earlier than plasma. Fortnightly (n?=?72) versus 3-monthly (n?=?78) testing demonstrated that BKV was detected in the urine significantly earlier (median 63 versus 97 days, p?=?0.001) and at a lower level (median 3.27 versus 6.71 log10 c/mL, p?
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