Bronchiolitis Obliterans, Epstein-Barr Virus Infections, Lung Transplantation, Paramyxoviridae Infections
Conditions
Keywords
lung transplantation, Bronchiolitis Obliterans, Epstein-Barr Virus Infections, Paramyxoviridae Infections, Herpesviridae
Brief summary
The present study was conducted to study the impact community acquired respiratory virus (CARV) infections in an outpatient setting on graft function of lung transplant recipients. The study was aimed to identify risk factors for CARV infections. The study was further intended to investigate an association of Epstein-Barr virus (EBV), cytomegalovirus (CMV) and human adenovirus (HAdV) with the development of BOS and to identify risk factors for virus detection in blood.
Detailed description
Informed consent was obtained from the LTx recipients and the study was approved of by the institutional review board of Hannover medical school. LTx recipients are screened for CARV infections during the cold season (end October until end April) in a single-centre outpatient clinic. Symptoms of upper (URTI) and lower respiratory tract infections (URTI) are recorded by questionnaires and findings. Nasopharyngeal and oropharyngeal swabs (NOS) were performed to detect RV-antigens by immunofluorescence testing (IFT) of respiratory-syncytial virus (RSV), adenovirus, parainfluenza (PIV), influenza and cultures for CARV are performed. BAL was performed when clinically indicated and processed by IFT. Multiplex-PCR to detect 14 CARV are processed in symptomatic patients. In addition blood samples are monitored at each contact to investigate an association of Epstein-Barr virus (EBV), cytomegalovirus (CMV) and human adenovirus (HAdV) with the development of BOS and to identify risk factors for virus detection in blood.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* adults 18-70 years * lung transplantation (including single, double, combination and re-do transplants)
Exclusion criteria
* refused consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of bronchiolitis obliterans syndrome | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of acute rejection | 1 year |
| Incidence of hospitalisation | 1 year |
| Incidence of graft loss (death or re-do-transplantation) | 2 year |
Countries
Germany