Abstract

Respiratory viral infections (RVI) are a frequent cause of morbidity and mortality in hematopoietic stem cell transplant (HSCT) patients. We examined clinical characteristics and respiratory viral detection in asymptomatic pediatric HSCT pre-transplant patients and symptomatic post-transplant patients. Coxsackie/echovirus (most common virus detected pre and post-transplant), rhinovirus, and coronavirus were detected pre-transplant and at the first post-transplant event suggesting persistent detection. None of the clinical characteristics examined were associated with viral detection and there was no increase in mortality noted with asymptomatic viral detection.

Highlights

  • Respiratory viral infections (RVI) are a frequent cause of morbidity and mortality in hematopoietic stem cell transplant (HSCT) patients

  • Studies on respiratory viruses in the pediatric HSCT transplant population have identified rhinovirus as a common virus found in the pre-transplant period and rhinovirus, coronavirus, parainfluenza virus, respiratory syncytial virus and adenovirus in the post-transplant period [4,7,8,9,10,11]

  • We evaluated asymptomatic pediatric HSCT patients for the presence of respiratory virus in the immediate pre-transplant period and symptomatic patients for up to 90 days post- transplant to examine epidemiology and clinical characteristics associated with viral detection

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Summary

Introduction

Respiratory viral infections (RVI) are a frequent cause of morbidity and mortality in hematopoietic stem cell transplant (HSCT) patients. We examined clinical characteristics and respiratory viral detection in asymptomatic pediatric HSCT pre-transplant patients and symptomatic post-transplant patients. None of the clinical characteristics examined were associated with viral detection and there was no increase in mortality noted with asymptomatic viral detection. Follow-on post-transplant period and it has been suggested that patients with asymptomatic viral detection do not have increased mortality and those with symptomatic viral detection do have increased mortality [4]. We evaluated asymptomatic pediatric HSCT patients for the presence of respiratory virus in the immediate pre-transplant period and symptomatic patients for up to 90 days post- transplant to examine epidemiology and clinical characteristics associated with viral detection

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