VMMU75_Characteristics of BK Virus Load and Role in Predicting BK Virus-Associated Nephrology in Patients Post Kidney Transplantation_Truong Quy Kien

Quý Kiên Trương1, , Thị Bích Hằng Nguyễn2, Phúc Khăm Hoàng2, Thị Minh Thu Vũ2, Bá Nghĩa Phan2, Văn Cường Nguyễn3, Thị Thu Hà Nguyễn2, Xuân Sử Hoàng4, Việt Thắng Lê2, Quốc Toản Phạm2
1 Bệnh viện Quân 103
2 Bệnh viện Quân y 103, Học viện Quân y
3 Bệnh viện Trung ương Quân đội 108
4 Học viện Quân y

Main Article Content

Abstract

ABSTRACT


Objective: The study aimed to analyze the load characteristics of the BK virus in serum and urine and its role in predicting BK virus-associated nephrology in patients after kidney transplantation.


Subjects and Methods: 360 kidney transplant patients at Military Hospital 103 were included in a prospective cross-sectional study. Realtime-PCR was used to measure BK viral load in serum and urine samples. Patients who met the biopsy criteria underwent the procedure according to the protocol.


Results: The study found that 56.7% of kidney transplant patients had BK virus infection, with 3.1% developing BK virus-associated nephropathy. BK virus infection was most prevalent between 3-6 months post-transplantation. A BK virus load in serum was exceeding 1.3. 104 copies/mL predicted BK virus-associated nephropathy with 81.8% sensitivity and 87.1% specificity. In urine, a BK virus load exceeds 1.5. 106 copies/mL predicted BK virus-associated nephropathy with 90.9% sensitivity and 67.9% specificity. BK virus load in serum was a better predictor than in urine.


Conclusion: BK virus load plays a role in predicting BK virus-associated nephrology with a cutoff of 1.3. 104copies/mL in serum and 1.5 .106 copies/mL in urine.


Key words: Realtime- PCR, BK virus, Kidney transpalntation

Article Details

References

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