JOSE OTTO REUSING JUNIOR
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
4 resultados
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conferenceObject Is 90-days CMV prophylaxis effective in CMV-seropositive patients receiving thymoglobulin as induction therapy?(2016) DAVID-NETO, Elias; FEITOSA, Emanoela B.; AGENA, Fabiana; REUSING, Jose Otto; LEMOS, Francine B. C.- Renal transplantation in human immunodeficiency virus-infected recipients: a case-control study from the Brazilian experience(2016) VICARI, A. R.; SPULDARO, F.; SANDES-FREITAS, T. V.; CRISTELLI, M. P.; REQUIAO-MOURA, L. R.; REUSING, J. O.; PIERROTTI, L. C.; OLIVEIRA, M. L.; GIRAO, C. M.; GADONSKI, G.; KROTH, L. V.; DEBONI, L. M.; FERREIRA, G. F.; TEDESCO-SILVA, H.; ESMERALDO, R.; DAVID-NETO, E.; SAITOVITCH, D.; KEITEL, E.; GARCIA, V. D.; PACHECO-SILVA, A.; MEDINA-PESTANA, J. O.; MANFRO, R. C.BackgroundHighly active antiretroviral therapy has turned human immunodeficiency virus (HIV)-infected patients with end-stage renal disease into suitable candidates for renal transplantation. We present the Brazilian experience with kidney transplantation in HIV-infected recipients observed in a multicenter study. MethodsHIV-infected kidney transplant recipients and matched controls were evaluated for the incidence of delayed graft function (DGF), acute rejection (AR), infections, graft function, and survival of patients and renal grafts. ResultsFifty-three HIV-infected recipients and 106 controls were enrolled. Baseline characteristics were similar, but a higher frequency of pre-transplant positivity for hepatitis C virus and cytomegalovirus infections was found in the HIV group. Immunosuppressive regimens did not differ, but a trend was observed toward lower use of anti-thymocyte globulin in the group of HIV-infected recipients (P = 0.079). The HIV-positive recipient group presented a higher incidence of treated AR (P = 0.036) and DGF (P = 0.044). Chronic Kidney Disease Epidemiology Collaboration estimated that glomerular filtration rate was similar at 6 months (P = 0.374) and at 12 months (P = 0.957). The median number of infections per patient was higher in the HIV-infected group (P = 0.018). The 1-year patient survival (P < 0.001) and graft survival (P = 0.004) were lower, but acceptable, in the group of HIV-infected patients. ConclusionsIn the Brazilian experience, despite somewhat inferior outcomes, kidney transplantation is an adequate therapy for selected HIV-infected recipients.
conferenceObject Is CMV Prophylaxis Effective in CMV-Seropositive Patients Receiving Thymoglobulin as Induction Therapy?(2016) FEITOSA, E.; AGENA, F.; REUSING JR., J.; LEMOS, F.; DAVID-NETO, E.conferenceObject Original KDRI Predicts Kidney Graft Failure in a Brazilian Cohort.(2016) REUSING, J.; NIHEI, C.; SOUZA, A. Lino de; DAVID-NETO, E.; VENTURA, C.