TABLE 4.
Characteristic | Result for centers with: |
P valuec | |
---|---|---|---|
PCR follow-up (6 centers) | No PCR follow-up (5 centers) | ||
Annual no. of allografts | 410 | 330 | |
Annual no. of PCRs (mean ± SEM) | 796 ± 624 | 48 ± 26 | 0.0095** |
No. of PCRs/no. of allo-HSCT patients (mean ± SEM) | 10 ± 2.8 | 0.6 ± 0.2 | 0.0043** |
No. of patients with PCR+ test | 56 | 16 | NA |
No. of PCR+ patients/no. engrafted (%, mean ± SEM) | 4.9 ± 1.6 | 1.7 ± 0.6 | 0.177 (NS) |
Asymptomatic patients with PCR+ test | |||
Total no. of patients | 23 | 0 | 0.0015** |
No. detected/no. engrafted (%, mean ± SEM) | 2.1 ± 0.8 | NA | |
Type of positive sample | Blood | NA | |
No. of PCR+ results/patient (mean ± SEM) | 1.7 ± 0.6 | NA | |
No. of patients under chemoprophylaxis | 8 | NA | |
No. (%) treated | 17b (74) | NA | |
No. (%) that survived | 23 (100) | NA | |
Symptomatic PCR+ patients | |||
Total no. PCR+ patients | 33 | 16 | |
No. detected/no. engrafted (%, mean ± SEM) | 2.8 ± 0.9 | 1.7 ± 0.6 | 0.329 (NS) |
No. (%) with: | |||
Disseminated toxoplasmosis | 21 (64) | 9 (56) | 0.756 (NS) |
Cerebral toxoplasmosis | 8 (24) | 4 (25) | 1 (NS) |
Isolated fever | 3 (9) | 2 (13) | 0.672 (NS) |
Ocular toxoplasmosis | 1 (3) | 1 (6) | 1 (NS) |
No. (%) that survived | 25 (76) | 8 (50) | 0.106 (NS) |
Overall survival (%) of the 72 patients | 48 (86) | 8 (50) | 0.005** |
In total, this analysis included data for 72 patients from 11 centers whose policies did or did not include PCR follow-up. NA, not applicable.
The six untreated patients received chemoprophylaxis.
**, P < 0.01; NS, not significant.