Table 1.
First author | Organ | Prevention strategy | Antiviral drug | Dose (mg/days) | Intervention time (days) | Number of samples | D−/R+ (%) | Follow-up time (days) | Immunosuppressive regimen | |
---|---|---|---|---|---|---|---|---|---|---|
Acyclovir vs control | ||||||||||
Balfour [6] | Renal | Prophylaxis | Acyclovir | 3200 | 84 | 53 | 365 | Azathioprine, cyclosporine, prednisone, antiymphoblast globulin | ||
Control | 3200 | 84 | 51 | 365 | Azathioprine, cyclosporine, prednisone, antiymphoblast globulin | |||||
Barkholt [7] | Liver | Prophylaxis | Acyclovir | 3200 | 84 | 28 | 2 (7) | 168 | Cyclosporine, azathioprine, steroids | |
Control | 3200 | 84 | 27 | 3 (11) | 168 | Cyclosporine, azathioprine, steroids | ||||
Acyclovir vs ganciclovir | ||||||||||
Singh [8] | Liver | Prophylaxis | Acyclovir | 3200 | 7 | 24 | 7 (30) | 168 | Tacrolimus, methylprednisolone | |
Preemptive | Ganciclovir | 10 mg/kg | 168 | 23 | 8 (33) | 168 | Tacrolimus, methylprednisolone | |||
Duncan [9] | Lung | Prophylaxis | Acyclovir | 3200 | 90 | 12 | 742 ± 44 | Azathioprine, cyclosporine, antilymphoblast globulin/antilymphocyt globulin, methylprednisolone | ||
Prophylaxis | Ganciclovir | 5 mg/kg 5 days/week | 90 | 13 | 690 ± 85 | Azathioprine, cyclosporine, antilymphoblast globulin/antilymphocyt globulin, methylprednisolone | ||||
Rubin [10] | Renal, heart, liver | Prophylaxis | Acyclovir | 1200 | 84 | 78 | 77 (100) | 365 | ||
Prophylaxis | Ganciclovir | 3000 | 84 | 77 | 78 (100) | 365 | ||||
Winston [11] | Liver | Prophylaxis | Acyclovir | 3200 | 100 | 109 | 365 | Tacrolimus/cyclosporine, corticosteroids, azathioprine | ||
Prophylaxis | Ganciclovir | 3000 | 100 | 110 | 365 | Tacrolimus/cyclosporine, corticosteroids, azathioprine | ||||
Acyclovir vs valacyclovir | ||||||||||
Egan [12] | Heart | Prophylaxis | Acyclovir | 800 | 90 | 13 | 1 (7) | 180 | Azathioprine, cyclosporine, prednisolone | |
Prophylaxis | Valacyclovir | 2000 | 90 | 14 | 0 (0) | 180 | Azathioprine, cyclosporine, prednisolone | |||
Ganciclovir vs control | ||||||||||
Merigan [13] | Heart | Prophylaxis | Ganciclovir | 10 mg/k + 6 mg/kg/days 5 days/week | 14 + 14 | 76 | 19 (25) | 120 | Corticosteroids, azathioprine, cyclosporine, OKT3 antibody | |
Prophylaxis | Control | 10 mg/k + 6 mg/kg/days 5 days/week | 14 + 14 | 73 | 16 (22) | 120 | Corticosteroids, azathioprine, cyclosporine, OKT3 antibody | |||
Hibberd [14] | Renal | Preemptive | Ganciclovir | 2.5 mg/kg/days | 9 | 64 | 180 | Azathioprine, cyclosporine, prednisone, methylprednisolone | ||
Preemptive | Control | 0 | 0 | 49 | 180 | Azathioprine, cyclosporine, prednisone, methylprednisolone | ||||
Gane [15] | Liver | Prophylaxis | Ganciclovir | 3000 | 98 | 150 | 21 (14) | 180 | Cyclosporine/tacrolimus | |
Prophylaxis | Control | 3000 | 98 | 154 | 25 (16) | 180 | Cyclosporine/tacrolimus | |||
Paya [16] | Liver | Preemptive | Ganciclovir | 3000 | 56 | 35 | 9 (26) | 110 | ||
Preemptive | Control | 3000 | 56 | 34 | 11 (32) | 110 | ||||
Sagedal [17] | Renal | Preemptive | Ganciclovir | 3000 | 49 | 42 | 5 (12) | 365 | Tacrolimus/cyclosporine, prednisolone | |
Deferred | Control | 3000 | 28 | 38 | 3 (8) | 365 | Tacrolimus/cyclosporine, prednisolone | |||
Ganciclovir vs valacyclovir | ||||||||||
Pavlopoulou [18] | Renal | Prophylaxis | Ganciclovir | 3000 | 90 | 40 | 6 (14) | 180 | Tacrolimus, MMF, methylprednisolone | |
Prophylaxis | Valacyclovir | 8000 | 90 | 43 | 6 (15) | 180 | Tacrolimus, MMF, methylprednisolone | |||
Reischig [19] | Renal | Prophylaxis | Ganciclovir | 3000 | 90 | 36 | 5 (14) | 730 | Tacrolimus, MMF, azathioprine | |
Prophylaxis | Valacyclovir | 8000 | 90 | 35 | 4 (11) | 730 | Tacrolimus, MMF, azathioprine | |||
Ganciclovir vs valganciclovir | ||||||||||
Paya [20] | Heart, liver, renal, pancreas | Prophylaxis | Ganciclovir | 3000 | 100 | 127 | 245 (100) | 365 | ||
Prophylaxis | Valganciclovir | 900 | 100 | 245 | 127 (100) | 365 | ||||
Valganciclovir vs valacyclovir | ||||||||||
Reischig [21] | Renal | Prophylaxis | Valganciclovir | 900 | 90 | 60 | 7 (11) | 365 | ||
Prophylaxis | Valacyclovir | 8000 | 90 | 59 | 4 (6) | 365 | ||||
Reischig [22] | Renal | Preemptive | Valganciclovir | 1800 | 14 | 36 | 6 (16) | 1095 | Tacrolimus/cyclosporine, MMF | |
Prophylaxis | Valacyclovir | 8000 | 90 | 34 | 4 (12) | 1095 | Tacrolimus/cyclosporine, MMF |
MMF mycophenolate mofetil, OKT3 muromonab-CD3