TABLE 6.
Setting | Reference | No. of patients | Breakpoints or associationsa | Outcome |
---|---|---|---|---|
Renal transplant | Fox et al. (57) | 103 | >106.5 DNA copies per ml of urine | Higher association with CMV disease |
Kühn et al. (102) | 58 | >1,000 DNA copies per 106 copies of cellular DNA | Highly predictive for CMV disease | |
Cope et al. (43) | 196 | Each 0.25 log10 increase in baseline CMV DNA load in urine | 2.8-fold increase in CMV disease risk | |
Toyoda et al. (170) | 25 | >500 DNA copies per 1 μg of total DNA | Increased risk of CMV disease | |
Liver transplant | Cope et al. (42) | 162 | Each 0.25 log10 increase in baseline CMV DNA load in whole blood | 2.7-fold increase in CMV disease risk |
104.75–105.25 DNA copies per ml | Increased disease probability | |||
Cardiac transplant | Toyoda et al. (170) | 95 | >500 DNA copies per 1 μg of total DNA | Increased risk of CMV disease |
Allogeneic marrow transplant | Zaia et al. (184) | 117 | >104 DNA copies per ml of plasma | Increased risk of CMV disease after day 100 posttransplant |
Gor et al. (77) | 110 | >104 DNA copies per ml of whole blood | Odds ratio for disease, 6.46 (95% CIb, 1.5–27.4) | |
>105 DNA copies per ml of whole blood | Odds ratio for disease 10.66 (95% CI, 1.8–60.5) | |||
HIV | Shinkai et al. (156) | 94 | >100 DNA copies per μl of plasma | High predictive values for CMV disease |
Rasmussen et al. (133) | 75 | >320 copies per μg of DNA | Sustained level associated with CMV retinitis | |
>32 copies per 25 μl of plasma | ||||
Bowen et al. (31) | 97 | Each 0.25 log10 increase in baseline CMV DNA load in whole blood | 1.37-fold increase in risk in CMV disease | |
Spector et al. (162) | 201 | Each log10 increase in baseline CMV DNA load in plasma | 3.1-fold increase in risk in CMV disease; 2.2-fold increase in mortality |
Shown are specific breakpoints or relative increases in quantitative CMV load that are associated with an increased risk of disease.
CI, confidence interval.