Complications post renal transplantation: literature focus on BK virus nephropathy and diagnostic tools actually available
2008

Complications After Kidney Transplantation: Focus on BK Virus Nephropathy

Sample size: 117 publication Evidence: moderate

Author Information

Author(s): Mischitelli Monica, Bellizzi Anna, Anzivino Elena, Fioriti Daniela, Boldorini Renzo, Miglio Umberto, Chiarini Fernanda, Di Monaco Franco, Pietropaolo Valeria

Primary Institution: Department of Public Health Sciences, 'La Sapienza' University, Rome, Italy

Hypothesis

What is the role of Human Polyomavirus BK in renal failure and how can we detect BK virus associated nephropathy?

Conclusion

Early identification of BK virus nephropathy is crucial for intervention and can help prevent graft loss.

Supporting Evidence

  • BKVAN develops in as many as 8% of renal allograft recipients.
  • Up to 50% of patients with BKVAN may experience graft loss within 2 to 3 years.
  • Prospective monitoring may identify active BKV infection before renal function deteriorates.

Takeaway

This study looks at how a virus can cause problems after a kidney transplant and how doctors can find it early to help patients.

Methodology

The authors reviewed medical literature and publications using Medline to understand BK virus's role in renal failure and detection techniques for nephropathy.

Limitations

The relationship between BKV viruria and viremia and their predictive values for BKVAN are still largely undefined.

Participant Demographics

The study involved renal transplant recipients, with a focus on those at risk for BK virus nephropathy.

Digital Object Identifier (DOI)

10.1186/1743-422X-5-38

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