COVID-19 early curative treatments in kidney transplant recipients: Is it really reasonable in the Omicron era? (notice n° 191664)

détails MARC
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control field 20250112044658.0
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Personal name Tamzali, Yanis
Relator term author
245 00 - TITLE STATEMENT
Title COVID-19 early curative treatments in kidney transplant recipients: Is it really reasonable in the Omicron era?
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2023.<br/>
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General note 38
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Summary, etc. Objective. Data about the efficacy and safety of the latest COVID-19 treatments, nirmatrelvir/ritonavir (n/r) and sotrovimab, is scarce in solid organ transplant recipients in the Omicron era. This study aims to describe the outcome of kidney transplant recipients (KTRs) presenting Omicron infection according to their management: n/r, sotrovimab, or no specific treatment. Patients and methods. We conducted a monocentric, retrospective observational study, including KTRs diagnosed with Omicron infection between January and May 1, 2022 and compared their outcome (primary outcome defined as hospital admission for COVID-19 within a month after symptoms onset) according to early COVID-19 management. Results. Forty-five patients were included: 22 treated (12 n/r, 10 sotrovimab) and 23 with no specific treatment. The groups were statistically comparable. Two patients were admitted for COVID-19: one in each group, resulting in a non-different probability of the primary outcome at one month (p=0.9). Three patients presented with tacrolimus overdose, and two of these patients also presented with acute kidney injury. Conclusions. There was no difference in outcome depending on whether patients had early treatment with n/r, sotrovimab, or whether they had no specific treatment. Our study both highlights a decreased severity of Omicron COVID-19 in KTRs (probably related to vaccinal immunity and the decreased virulence of Omicron) and the potential severe adverse effects of n/r.
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Lundy, Alexia
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Bleibtreu, Alexandre
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Cazenave, Maud
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Mohammadou, Inna
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Arzouk, Nadia
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Galichon, Pierre
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Marot, Stéphane
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Junot, Helga
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Barrou, Benoît
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Pourcher, Valérie
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Tourret, Jérôme
Relator term author
786 0# - DATA SOURCE ENTRY
Note Néphrologie & Thérapeutique | Volume 19 | 6 | 2023-06-01 | p. 491-496 | 1769-7255
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/journal-nephrologie-therapeutique-2023-6-page-491?lang=en">https://shs.cairn.info/journal-nephrologie-therapeutique-2023-6-page-491?lang=en</a>

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