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041 _afre
042 _adc
100 1 0 _aTamzali, Yanis
_eauthor
700 1 0 _a Lundy, Alexia
_eauthor
700 1 0 _a Bleibtreu, Alexandre
_eauthor
700 1 0 _a Cazenave, Maud
_eauthor
700 1 0 _a Mohammadou, Inna
_eauthor
700 1 0 _a Arzouk, Nadia
_eauthor
700 1 0 _a Galichon, Pierre
_eauthor
700 1 0 _a Marot, Stéphane
_eauthor
700 1 0 _a Junot, Helga
_eauthor
700 1 0 _a Barrou, Benoît
_eauthor
700 1 0 _a Pourcher, Valérie
_eauthor
700 1 0 _a Tourret, Jérôme
_eauthor
245 0 0 _aCOVID-19 early curative treatments in kidney transplant recipients: Is it really reasonable in the Omicron era?
260 _c2023.
500 _a38
520 _aObjective. 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.
786 0 _nNéphrologie & Thérapeutique | Volume 19 | 6 | 2023-06-01 | p. 491-496 | 1769-7255
856 4 1 _uhttps://shs.cairn.info/journal-nephrologie-therapeutique-2023-6-page-491?lang=en
999 _c191664
_d191664