The impact of HCV infection after liver transplantation remains a topic of discussion. The aims of this study were to define the prevalence of anti-HCV antibodies in liver donors; the risk of acquired HCV infection and HCV re-infection according to the pre-transplant anti-HCV status; the prevalence of HCV infection in post-transplant chronic hepatitis. Sera from 42 recipients with follow up longer than 6 months and their donors were tested for anti-HCV. By results at pre-transplant time patients were classified as follows: donor (D) negative and recipient (R) negative (D-/R-) 31; D-/R+ 9; D+/R- 1; D+/R+ 1. Twenty-one patients with sustained hepatic dysfunction underwent liver biopsy. In group D-/R-, 5 patients showed anti-HCV positivity and 3 (9.7%) of them had acquired HCV hepatitis. In group D-/R+, 6 patients showed persistent anti-HCV positivity and 4 (44.4%) of them had recurrent HCV hepatitis; of these 2 died due to liver failure. The 2 patients of groups D+/R- and D+/R+ had normal liver function. Anti-HCV negative hepatitis was found in 2 patients. The prevalence of anti-HCV positivity in liver donors appeared low (3.2%). Acquired HCV infection rate was 9.7%. Pre-transplant HCV infection led to a high incidence of recurrence (44.4%). HCV was the major etiological agent in post-transplant chronic hepatitis (77.8%).
Hepatitis C virus infection in liver allograft recipients / L. Caccamo, M. Colledan, B. Gridelli, G. Rossi, M. Doglia, S. Gatti, P. Ghidoni, A. Lucianetti, G. Lunghi, U. Maggi. - In: ARCHIVES OF VIROLOGY. SUPPLEMENTUM. - ISSN 0939-1983. - 8(1993), pp. 291-304.
|Titolo:||Hepatitis C virus infection in liver allograft recipients|
|Parole Chiave:||Immunoblotting; Humans; Seroepidemiologic Studies; Retrospective Studies; Hepatitis Antibodies; Aged; Child; Liver Transplantation; Tissue Donors; Child, Preschool; Risk; Postoperative Complications; Adult; Incidence; Enzyme-Linked Immunosorbent Assay; Follow-Up Studies; Hepatitis C; Hepatitis C Antibodies; Adolescent; Male; Female; Prevalence|
|Settore Scientifico Disciplinare:||Settore MED/18 - Chirurgia Generale|
|Data di pubblicazione:||1993|
|Appare nelle tipologie:||01 - Articolo su periodico|