All patients with CMV retinitis initially received an intravitreal injection of ganciclovir. In cases of ganciclovir resistance, we administered intravitreal foscarnet [25 (link), 26 (link)]. Patients with reduced CMV viremia who required further systemic treatment for CMV retinitis received the necessary treatment.
Valcyte
Valcyte is a prescription medication used to treat cytomegalovirus (CMV) infections in adults and children. It is an antiviral drug that works by inhibiting the replication of the CMV virus.
Lab products found in correlation
12 protocols using valcyte
CMV Management in HSCT Recipients
All patients with CMV retinitis initially received an intravitreal injection of ganciclovir. In cases of ganciclovir resistance, we administered intravitreal foscarnet [25 (link), 26 (link)]. Patients with reduced CMV viremia who required further systemic treatment for CMV retinitis received the necessary treatment.
Valganciclovir Suppresses Neurogenesis
Valganciclovir and Ganciclovir Dosing Based on eGFR
Ganciclovir/Valganciclovir Therapy for EBV/CMV Seropositivity
Kidney Transplant Prophylactic Regimens
Immunosuppressive Protocol for Organ Transplant
Perioperative antimicrobial prophylaxis consisted of tazobactam/piperacillin (Tazonam®; Pfizer Austria, Vienna, Austria) and ciprofloxacin (Ciproxin®; Bayer Austria, Vienna, Austria) for 3 days. Fluconazole (Diflucan®; Pfizer Austria) was given for 7 days. In the event of a CMV mismatch (D+/R–), antiviral prophylaxis consisted of valganciclovir (Valcyte®; Roche Austria) for 3 months.
Octreotide acetate (Sandostatin®; Novartis Austria) was administered for 7 days. Blood glucose levels were kept below 120 mg/dl in the ICU. In the general ward, levels exceeding 150 mg/dl were treated with subcutaneous insulin. Grafts were monitored closely by daily ultrasound examination
CMV Prophylaxis in Kidney Transplant
Prophylaxis against Pneumocystis and CMV
The CMV prevention strategy at our center has been described previously [16 (link)]. Briefly, high‐risk patients (D+/R‐) received prophylaxis with oral valganciclovir (Valcyte, Roche) 450 mg twice daily adjusted for renal function. Intermediate‐risk patients (R+) received prophylaxis with valganciclovir if they had an induction therapy with ATG or were ABO‐incompatible. All other intermediate‐risk patients were managed by regular monitoring and deferred therapy. Low‐risk patients (D‐/R‐) received no prophylaxis and had no regular screening. Prophylaxis was given for a minimum of 3 months and prolonged if immunosuppression was still considered as high (e.g., recent rejection therapy).
Antiviral Treatment Protocols for Congenital CMV
As mentioned, all cCMV neonates in our clinic underwent a BERA examination within the first 4 weeks of life. Furthermore, in our clinic, follow-up hearing assessments are performed via a BERA examination, in children ≤2 years old, and a behavioral hearing test, in children >2 years of age, every 4-6 months until the age of 5.
The study was approved by the institutional Helsinki committee.
Kidney Transplant CMV Prophylaxis
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