Mycophenolate mofetil in pediatric renal transplantation: a single center experience.

Abstract:

:We assessed our long-term experience with regards to the safety and efficacy of MMF in our pediatric renal transplant population and compared it retrospectively to our previous non-MMF immunosuppressive regimen. Forty-seven pediatric renal transplants received MMF as part of their immunosuppressive protocol in the period from January 1997 till October 2006 (MMF group). A previously reported non-MMF group of 59 pediatric renal transplants was included for comparative analysis (non-MMF group). The MMF group comprised 29 boys and 18 girls, whereas the non-MMF group comprised 34 boys and 25 girls. Mean age was 11.7 and 12 yr in the MMF and non-MMF groups, respectively. The incidence of acute rejection episodes was 11 (23.4%) and 14 (24%) in the MMF and non-MMF group, respectively. Two (3.3%) grafts were lost in the non-MMF group compared with one (2.1%) in the MMF group. Twenty-one (44.68%) patients in the MMF group developed post-transplant infections compared with 12 (20.33%) in the non-MMF group (p < 0.0001). In conclusion, the use of MMF in pediatric renal transplantation was not associated with a lower rejection rate or immunological graft loss. It did, however, result in a significantly higher rate of viral infections.

journal_name

Pediatr Transplant

authors

Raheem OA,Kamel MH,Daly PJ,Mohan P,Little DM,Awan A,Hickey DP

doi

10.1111/j.1399-3046.2009.01179.x

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

240-4

issue

3

eissn

1397-3142

issn

1399-3046

journal_volume

15

pub_type

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