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Acute Gastrointestinal Graft-vs-Host Disease Is Associated With Increased Enteric Bacterial Bloodstream Infection Density in Pediatric Allogeneic Hematopoietic Cell Transplant Recipients
Author(s) -
Anya Levinson,
Kerice Pinkney,
Zhezhen Jin,
Monica Bhatia,
Andrew L. Kung,
Marc Foca,
Diane George,
James H. Garvin,
Jean Sosna,
Esra Karamehmet,
Chalitha Robinson,
Prakash Satwani
Publication year - 2015
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/civ285
Subject(s) - medicine , incidence (geometry) , hazard ratio , graft versus host disease , hematopoietic stem cell transplantation , gastroenterology , disease , proportional hazards model , immunology , transplantation , sepsis , hematopoietic cell , haematopoiesis , confidence interval , stem cell , physics , biology , optics , genetics
Bacterial septicemia remains the leading cause of morbidity and mortality following allogeneic hematopoietic cell transplantation (AlloHCT). While murine studies have found acute gastrointestinal graft-vs-host disease (aG-GVHD) to be associated with increased incidence of enteric bacterial bloodstream infections (EB-BSI), this association has not been studied in humans. We hypothesized that in patients who developed aG-GVHD, the EB-BSI density after onset of aG-GVHD would be higher than before onset and higher than in patients without acute GVHD (aGVHD).

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