Vitamin D deficiency is common in kidney transplant recipients, but is not associated with infections after transplantation.

Details

Serval ID
serval:BIB_F72A9834B808
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Vitamin D deficiency is common in kidney transplant recipients, but is not associated with infections after transplantation.
Journal
Clinical transplantation
Author(s)
Schreiber P.W., Kusejko K., Bischoff-Ferrari H.A., Boggian K., Bonani M., van Delden C., Enriquez N., Fehr T., Garzoni C., Hirsch H.H., Hirzel C., Manuel O., Meylan P., Saleh L., Weisser M., Mueller N.J.
Working group(s)
Swiss Transplant Cohort Study (STCS)
Contributor(s)
Achermann R., Aubert J.D., Baumann P., Beldi G., Benden C., Berger C., Binet I., Bochud P.Y., Boely E., Bucher H., Bühler L., Carell T., Catana E., Chalandon Y., de Geest S., de Rougemont O., Dickenmann M., Duchosal M., Fehr T., Ferrari-Lacraz S., Garzoni C., Gasche Y., Gasche Soccal P., Giostra E., Golshayan D., Good D., Hadaya K., Hess C., Hillinger S., Hirsch H.H., Hofbauer G., Huynh-Do U., Immer F., Klaghofer R., Koller M., Kuntzen T., Laesser B., Lehmann R., Lovis C., Manuel O., Marti H.P., Yves Martin P., Meylan P., Mohacsi P., Morard I., Morel P., Mueller U., Mueller N.J., Mueller-McKenna H., Müller T., Müllhaupt B., Nadal D., Nair G., Pascual M., Passweg J., Piot Ziegler C., Rick J., Roosnek E., Rosselet A., Rothlin S., Ruschitzka F., Schanz U., Schaub S., Seiler C., Semmo N., Stampf S., Steiger J., Toso C., Tsinalis D., Van Delden C., Venetz J.P., Villard J., Wick M., Wilhelm M., Yerly P.
ISSN
1399-0012 (Electronic)
ISSN-L
0902-0063
Publication state
Published
Issued date
02/2020
Peer-reviewed
Oui
Volume
34
Number
2
Pages
e13778
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The relevance of vitamin D for infections after kidney transplantation is poorly defined. 25-OH vitamin D (25-OHD) levels of 135 kidney transplant recipients, enrolled in the Swiss Transplant Cohort Study, were determined peri-transplant and 6 months post-transplant. Logistic regression was used to address the associations of 25-OHD and overall infections and bacterial infections, respectively. For the first 6 months post-transplant, 25-OHD peri-transplant, and for the second period (after 6 to 30 months post-transplant), 25-OHD at 6 months post-transplant was considered. Vitamin D deficiency was common peri-transplant and remained highly prevalent 6 months after transplantation despite frequent supplementation. Median 25-OHD levels increased from 12.0 ng/mL (IQR 5.3-19.5) peri-transplant to 16.5 ng/mL (IQR 10.6-22.6) 6 months post-transplant (P = .005). We did not detect a significant association between 25-OHD and overall infections (adjusted odds ratio (aOR) 1.05, 95% confidence interval (95%CI) 0.44-2.51; aOR 0.67, 95%CI 0.31-1.43) or bacterial infections (aOR 0.79, 95%CI 0.32-1.96; aOR 0.79, 95%CI 0.35-1.75) for the first and second period. To conclude, at both time points, vitamin D deficiency was observed in more than 50% of kidney recipients, albeit an increase in 25-OHD in the longitudinal course was observed. No significant association between 25-OHD and infections was detected.
Keywords
infections, infectious disease medicine, kidney transplantation, vitamin D
Pubmed
Web of science
Create date
10/01/2020 15:31
Last modification date
07/04/2020 5:20
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