EFFECTS OF MAINTENANCE DOSES OF MYCOPHENOLATE ON INFECTION COMPLICATION RATES IN KIDNEY TRANSPLANT RECIPIENTS

Thị Kim Dung Nguyễn 1, Gia Tuyển Đỗ 1, Thế Cường NGuyễn 2,
1 HMU
2 Viet Duc hospital

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Abstract

Objectives: To examine the usual maintenance dose of mycophenolate mofetil (MMF) in kidney transplant recipients treated in renal clinic of Vietduc University Hospital within the first 3 years after transplantation and to investigate the relationship between the maintenance dose of MMF with infectious complications in kidney transplant recipients. Methods: A retrospective, descriptive study included 200 kidney transplant recipients using a triple drug immunosuppressive regimen including Prednisolone, Tacrolimus (Prograf®), and MMF. Data was collected at 6 months, 12 months, 24 months, and 36 months after transplantation including immunosuppressive drugs doses, infection episodes and graft function. Results: After kidney transplantation, the dose of MMF tends to decrease gradually over time. MMF doses ≥ 31.83 mg/kg/day in the first 6 months have the potential to cause infection with a sensitivity of 57.5% and a specificity of 68.2%. Conclusion: MMF dose in the first 6 months is associated with infectious complications.

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References

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