کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3467352 1596569 2012 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Risk factors for herpes zoster reactivation in maintenance hemodialysis patients
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
Risk factors for herpes zoster reactivation in maintenance hemodialysis patients
چکیده انگلیسی

ObjectiveHerpes zoster (HZ) reactivation is common in immunocompromised patients. Advanced renal failure is also reportedly associated with impairment of cellular immunity. There is not any study yet assessing risk factors of HZ reactivation in hemodialysis patients.MethodsAll patients undergoing maintenance hemodialysis for more than 3 months and who developed HZ between 2000/01/01 and 2009/12/31 in a tertiary referral medical center were identified, and matched 1:1 to hemodialysis patients without HZ by age and gender. Multivariate-adjusted conditional logistic regression model was constructed to determine possible risk factors.ResultsOut of a total of 126 maintenance hemodialysis patients (65.3% female), 63 belonged to the HZ reactivation group and 63 to the age/sex matched control patients. Conditional logistic regression model linked corticosteroid use with heightened risk (odds ratio [OR] 20.2, 95% confidence interval [CI] 3.5–125.6; p = 0.002), while iron therapy and 1α-hydroxylated vitamin D were associated with significantly lower likelihood of developing HZ (OR 0.12, 95%CI 0.0–0.6; p = 0.01, and OR 0.06, 95% CI 0.0–0.4; p = 0.005 respectively).ConclusionsUse of iron preparations and 1α-hydroxylated vitamin D is potentially associated with less risk of developing HZ reactivation in maintenance hemodialysis patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Internal Medicine - Volume 23, Issue 8, December 2012, Pages 711–715
نویسندگان
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