Risk factors for herpes zoster reactivation in maintenance hemodialysis patients
Journal
European Journal of Internal Medicine
Journal Volume
23
Journal Issue
8
Pages
711-715
Date Issued
2012
Author(s)
Abstract
Objective: Herpes 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. Methods: All 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. Results: Out 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). Conclusions: Use of iron preparations and 1α-hydroxylated vitamin D is potentially associated with less risk of developing HZ reactivation in maintenance hemodialysis patients. ? 2012 European Federation of Internal Medicine.
SDGs
Other Subjects
1alpha hydroxylated vitamin D; corticosteroid; iron; unclassified drug; vitamin D derivative; adult; aged; article; corticosteroid therapy; female; hemodialysis patient; herpes zoster; human; infection risk; iron therapy; maintenance therapy; major clinical study; male; risk factor; side effect; Varicella zoster virus; virus reactivation; Adrenal Cortex Hormones; Adult; Aged; Aged, 80 and over; Cohort Studies; Female; Herpes Zoster; Humans; Hydroxycholecalciferols; Immunocompromised Host; Iron; Kidney Failure, Chronic; Logistic Models; Male; Middle Aged; Multivariate Analysis; Renal Dialysis; Risk Factors; Tertiary Care Centers; Virus Activation
Type
journal article