Table 1.

Episode Characteristics

CharacteristicsAll Episodes (n = 103)PIV (n = 48)RSV (n = 33)MPV (n = 22)P Value
Age, median years (range)52.3 (19.9–70.6)51.6 (22.3–68.2)52.5 (19.9–70.6)53.6 (26.7–69.2).509
Male, n (%)72 (69.9)34 (70.8)24 (72.7)14 (63.6).786
Female, n (%)31 (30.1)14 (29.2)9 (27.3)8 (36.4)
Time post-alloHCT, median (IQR).166
Underlying disease518 (212–1014)627.5 (234.5–1252.5)382 (162–709)503.5 (298.8–1066.8).859
 Acute lymphoid leukemia, n (%)17 (16.5)8 (16.7)5 (15.2)4 (18.2)
 Acute myeloid leukemia, n (%)31 (30.1)15 (31.3)9 (27.3)7 (31.8)
 Chronic myeloid leukemia, n (%)7 (6.8)2 (4.2)2 (6.1)3 (13.6)
 Chronic lymphoid leukemia, n (%)6 (5.8)2 (4.2)3 (9.1)1 (4.5)
 Myelodysplastic syndrome n (%)8 (7.8)4 (8.3)4 (12.1)0
 Myeloproliferative syndrome, n (%)6 (5.8)2 (4.2)1 (3.0)3 (13.6)
 Multiple myeloma, n (%)13 (12.6)6 (12.5)4 (12.1)3 (13.6)
 Non-Hodgkin lymphoma, n (%)11 (10.7)7 (14.6)3 (9.1)1 (4.5)
 Primary immunodeficiencies, n (%)3 (2.9)2 (4.2)1 (3.0)0
 Aplastic anemia, n (%)1 (1.0)001 (4.5)
Type of transplant.088
 HLA-matched related, n (%)42 (40.8)24 (50.0)12 (36.4)6 (27.3)
 HLA-matched unrelated, n (%)36 (35.0)16 (33.3)9 (27.3)11 (50.0)
 HLA-mismatched related, n (%)5 (4.9)03 (9.1)2 (9.1)
 HLA-mismatched unrelated, n (%)20 (19.4)8 (16.7)9 (27.3)3 (13.6)
Cytomegalovirus Status.229
 D/R−/−, n (%)39 (37.7)15 (31.3)12 (36.4)12 (54.5)
 D/R−/+, n (%)31 (30.1)17 (35.4)9 (27.3)5 (22.7)
 D/R+/−, n (%)5 (4.9)1 (2.1)4 (12.1)0
 D/R+/+, n (%)28 (27.2)15 (31.3)8 (24.2)5 (22.7)
Stem Cell Source1.000
 Bone marrow, n (%)0000
 Peripheral blood, n (%)102 (99.0)47 (97.9)33 (100.0)22 (100.0)
 Umbilical cord blood, n (%)1 (1.0)1 (2.1)00
Conditioning Regimen.840
 Myeloablative, n (%)60 (58.3)27 (56.3)19 (57.6)14 (63.6)
 Non-myeloablative, n (%)43 (41.7)21 (43.8)14 (42.4)8 (36.4)
Hematological Condition at RTID Diagnosis
Complete remission87 (84.5)40 (83.3)28 (84.8)19 (86.4).422
GvHD64 (62.1)29 (60.4)19 (57.6)16 (72.7).505
 GvHD grade ≥ 238 (36.9)17 (35.4)9 (27.3)12 (54.5).236
 Bronchiolitis obliterans, n (%)23 (22.3)13 (27.1)4 (12.1)6 (27.3).241
Immunosuppressives.139
 Calcineurin inhibitors (TAC; CYA), n (%)53 (51.5)22 (45.8)19 (57.6)12 (54.5)
 Mycophenolate mofetil, n (%)3 (2.9)2 (4.2)1 (3.0)0
 CNI + MMF, n (%)25 (24.3)11 (22.9)5 (15.2)9 (40.9)
 Steroids, n (%)49 (47.6)24 (50.0)14 (42.4)11 (50.0)
CharacteristicsAll Episodes (n = 103)PIV (n = 48)RSV (n = 33)MPV (n = 22)P Value
Age, median years (range)52.3 (19.9–70.6)51.6 (22.3–68.2)52.5 (19.9–70.6)53.6 (26.7–69.2).509
Male, n (%)72 (69.9)34 (70.8)24 (72.7)14 (63.6).786
Female, n (%)31 (30.1)14 (29.2)9 (27.3)8 (36.4)
Time post-alloHCT, median (IQR).166
Underlying disease518 (212–1014)627.5 (234.5–1252.5)382 (162–709)503.5 (298.8–1066.8).859
 Acute lymphoid leukemia, n (%)17 (16.5)8 (16.7)5 (15.2)4 (18.2)
 Acute myeloid leukemia, n (%)31 (30.1)15 (31.3)9 (27.3)7 (31.8)
 Chronic myeloid leukemia, n (%)7 (6.8)2 (4.2)2 (6.1)3 (13.6)
 Chronic lymphoid leukemia, n (%)6 (5.8)2 (4.2)3 (9.1)1 (4.5)
 Myelodysplastic syndrome n (%)8 (7.8)4 (8.3)4 (12.1)0
 Myeloproliferative syndrome, n (%)6 (5.8)2 (4.2)1 (3.0)3 (13.6)
 Multiple myeloma, n (%)13 (12.6)6 (12.5)4 (12.1)3 (13.6)
 Non-Hodgkin lymphoma, n (%)11 (10.7)7 (14.6)3 (9.1)1 (4.5)
 Primary immunodeficiencies, n (%)3 (2.9)2 (4.2)1 (3.0)0
 Aplastic anemia, n (%)1 (1.0)001 (4.5)
Type of transplant.088
 HLA-matched related, n (%)42 (40.8)24 (50.0)12 (36.4)6 (27.3)
 HLA-matched unrelated, n (%)36 (35.0)16 (33.3)9 (27.3)11 (50.0)
 HLA-mismatched related, n (%)5 (4.9)03 (9.1)2 (9.1)
 HLA-mismatched unrelated, n (%)20 (19.4)8 (16.7)9 (27.3)3 (13.6)
Cytomegalovirus Status.229
 D/R−/−, n (%)39 (37.7)15 (31.3)12 (36.4)12 (54.5)
 D/R−/+, n (%)31 (30.1)17 (35.4)9 (27.3)5 (22.7)
 D/R+/−, n (%)5 (4.9)1 (2.1)4 (12.1)0
 D/R+/+, n (%)28 (27.2)15 (31.3)8 (24.2)5 (22.7)
Stem Cell Source1.000
 Bone marrow, n (%)0000
 Peripheral blood, n (%)102 (99.0)47 (97.9)33 (100.0)22 (100.0)
 Umbilical cord blood, n (%)1 (1.0)1 (2.1)00
Conditioning Regimen.840
 Myeloablative, n (%)60 (58.3)27 (56.3)19 (57.6)14 (63.6)
 Non-myeloablative, n (%)43 (41.7)21 (43.8)14 (42.4)8 (36.4)
Hematological Condition at RTID Diagnosis
Complete remission87 (84.5)40 (83.3)28 (84.8)19 (86.4).422
GvHD64 (62.1)29 (60.4)19 (57.6)16 (72.7).505
 GvHD grade ≥ 238 (36.9)17 (35.4)9 (27.3)12 (54.5).236
 Bronchiolitis obliterans, n (%)23 (22.3)13 (27.1)4 (12.1)6 (27.3).241
Immunosuppressives.139
 Calcineurin inhibitors (TAC; CYA), n (%)53 (51.5)22 (45.8)19 (57.6)12 (54.5)
 Mycophenolate mofetil, n (%)3 (2.9)2 (4.2)1 (3.0)0
 CNI + MMF, n (%)25 (24.3)11 (22.9)5 (15.2)9 (40.9)
 Steroids, n (%)49 (47.6)24 (50.0)14 (42.4)11 (50.0)

Abbreviations: alloHCT, allogeneic hematopoetic cell transplantation; CNI, calcineurin inhibitors; CYA, cyclosporine A; D/R, donor/recipient; GvHD, Graft-versus-host disease; HLA, human leucocyte antigen; IQR, interquartile range; MMF, mycophenolate mofetil; MPV, human metapneumovirus; PIV, parainfluenza virus; RSV, respiratory syncytial virus; RTID, respiratory tract infectious disease; TAC, tacrolimus.

Table 1.

Episode Characteristics

CharacteristicsAll Episodes (n = 103)PIV (n = 48)RSV (n = 33)MPV (n = 22)P Value
Age, median years (range)52.3 (19.9–70.6)51.6 (22.3–68.2)52.5 (19.9–70.6)53.6 (26.7–69.2).509
Male, n (%)72 (69.9)34 (70.8)24 (72.7)14 (63.6).786
Female, n (%)31 (30.1)14 (29.2)9 (27.3)8 (36.4)
Time post-alloHCT, median (IQR).166
Underlying disease518 (212–1014)627.5 (234.5–1252.5)382 (162–709)503.5 (298.8–1066.8).859
 Acute lymphoid leukemia, n (%)17 (16.5)8 (16.7)5 (15.2)4 (18.2)
 Acute myeloid leukemia, n (%)31 (30.1)15 (31.3)9 (27.3)7 (31.8)
 Chronic myeloid leukemia, n (%)7 (6.8)2 (4.2)2 (6.1)3 (13.6)
 Chronic lymphoid leukemia, n (%)6 (5.8)2 (4.2)3 (9.1)1 (4.5)
 Myelodysplastic syndrome n (%)8 (7.8)4 (8.3)4 (12.1)0
 Myeloproliferative syndrome, n (%)6 (5.8)2 (4.2)1 (3.0)3 (13.6)
 Multiple myeloma, n (%)13 (12.6)6 (12.5)4 (12.1)3 (13.6)
 Non-Hodgkin lymphoma, n (%)11 (10.7)7 (14.6)3 (9.1)1 (4.5)
 Primary immunodeficiencies, n (%)3 (2.9)2 (4.2)1 (3.0)0
 Aplastic anemia, n (%)1 (1.0)001 (4.5)
Type of transplant.088
 HLA-matched related, n (%)42 (40.8)24 (50.0)12 (36.4)6 (27.3)
 HLA-matched unrelated, n (%)36 (35.0)16 (33.3)9 (27.3)11 (50.0)
 HLA-mismatched related, n (%)5 (4.9)03 (9.1)2 (9.1)
 HLA-mismatched unrelated, n (%)20 (19.4)8 (16.7)9 (27.3)3 (13.6)
Cytomegalovirus Status.229
 D/R−/−, n (%)39 (37.7)15 (31.3)12 (36.4)12 (54.5)
 D/R−/+, n (%)31 (30.1)17 (35.4)9 (27.3)5 (22.7)
 D/R+/−, n (%)5 (4.9)1 (2.1)4 (12.1)0
 D/R+/+, n (%)28 (27.2)15 (31.3)8 (24.2)5 (22.7)
Stem Cell Source1.000
 Bone marrow, n (%)0000
 Peripheral blood, n (%)102 (99.0)47 (97.9)33 (100.0)22 (100.0)
 Umbilical cord blood, n (%)1 (1.0)1 (2.1)00
Conditioning Regimen.840
 Myeloablative, n (%)60 (58.3)27 (56.3)19 (57.6)14 (63.6)
 Non-myeloablative, n (%)43 (41.7)21 (43.8)14 (42.4)8 (36.4)
Hematological Condition at RTID Diagnosis
Complete remission87 (84.5)40 (83.3)28 (84.8)19 (86.4).422
GvHD64 (62.1)29 (60.4)19 (57.6)16 (72.7).505
 GvHD grade ≥ 238 (36.9)17 (35.4)9 (27.3)12 (54.5).236
 Bronchiolitis obliterans, n (%)23 (22.3)13 (27.1)4 (12.1)6 (27.3).241
Immunosuppressives.139
 Calcineurin inhibitors (TAC; CYA), n (%)53 (51.5)22 (45.8)19 (57.6)12 (54.5)
 Mycophenolate mofetil, n (%)3 (2.9)2 (4.2)1 (3.0)0
 CNI + MMF, n (%)25 (24.3)11 (22.9)5 (15.2)9 (40.9)
 Steroids, n (%)49 (47.6)24 (50.0)14 (42.4)11 (50.0)
CharacteristicsAll Episodes (n = 103)PIV (n = 48)RSV (n = 33)MPV (n = 22)P Value
Age, median years (range)52.3 (19.9–70.6)51.6 (22.3–68.2)52.5 (19.9–70.6)53.6 (26.7–69.2).509
Male, n (%)72 (69.9)34 (70.8)24 (72.7)14 (63.6).786
Female, n (%)31 (30.1)14 (29.2)9 (27.3)8 (36.4)
Time post-alloHCT, median (IQR).166
Underlying disease518 (212–1014)627.5 (234.5–1252.5)382 (162–709)503.5 (298.8–1066.8).859
 Acute lymphoid leukemia, n (%)17 (16.5)8 (16.7)5 (15.2)4 (18.2)
 Acute myeloid leukemia, n (%)31 (30.1)15 (31.3)9 (27.3)7 (31.8)
 Chronic myeloid leukemia, n (%)7 (6.8)2 (4.2)2 (6.1)3 (13.6)
 Chronic lymphoid leukemia, n (%)6 (5.8)2 (4.2)3 (9.1)1 (4.5)
 Myelodysplastic syndrome n (%)8 (7.8)4 (8.3)4 (12.1)0
 Myeloproliferative syndrome, n (%)6 (5.8)2 (4.2)1 (3.0)3 (13.6)
 Multiple myeloma, n (%)13 (12.6)6 (12.5)4 (12.1)3 (13.6)
 Non-Hodgkin lymphoma, n (%)11 (10.7)7 (14.6)3 (9.1)1 (4.5)
 Primary immunodeficiencies, n (%)3 (2.9)2 (4.2)1 (3.0)0
 Aplastic anemia, n (%)1 (1.0)001 (4.5)
Type of transplant.088
 HLA-matched related, n (%)42 (40.8)24 (50.0)12 (36.4)6 (27.3)
 HLA-matched unrelated, n (%)36 (35.0)16 (33.3)9 (27.3)11 (50.0)
 HLA-mismatched related, n (%)5 (4.9)03 (9.1)2 (9.1)
 HLA-mismatched unrelated, n (%)20 (19.4)8 (16.7)9 (27.3)3 (13.6)
Cytomegalovirus Status.229
 D/R−/−, n (%)39 (37.7)15 (31.3)12 (36.4)12 (54.5)
 D/R−/+, n (%)31 (30.1)17 (35.4)9 (27.3)5 (22.7)
 D/R+/−, n (%)5 (4.9)1 (2.1)4 (12.1)0
 D/R+/+, n (%)28 (27.2)15 (31.3)8 (24.2)5 (22.7)
Stem Cell Source1.000
 Bone marrow, n (%)0000
 Peripheral blood, n (%)102 (99.0)47 (97.9)33 (100.0)22 (100.0)
 Umbilical cord blood, n (%)1 (1.0)1 (2.1)00
Conditioning Regimen.840
 Myeloablative, n (%)60 (58.3)27 (56.3)19 (57.6)14 (63.6)
 Non-myeloablative, n (%)43 (41.7)21 (43.8)14 (42.4)8 (36.4)
Hematological Condition at RTID Diagnosis
Complete remission87 (84.5)40 (83.3)28 (84.8)19 (86.4).422
GvHD64 (62.1)29 (60.4)19 (57.6)16 (72.7).505
 GvHD grade ≥ 238 (36.9)17 (35.4)9 (27.3)12 (54.5).236
 Bronchiolitis obliterans, n (%)23 (22.3)13 (27.1)4 (12.1)6 (27.3).241
Immunosuppressives.139
 Calcineurin inhibitors (TAC; CYA), n (%)53 (51.5)22 (45.8)19 (57.6)12 (54.5)
 Mycophenolate mofetil, n (%)3 (2.9)2 (4.2)1 (3.0)0
 CNI + MMF, n (%)25 (24.3)11 (22.9)5 (15.2)9 (40.9)
 Steroids, n (%)49 (47.6)24 (50.0)14 (42.4)11 (50.0)

Abbreviations: alloHCT, allogeneic hematopoetic cell transplantation; CNI, calcineurin inhibitors; CYA, cyclosporine A; D/R, donor/recipient; GvHD, Graft-versus-host disease; HLA, human leucocyte antigen; IQR, interquartile range; MMF, mycophenolate mofetil; MPV, human metapneumovirus; PIV, parainfluenza virus; RSV, respiratory syncytial virus; RTID, respiratory tract infectious disease; TAC, tacrolimus.

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