{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:39:39Z","timestamp":1784194779061,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,7,6]],"date-time":"2015-07-06T00:00:00Z","timestamp":1436140800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Reactivation of <jats:styled-content style=\"fixed-case\">HSV<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">VZV<\/jats:styled-content> is common following <jats:styled-content style=\"fixed-case\">HSCT<\/jats:styled-content>. Consensus guidelines do not support the use of routine screening for viremia following <jats:styled-content style=\"fixed-case\">HSCT<\/jats:styled-content> in adults, but no such clear guidelines exist in pediatrics. In our center, routine practice was to screen patients weekly for <jats:styled-content style=\"fixed-case\">HSV<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">VZV<\/jats:styled-content> viremia until engraftment in autologous transplant patients and up to day +100 in allogeneic transplant patients. We conducted a retrospective study of over 500 patients to establish whether this screening identified any patients with <jats:styled-content style=\"fixed-case\">HSV<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">VZV<\/jats:styled-content> viremia who would not have been identified by clinical signs or symptoms. Over a 4.5\u2010yr period, routine screening identified three cases of <jats:styled-content style=\"fixed-case\">HSV<\/jats:styled-content> viremia and one case of <jats:styled-content style=\"fixed-case\">VZV<\/jats:styled-content> viremia. Two patients had persistent, unexplained fever and two patients had skin or mucosal lesions suggestive of <jats:styled-content style=\"fixed-case\">HSV<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">VZV<\/jats:styled-content>. We conclude that routine screening for <jats:styled-content style=\"fixed-case\">HSV<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">VZV<\/jats:styled-content> viremia in pediatric <jats:styled-content style=\"fixed-case\">HSCT<\/jats:styled-content> patients has a very low yield and that viremia can be reliably identified by targeted testing in patients with vesicular skin lesions, oral or genital ulceration, unexplained fever, neurological symptoms, or unexplained abnormal liver transaminases.<\/jats:p>","DOI":"10.1111\/petr.12551","type":"journal-article","created":{"date-parts":[[2015,7,6]],"date-time":"2015-07-06T12:20:51Z","timestamp":1436185251000},"page":"640-644","source":"Crossref","is-referenced-by-count":8,"title":["The yield of monitoring for <scp>HSV<\/scp> and <scp>VZV<\/scp> viremia in pediatric hematopoietic stem cell transplant patients"],"prefix":"10.1111","volume":"19","author":[{"given":"Katharine","family":"Patrick","sequence":"first","affiliation":[{"name":"Division of Hematology\/Oncology The Hospital for Sick Children Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad","family":"Ali","sequence":"additional","affiliation":[{"name":"Division of Hematology\/Oncology The Hospital for Sick Children Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan E.","family":"Richardson","sequence":"additional","affiliation":[{"name":"Department of Paediatric Laboratory Medicine The Hospital for Sick Children Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Gassas","sequence":"additional","affiliation":[{"name":"Division of Hematology\/Oncology The Hospital for Sick Children Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maarten","family":"Egeler","sequence":"additional","affiliation":[{"name":"Division of Hematology\/Oncology The Hospital for Sick Children Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joerg","family":"Krueger","sequence":"additional","affiliation":[{"name":"Division of Hematology\/Oncology The Hospital for Sick Children Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Lowry","sequence":"additional","affiliation":[{"name":"Division of Hematology\/Oncology The Hospital for Sick Children Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Upton","family":"Allen","sequence":"additional","affiliation":[{"name":"The Division of Infectious Diseases The Hospital for Sick Children Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tal","family":"Schechter","sequence":"additional","affiliation":[{"name":"Division of Hematology\/Oncology The Hospital for Sick Children Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,7,6]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bmt.1703354"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1053\/jinf.2001.0948"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2008.386"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbmt.2009.06.019"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.38.9.3274-3279.2000"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/142.3.338"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-200004000-00009"},{"key":"e_1_2_7_9_1","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/S0308-2261(21)00449-5","article-title":"Herpes virus infections: Clinical manifestations and therapeutic strategies in immunocompromised patients","volume":"13","author":"Saral R","year":"1984","journal-title":"Clin haematol"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-198612000-00006"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-97-6-813"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1086\/379520"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/24.3.334"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bmt.1705191"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bmt.1702119"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bmt.1701594"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/tid.12180"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bbmt.2008.05.006"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bmt.1705856"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/tid.12073"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1998.230_a.x"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/tid.12181"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0012.2005.00382.x"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2005-09-3624"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3062.2010.00541.x"}],"container-title":["Pediatric Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpetr.12551","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/petr.12551","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T13:02:07Z","timestamp":1695560527000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/petr.12551"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7,6]]},"references-count":24,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,9]]}},"alternative-id":["10.1111\/petr.12551"],"URL":"https:\/\/doi.org\/10.1111\/petr.12551","archive":["Portico"],"relation":{},"ISSN":["1397-3142","1399-3046"],"issn-type":[{"value":"1397-3142","type":"print"},{"value":"1399-3046","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,7,6]]}}}