医学
重症监护医学
肾移植
巨细胞病毒
诺如病毒
移植
流行病学
器官移植
接种疫苗
免疫学
内科学
病毒
病毒性疾病
疱疹病毒科
作者
Akansha Agrawal,Michael G. Ison,Lara Danziger‐Isakov
出处
期刊:Clinical Journal of The American Society of Nephrology
[American Society of Nephrology]
日期:2022-02-01
卷期号:17 (2): 286-295
被引量:37
摘要
Infections remain a common complication of solid-organ transplantation. Most infections in the first month after transplant are typically health care-associated infections, whereas late infections, beyond 6-12 months, are community-acquired infections. Opportunistic infections most frequently present in the first 12 months post-transplant and can be modulated on prior exposures and use of prophylaxis. In this review, we summarize the current epidemiology of postkidney transplant infections with a focus on key viral (BK polyomavirus, cytomegalovirus, Epstein-Barr virus, and norovirus), bacterial (urinary tract infections and Clostridioides difficile colitis), and fungal infections. Current guidelines for safe living post-transplant are also summarized. Literature supporting prophylaxis and vaccination is also provided.
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