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Published on: July 9, 2014
Prevention and treatment of infectious complications after solid organ transplantation in children
1Department of Paediatrics, University of Toronto, Toronto, ON M5G 1X8, Canada. upton.allen@sickkids.ca
Insights
Infectious diseases pose significant risks for pediatric transplant recipients, impacting outcomes. This review covers major infections, prevention, and treatment strategies in children post-transplant.
Area of Science:
- Pediatric Medicine
- Transplant Surgery
- Infectious Diseases
Background:
- Infectious diseases are a primary concern following organ transplantation, affecting patient outcomes.
- Pediatric transplant recipients face unique infection risks due to developing immunity and immunosuppressive therapy.
- Infections can lead to direct clinical syndromes and indirect immune-mediated effects.
Purpose of the Study:
- To review major infections in pediatric organ transplant recipients.
- To highlight current prevention and treatment strategies for post-transplant infections in children.
- To provide consensus-based recommendations for managing infections in this vulnerable population.
Main Methods:
- Literature review of major infections after pediatric organ transplantation.
- Analysis of current prevention strategies.
- Summary of treatment approaches based on available data and expert consensus.
Main Results:
- Children are susceptible to various infections post-transplantation, influenced by immune status and immunosuppression.
- Common infections include mononucleosis, pneumonia, gastroenteritis, and hepatitis.
- Both direct and indirect consequences of infections impact patient health and graft survival.
Conclusions:
- Effective management of infections is crucial for successful pediatric organ transplantation.
- Proactive prevention, accurate diagnosis, and timely treatment are essential.
- This review provides a framework for addressing infectious complications in pediatric transplant patients.
Abstract:
Effective prevention, diagnosis, and treatment of infectious diseases after transplantation are key factors contributing to the success of organ transplantation. Most transplant patients experience different kinds of infections during the first year after transplantation. Children are at particular risk of developing some types of infections by virtue of lack of immunity although they may be at risk for other types due the effect of immunosuppressive regimens necessary to prevent rejection. Direct consequences of infections result in syndromes such as mononucleosis, pneumonia, gastroenteritis, hepatitis, among other entities. Indirect consequences are mediated through cytokines, chemokines, and growth factors elaborated by the transplant recipient in response to microbial replication and invasion, which contribute to the net state of immunosuppression among other effects. This review summarizes the major infections that occur after pediatric organ transplantation, highlighting the current treatment and prevention strategies, based on the available data and/or consensus.
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