Infections in pediatric solid-organ transplant recipients

Elizabeth Doby Knackstedt1, Lara Danziger-Isakov2

  • 1Division of Pediatric Infectious Disease, University of Utah, Salt Lake City, Utah; Division of Transplant/Immunocompromised Infectious Diseases, Primary Children's Hospital, Salt Lake City, Utah.

Insights

Pediatric solid-organ transplantation is life-saving but carries infection risks. Careful recipient/donor evaluation, surgical planning, and early post-transplant infection recognition are crucial for mitigating these risks.

Area of Science:

  • Pediatric solid-organ transplantation
  • Infectious disease management in immunocompromised patients

Background:

  • Solid-organ transplantation in children is a critical intervention but is associated with significant risks of infection-related complications, including morbidity and mortality.
  • Effective management of pediatric transplantation requires a comprehensive approach to infection control throughout the peri-transplant period.

Purpose of the Study:

  • To outline strategies for identifying and mitigating infection-related risks in pediatric solid-organ transplantation.
  • To emphasize the importance of proactive measures in preventing and managing infections in this vulnerable population.

Main Methods:

  • Pre-transplant recipient and donor risk evaluation.
  • Meticulous surgical planning and adherence to infection prevention protocols.
  • Post-transplant surveillance and prompt recognition of infectious complications.

Main Results:

  • Recipient and donor evaluation can identify potential infection risks.
  • Careful surgical planning and infection prevention reduce procedural infection risk.
  • Early detection of post-transplant infections limits their impact.

Conclusions:

  • A multi-faceted approach involving pre-transplant risk assessment, intra-operative precautions, and post-transplant vigilance is essential for minimizing infection-related morbidity and mortality in pediatric solid-organ transplant recipients.
  • Proactive infection control strategies are paramount to improving outcomes in pediatric transplantation.

Related Concept Videos

Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
432
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
501
Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
552
Tissue Transplantation01:24

Tissue Transplantation

Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
1.1K
Immunodeficiency Diseases01:25

Immunodeficiency Diseases

Immunodeficiency disorders are conditions in which the immune system's ability to fight infectious disease and cancer is compromised or entirely absent. The immune system comprises a complex network of cells, tissues, and organs that work together to protect the body from potentially harmful invaders. When this system is deficient or not functioning properly, it leaves the body susceptible to infections, diseases, or other complications.
There are three main causes of immunodeficiency...
2.6K
Bone Marrow Sampling and Transplants01:22

Bone Marrow Sampling and Transplants

Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
1.7K