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Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
Common viral infections in kidney transplant recipients
Jakapat Vanichanan1, Suwasin Udomkarnjananun2,3, Yingyos Avihingsanon2,3,4
1Division of Infectious Diseases, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Bangkok, Thailand.
Abstract:
Infectious complications have been considered as a major cause of morbidity and mortality after kidney transplantation, especially in the Asian population. Therefore, prevention, early detection, and prompt treatment of such infections are crucial in kidney transplant recipients. Among all infectious complications, viruses are considered to be the most common agents because of their abundance, infectivity, and latency ability. Herpes simplex virus, varicella zoster virus, Epstein-Barr virus, cytomegalovirus, hepatitis B virus, BK polyomavirus, and adenovirus are well-known etiologic agents of viral infections in kidney transplant patients worldwide because of their wide range of distribution. As DNA viruses, they are able to reactivate after affected patients receive immunosuppressive agents. These DNA viruses can cause systemic diseases or allograft dysfunction, especially in the first six months after transplantation. Pretransplant evaluation and immunization as well as appropriate prophylaxis and preemptive approaches after transplant have been established in the guidelines and are used effectively to reduce the incidence of these viral infections. This review will describe the etiology, diagnosis, prevention, and treatment of viral infections that commonly affect kidney transplant recipients.
Insights
Viral infections are a major risk after kidney transplants, particularly in Asian populations. Early detection and treatment are vital for preventing serious complications and improving patient outcomes.
Area of Science:
- Nephrology
- Infectious Diseases
- Transplantation Immunology
Background:
- Infectious complications significantly contribute to morbidity and mortality post-kidney transplantation.
- Viral infections are the most frequent infectious agents due to their abundance, infectivity, and latency.
- DNA viruses commonly found in kidney transplant recipients include herpes simplex virus, cytomegalovirus, and BK polyomavirus.
Purpose of the Study:
- To review the etiology, diagnosis, prevention, and treatment of common viral infections in kidney transplant recipients.
- To highlight the importance of managing viral infections for better patient outcomes.
- To provide an overview of established guidelines and approaches for viral infection control.
Main Methods:
- Literature review of viral infections in kidney transplant patients.
- Analysis of common viral pathogens and their impact.
- Summary of current diagnostic, prophylactic, and therapeutic strategies.
Main Results:
- DNA viruses can reactivate under immunosuppression, causing systemic disease or allograft dysfunction.
- These infections are particularly concerning in the first six months post-transplant.
- Pretransplant evaluation, immunization, prophylaxis, and preemptive strategies are effective in reducing incidence.
Conclusions:
- Effective management of viral infections is crucial for kidney transplant recipients.
- Adherence to guidelines for prevention and treatment improves graft survival and reduces mortality.
- Ongoing vigilance and prompt intervention are necessary to combat viral threats.
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