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SARS-CoV-2 and pediatric solid organ transplantation: Current knowns and unknowns
Arnaud G L'Huillier1, Lara Danziger-Isakov2, Abanti Chaudhuri3
1Pediatric Infectious Diseases Unit, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
This expert opinion document addresses COVID-19 in pediatric solid organ transplant (SOT) recipients, offering guidance on prevention, diagnosis, and management. It highlights knowledge gaps for future research in this vulnerable population.
Area of Science:
- Pediatric Infectious Diseases
- Transplant Medicine
- Virology
Background:
- The COVID-19 pandemic presents unique challenges for pediatric solid organ transplant (SOT) candidates and recipients.
- Existing data on SARS-CoV-2 in this population are limited, necessitating expert guidance.
Observation:
- Clinical presentation, prevention, diagnosis, and management of SARS-CoV-2 infection require specific considerations in pediatric SOT patients.
- Expert opinion synthesizes current data from adult SOT and general pediatric populations to inform pediatric SOT care.
Findings:
- This document provides expert-derived recommendations for managing SARS-CoV-2 infection in pediatric SOT candidates and recipients.
- It addresses practical scenarios and frequently asked questions encountered in clinical settings.
- Key knowledge gaps requiring further investigation are identified.
Implications:
- The guidance aims to improve the care and outcomes for pediatric SOT recipients during the COVID-19 pandemic.
- It serves as a resource for clinicians managing these immunocompromised children.
- Further research is crucial to fill existing data voids in pediatric SOT and COVID-19.
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