Opportunistic Infections Post-Lung Transplantation: Viral, Fungal, and Mycobacterial

Gabriela Magda1

  • 1Columbia University Lung Transplant Program, Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University Irving Medical Center, Columbia University Vagelos College of Physicians and Surgeons, 622 West 168th Street PH-14, New York, NY 10032, USA.

Clinics in Chest Medicine
|February 11, 2023
PubMed

Insights

Opportunistic infections pose significant risks to lung transplant recipients. This review details common infections and strategies for their prevention and treatment to improve patient outcomes.

Area of Science:

  • Medicine
  • Immunology
  • Infectious Diseases

Background:

  • Opportunistic infections are a major cause of illness and death in lung transplant recipients.
  • Key risk factors include environmental exposure, immunosuppression, and impaired airway defenses.

Purpose of the Study:

  • To review common viral, fungal, and mycobacterial infections following lung transplantation.
  • To provide evidence-based recommendations for infection prevention and treatment.

Main Methods:

  • Literature review of opportunistic infections in lung transplant recipients.
  • Synthesis of current guidelines for prophylaxis and surveillance.
  • Analysis of treatment strategies for common pathogens.

Main Results:

  • Identified common pathogens and their associated risk factors.
  • Highlighted the importance of pretransplant screening and posttransplant surveillance.
  • Detailed effective antimicrobial prophylaxis and treatment regimens.

Conclusions:

  • Proactive management, including screening, prophylaxis, and surveillance, is crucial for mitigating infection risk.
  • Timely diagnosis and appropriate treatment of infections are essential for improving lung transplant recipient survival and morbidity.

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