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Author Spotlight: Investigating the Key Factors of Obliterative Bronchiolitis After Lung Transplantation
Published on: November 10, 2023
Opportunistic Infections Post-Lung Transplantation: Viral, Fungal, and Mycobacterial
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.
Abstract:
Opportunistic infections are a leading cause of lung transplant recipient morbidity and mortality. Risk factors for infection include continuous exposure of the lung allograft to the external environment, high levels of immunosuppression, impaired mucociliary clearance and decreased cough reflex, and impact of the native lung microbiome in single lung transplant recipients. Infection risk is mitigated through careful pretransplant screening of recipients and donors, implementation of antimicrobial prophylaxis strategies, and routine surveillance posttransplant. This review describes common viral, fungal, and mycobacterial infectious after lung transplant and provides recommendations on prevention and treatment.
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.
- Several factors increase infection risk, including 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 the prevention and treatment of these infections.
Main Methods:
- Literature review of common infections in lung transplant recipients.
- Synthesis of current guidelines and expert recommendations for prophylaxis and treatment.
Main Results:
- Identified common pathogens and risk factors for opportunistic infections.
- Outlined strategies for pretransplant screening, antimicrobial prophylaxis, and posttransplant surveillance.
Conclusions:
- Proactive management, including screening, prophylaxis, and surveillance, is crucial for mitigating infection risk.
- Effective prevention and treatment strategies are essential for improving lung transplant recipient survival and quality of life.
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