Respiratory Viral Infection Prophylaxis and Treatment in the Transplant Population

Adriana A M Giuliani1,2, Victor Chen3, Nancy Law1

  • 1Division of Infectious Diseases and Global Public Health, Department of Medicine, University of California, La Jolla, CA 92093, USA.

Viruses
|January 28, 2026
PubMed

Insights

Transplant patients face risks from respiratory viral infections (RVIs). New vaccines and treatments offer hope, but their safety and effectiveness in transplant recipients require further study to improve outcomes.

Area of Science:

  • Immunology
  • Virology
  • Transplant Medicine

Background:

  • Respiratory viral infections (RVIs) are a significant cause of morbidity and mortality in transplant patients.
  • Recent advancements in understanding virus structure have led to the development of new prophylactic and therapeutic agents, including vaccines.

Purpose of the Study:

  • To review the current landscape of RVIs in transplant populations.
  • To discuss the efficacy, safety, and timing of vaccines, antivirals, and other novel agents for RVI prevention and treatment in transplant recipients.

Main Methods:

  • Literature review of current RVI prophylaxis and treatment strategies.
  • Analysis of data on vaccine timing, safety, and efficacy.
  • Examination of novel agents, including antivirals and monoclonal antibodies.

Main Results:

  • New vaccines, antivirals, and monoclonal antibodies are emerging for RVIs.
  • The utility and safety of these agents in transplant populations are often uncertain.
  • Specific focus on influenza, SARS-CoV-2, and RSV in the context of transplantation.

Conclusions:

  • Despite knowledge gaps, advancements in RVI prevention and treatment hold promise for improving outcomes in transplant patients.
  • Further research is needed to establish optimal use of new agents in this vulnerable population.

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