[Bacterio-myco-virological surveillance of patients undergoing transplantation]

Bacterial and viral infectious complications are the main complications encountered after transplantation. Prevention of these complications should be done by a pre-transplant bacterial and virologic screening in the recipient, by a pre-transplant screening in the donor, and by routine bacterial and viral cultures after transplantation. Patients at high risk of post transplant infectious complication should be closely monitored, patients with denutrition, patients with a long stay in the ICU, patients at high risk of CMV primary-infection (donor CMV positive, recipient CMV negative), and patients receiving strong immuno-suppressive treatment for acute or chronic rejection. A better prevention and management of these infectious complications will improve the result of transplantation and reduce the post-transplant infectious morbidity.