Monitoring and managing viral infections in pediatric renal transplant recipients

Patrizia Comoli, Fabrizio Ginevri

Research output: Contribution to journalArticlepeer-review

Abstract

Viral infections remain a significant cause of morbidity and mortality following renal transplantation. The pediatric cohort is at high risk of developing virus-related complications due to immunological naiveté and the increased alloreactivity risk that requires maintaining a heavily immunosuppressive environment. Although cytomegalovirus is the most common opportunistic pathogen seen in transplant recipients, numerous other viruses may affect clinical outcome. Recent technological advances and novel antiviral therapy have allowed implementation of viral and immunological monitoring protocols and adoption of prophylactic or preemptive treatment approaches in high-risk groups. These strategies have led to improved viral infection management in the immunocompromised host, with significant impact on outcome.We review the major viral infections seen following kidney transplantation and discuss strategies for preventing and managing these pathogens.

Original languageEnglish
Pages (from-to)705-717
Number of pages13
JournalPediatric Nephrology
Volume27
Issue number5
DOIs
Publication statusPublished - May 2012

Keywords

  • Cellular immunity
  • Cytomegalovirus
  • Kidney transplantation
  • Polyomavirus BK Epstein-Barr virus
  • Quantitative DNA assays

ASJC Scopus subject areas

  • Nephrology
  • Pediatrics, Perinatology, and Child Health

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