Infectious Diseases Issues Pre and Post Transplantation

Dr. Margarita Cancio, founder and Medical Director of the Infectious Diseases Associates of Tampa Bay, presents this talk on the infectious diseases management of transplant patients both before and after transplantation occurs. She begins by discussing the importance of a thorough pre-transplant evaluation, including a full history with regard to employment, travel, immunizations and other background history. She describes the laboratory evaluation of these patients, including specific screening studies. Next, infectious diseases history of the transplant donor is covered, as prior exposures to various infectious pathogens can affect the transplant recipient in many significant ways. Dr. Cancio then covers significant issues post transplantation, including the reactivation of certain infections such as the herpesviruses, hepatitis B and C, tuberculosis, and strongyloides infection. She then reviews the timing of certain infections after transplantation, with the highest risk period being directly after transplantation occurs. Lastly, infectious complications associated with specific immunosuppressove regimens and pre-transplant immunizations are reviewed.
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