General Approach to the Clinical Care of Solid Organ Transplant Recipients with COVID-19 Infection

Current Transplantation Reports - Tập 7 Số 4 - Trang 366-378 - 2020
Kim, Min Young1, Brennan, Daniel C.1, Shah, Pali1,2
1Department of Internal Medicine, Johns Hopkins School of Medicine, Baltimore, USA
2Division of Pulmonary and Critical Care, Johns Hopkins University School of Medicine, Baltimore, USA

Tóm tắt

Insufficient knowledge about COVID-19 and the potential risks of COVID-19 are limiting organ transplantation in wait-listed candidates and deferring essential health care in solid organ transplant recipients. In this review, we expand the understanding and present an overview of the optimized management of COVID-19 in solid organ transplant recipients. Transplant recipients are at an increased risk of severe COVID-19. The unique characteristics of transplant recipients can make it more difficult to identify COVID-19. Based on the COVID-19 data to date and our experience, we present testing, management, and prevention methods for COVID-19. Comprehensive diagnostic tests should be performed to determine disease severity, phase of illness, and identify other comorbidities in transplant recipients diagnosed with COVID-19. Outpatients should receive education for preventative measures and optimal health care delivery minimizing potential infectious exposures. Multidisciplinary interventions should be provided to hospitalized transplant recipients for COVID-19 because of the complexity of caring for transplant recipients. Transplant recipients should strictly adhere to infection prevention measures. Understanding of the transplant specific pathophysiology and development of effective treatment strategies for COVID-19 should be prioritized.

Tài liệu tham khảo

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