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旅行医学、器官移植旅游与实体器官移植受者:美国移植感染病学会实践社区指南。

Travel medicine, transplant tourism, and the solid organ transplant recipient-Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice.

机构信息

Division of Infectious Diseases, The Ottawa Hospital, Ottawa, Ontario, Canada.

Department of Medicine, The Ottawa Hospital, Ottawa, Ontario, Canada.

出版信息

Clin Transplant. 2019 Sep;33(9):e13529. doi: 10.1111/ctr.13529. Epub 2019 Apr 14.

Abstract

These updated guidelines from the Infectious Diseases Community of Practice of the American Society of Transplantation review recommendations for prevention and management of travel-related infection in solid organ transplant (SOT) recipients as well as risks associated with transplant tourism. Counseling regarding travel post-transplant should be included during the pre-transplant evaluation, and all SOT recipients should be seen by a travel medicine specialist prior to traveling to destinations with higher rates of infection. Patients should be advised on vaccine-preventable illnesses as well as any need for prophylaxis (ie, malaria) based on their individual travel itineraries. Information with regards to specific recommendations for vaccines and prophylactic medications, along with drug-drug interactions, is summarized. Counseling should be provided for modifiable risks and exposures (ie, food and water safety, and insect bite prevention) as well as non-infectious travel topics. These guidelines also briefly address risks associated with transplant tourism and specific infections to consider if patients seek care for transplants done in foreign countries.

摘要

这些由美国移植学会传染病实践社区更新的指南,回顾了预防和管理实体器官移植(SOT)受者与旅行相关感染的建议,以及与移植旅游相关的风险。在移植前评估期间应包括有关移植后旅行的咨询,并且所有 SOT 受者在前往感染率较高的目的地旅行之前,都应咨询旅行医学专家。应根据患者的个人旅行行程,向其提供有关可预防疾病的疫苗以及任何预防用药(例如疟疾)的建议。本文还总结了有关特定疫苗和预防药物的建议,以及药物相互作用的信息。应就可改变的风险和暴露(例如,食物和水安全以及昆虫叮咬预防)以及非传染性旅行主题提供咨询。本指南还简要介绍了与移植旅游相关的风险以及如果患者寻求在国外进行的移植治疗时需要考虑的特定感染。

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