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南亚器官移植传染病指南:适用于实体器官移植候选者、受者和供者。

South Asian Transplant Infectious Disease Guidelines for Solid Organ Transplant Candidates, Recipients, and Donors.

机构信息

Department of Nephrology and Kidney Transplantation, Medanta Institute of Kidney and Urology Medanta-Medicity, Gurgaon, India.

Consultant Infectious Diseases and Tropical Medicine, Apollo Hospitals, Chennai, India.

出版信息

Transplantation. 2023 Sep 1;107(9):1910-1934. doi: 10.1097/TP.0000000000004521. Epub 2023 Aug 21.

Abstract

These guidelines discuss the epidemiology, screening, diagnosis, posttransplant prophylaxis, monitoring, and management of endemic infections in solid organ transplant (SOT) candidates, recipients, and donors in South Asia. The guidelines also provide recommendations for SOT recipients traveling to this region. These guidelines are based on literature review and expert opinion by transplant physicians, surgeons, and infectious diseases specialists, mostly from South Asian countries (India, Pakistan, Bangladesh, Nepal, and Sri Lanka) as well as transplant experts from other countries. These guidelines cover relevant endemic bacterial infections (tuberculosis, leptospirosis, melioidosis, typhoid, scrub typhus), viral infections (hepatitis A, B, C, D, and E; rabies; and the arboviruses including dengue, chikungunya, Zika, Japanese encephalitis), endemic fungal infections (mucormycosis, histoplasmosis, talaromycosis, sporotrichosis), and endemic parasitic infections (malaria, leishmaniasis, toxoplasmosis, cryptosporidiosis, strongyloidiasis, and filariasis) as well as travelers' diarrhea and vaccination for SOT candidates and recipients including travelers visiting this region. These guidelines are intended to be an overview of each topic; more detailed reviews are being published as a special supplement in the Indian Journal of Transplantation .

摘要

本指南讨论了南亚实体器官移植(SOT)候选者、受者和供者中地方性感染的流行病学、筛查、诊断、移植后预防、监测和管理。本指南还为前往该地区的 SOT 受者提供了旅行建议。这些指南是基于文献综述以及来自南亚国家(印度、巴基斯坦、孟加拉国、尼泊尔和斯里兰卡)的移植医生、外科医生和传染病专家的专家意见,以及来自其他国家的移植专家的意见制定的。本指南涵盖了相关的地方性细菌性感染(结核病、钩端螺旋体病、类鼻疽、伤寒、丛林斑疹伤寒)、病毒性感染(甲型肝炎、乙型肝炎、丙型肝炎、丁型肝炎、戊型肝炎、狂犬病以及包括登革热、基孔肯雅热、寨卡病毒、日本脑炎在内的虫媒病毒)、地方性真菌性感染(毛霉病、组织胞浆菌病、talaro 霉病、孢子丝菌病)和地方性寄生虫感染(疟疾、利什曼病、弓形体病、隐孢子虫病、类圆线虫病和丝虫病)以及旅行者腹泻和 SOT 候选者和受者的疫苗接种,包括前往该地区的旅行者。本指南旨在概述每个主题;更详细的综述将作为印度移植杂志的特刊发表。

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