Infections in transplant recipient

As mentioned earlier, infections in the transplant recipient can come from either the donor or the recipient. Prior to transplantation, both the donors and recipients are extensively worked up to screen for infectious risks. The workup includes detailed history taking, blood tests and radiological imaging. Infections can be treated and catch up vaccinations administered prior to transplant. 

In the early post-transplant period, transplant recipients are looked after in the transplant unit by a specialized team of transplant physicians and allied health staff. In the hospital, staff are advised on strict adherence to hand hygiene and environmental cleaning. 

After the transplant, antibiotic prophylaxis may be administered for a period of time to reduce the risk of some common post-transplant viral and fungal infections. Recipients are also counseled on safe living practices (e.g. the importance of hand hygiene, food & water safety, travel safety, avoidance of crowded areas, avoidance of persons with respiratory symptoms and safe sex practices) to minimise their risk of infection.