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Year : 2022  |  Volume : 16  |  Issue : 5  |  Page : 106-111

Pre and posttransplant vaccination for solid organ transplant recipient and in South Asia - Expert group opinion

1 Department of Nephrology and Renal Transplant Medicine, Medanta Kidney and Urology Institute, Medanta Medicity, Sector 38, Gurgaon, Haryana, India
2 Consultant Infectious Diseases and Tropical Medicine, Apollo Hospitals; Adjunct Prof Infectious Diseases - Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India
3 Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, Uttar Pradesh, India
4 Department of Transplant and Immunocompromised Host Infectious Diseases Infectious Diseases Division, Massachusetts General Hospital Harvard Medical School, Massachusetts, USA

Correspondence Address:
Dr. Shyam Bihari Bansal
Department of Nephrology and Renal Transplant Medicine, Medanta Kidney and Urology Institute, Medanta Medicity, Sector 38, Gurugram - 122 001, Haryana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijot.ijot_100_21

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Infections are common after solid organ transplantation (SOT) and are an important cause of significant morbidity and mortality. Many of these infections can be prevented or their severity reduced by vaccination in pre and posttransplantation period. It is better to complete the vaccination before transplantation as protection and seroconversion is better, and live vaccines are mostly contraindicated after SOT. Live vaccines should be given at least 4 weeks before transplantation but killed vaccines can be given up to 2 weeks before the planned transplantation. Vaccination for some diseases which are endemic in South Asia should be given, along with usual vaccinations. Serological monitoring is required for some vaccines to check their efficacy. Similarly, some vaccines are recommended for SOT recipients traveling to various endemic regions.

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