Indian Journal of Transplantation

EDITORIAL
Year
: 2022  |  Volume : 16  |  Issue : 5  |  Page : 1-

Screening, prophylaxis and management of endemic infections and travel medicine in solid organ transplant recipients and donors: Expert opinion from South Asia


Shyam Bihari Bansal1, Venktasubramanian Ramsubramanian2,  
1 Department of Nephrology and Kidney Transplant Medicine, Medanta Medicity, Gurgaon, Haryana, India
2 Department of Infectious Diseases and Tropical Medicine, Apollo Hospitals; Department of Infectious Diseases, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Shyam Bihari Bansal
Department of Nephrology and Kidney Transplant Medicine, Medanta Medicity, Sector 38, Gurgaon, Haryana
India




How to cite this article:
Bansal SB, Ramsubramanian V. Screening, prophylaxis and management of endemic infections and travel medicine in solid organ transplant recipients and donors: Expert opinion from South Asia.Indian J Transplant 2022;16:1-1


How to cite this URL:
Bansal SB, Ramsubramanian V. Screening, prophylaxis and management of endemic infections and travel medicine in solid organ transplant recipients and donors: Expert opinion from South Asia. Indian J Transplant [serial online] 2022 [cited 2022 Dec 4 ];16:1-1
Available from: https://www.ijtonline.in/text.asp?2022/16/5/1/358661


Full Text



Transplantation is the preferred treatment for most patients with failure of major solid organs such as heart, lung, liver, kidney, and pancreas. India is a major center of solid organ transplantation (SOT) in the world and the country with the highest number of living kidney and liver transplants in the world. Moreover, medical tourism also attracts patients from the Middle East, African, and Central Asian countries for organ transplantation. In the posttransplant period, infections are the second most common cause of death with functioning grafts across the world; however, in India and other South Asian (SA) countries, posttransplant infections are probably the most common cause of death with a functioning graft; unfortunately, there are no standard guidelines in the SA region on how to screen and manage various infections. There are also no recommendations for transplant recipients who are visiting these areas for precautions to stay protected against infections with appropriate prophylaxis and vaccination. The idea of writing this Expert group opinion originated from the Transplant Update 2018 - with a Theme of Infections and Transplantation. The meeting faculty included, among others, Dr. Camille Nelson Kotton, an infectious disease (ID) specialist from Harvard Medical School and Massachusetts General Hospital, Boston, Dr. Parmjeet Randhawa, an ID specialist from Pittsburgh, USA, and many experts from India from the field of Nephrology, Transplantation, and IDs. Subsequently, a task force was created, which included renowned Transplant Nephrologists, Transplant Surgeons, and ID specialists from major centers in India, Pakistan, Bangladesh, Nepal, and Sri Lanka. The first meeting of this group was conducted in February 2019 in Delhi, India, and various topics of importance were finalized for writing. The progress of writing these chapters has been slow due to the COVID-19 pandemic; however, the final chapters have turned out very well all articles related to transplant infections. These articles were submitted to IJT by individual authors and are being compiled in a supplement. These guidelines cover almost all important aspects of transplantation starting from the screening for various infections before transplant, prophylaxis, vaccination, and travel Consensus guidelines for SOT candidates, recipients, and travelers. This expert group opinion also provide comprehensive reviews of important endemic bacterial, viral, fungal, parasitic, viral hepatitis, and diarrhea in SOT recipients. There is a separate chapter on tuberculosis (TB) as TB is endemic in SA countries as there is no consensus on screening and management of TB in this region.

We hope that this expert group opinion would help many budding transplant nephrologists, surgeons, and clinicians who are practicing in this region. We are thankful to all those who contributed to these chapters for their hard work and would like to especially thank Dr. Camille N. Kotton, who conceived the idea and was very helpful throughout the process to make it fruitful.

A special note of thanks to our spouses and family, without whose understanding and support this would not have seen the light of day.