Respiratory Viruses in Solid Organ Transplant Recipients

Solid organ transplantation is often lifesaving, but does carry an increased risk of infection. Respiratory viral infections are one of the most prevalent infections, and are a cause of significant morbidity and mortality, especially among lung transplant recipients. There is also data to suggest an...

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Autores principales: Roni Bitterman, Deepali Kumar
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/4b2c82bd025a444784a3abc17e7eafe4
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spelling oai:doaj.org-article:4b2c82bd025a444784a3abc17e7eafe42021-11-25T19:12:44ZRespiratory Viruses in Solid Organ Transplant Recipients10.3390/v131121461999-4915https://doaj.org/article/4b2c82bd025a444784a3abc17e7eafe42021-10-01T00:00:00Zhttps://www.mdpi.com/1999-4915/13/11/2146https://doaj.org/toc/1999-4915Solid organ transplantation is often lifesaving, but does carry an increased risk of infection. Respiratory viral infections are one of the most prevalent infections, and are a cause of significant morbidity and mortality, especially among lung transplant recipients. There is also data to suggest an association with acute rejection and chronic lung allograft dysfunction in lung transplant recipients. Respiratory viral infections can appear at any time post-transplant and are usually acquired in the community. All respiratory viral infections share similar clinical manifestations and are all currently diagnosed using nucleic acid testing. Influenza has good treatment options and prevention strategies, although these are hampered by resistance to neuraminidase inhibitors and lower vaccine immunogenicity in the transplant population. Other respiratory viruses, unfortunately, have limited treatments and preventive methods. This review summarizes the epidemiology, clinical manifestations, therapies and preventive measures for clinically significant RNA and DNA respiratory viruses, with the exception of SARS-CoV-2. This area is fast evolving and hopefully the coming decades will bring us new antivirals, immunologic treatments and vaccines.Roni BittermanDeepali KumarMDPI AGarticlevaccinepreventionlung transplantinfluenzaRSVmetapneumovirusMicrobiologyQR1-502ENViruses, Vol 13, Iss 2146, p 2146 (2021)
institution DOAJ
collection DOAJ
language EN
topic vaccine
prevention
lung transplant
influenza
RSV
metapneumovirus
Microbiology
QR1-502
spellingShingle vaccine
prevention
lung transplant
influenza
RSV
metapneumovirus
Microbiology
QR1-502
Roni Bitterman
Deepali Kumar
Respiratory Viruses in Solid Organ Transplant Recipients
description Solid organ transplantation is often lifesaving, but does carry an increased risk of infection. Respiratory viral infections are one of the most prevalent infections, and are a cause of significant morbidity and mortality, especially among lung transplant recipients. There is also data to suggest an association with acute rejection and chronic lung allograft dysfunction in lung transplant recipients. Respiratory viral infections can appear at any time post-transplant and are usually acquired in the community. All respiratory viral infections share similar clinical manifestations and are all currently diagnosed using nucleic acid testing. Influenza has good treatment options and prevention strategies, although these are hampered by resistance to neuraminidase inhibitors and lower vaccine immunogenicity in the transplant population. Other respiratory viruses, unfortunately, have limited treatments and preventive methods. This review summarizes the epidemiology, clinical manifestations, therapies and preventive measures for clinically significant RNA and DNA respiratory viruses, with the exception of SARS-CoV-2. This area is fast evolving and hopefully the coming decades will bring us new antivirals, immunologic treatments and vaccines.
format article
author Roni Bitterman
Deepali Kumar
author_facet Roni Bitterman
Deepali Kumar
author_sort Roni Bitterman
title Respiratory Viruses in Solid Organ Transplant Recipients
title_short Respiratory Viruses in Solid Organ Transplant Recipients
title_full Respiratory Viruses in Solid Organ Transplant Recipients
title_fullStr Respiratory Viruses in Solid Organ Transplant Recipients
title_full_unstemmed Respiratory Viruses in Solid Organ Transplant Recipients
title_sort respiratory viruses in solid organ transplant recipients
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/4b2c82bd025a444784a3abc17e7eafe4
work_keys_str_mv AT ronibitterman respiratoryvirusesinsolidorgantransplantrecipients
AT deepalikumar respiratoryvirusesinsolidorgantransplantrecipients
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