Influenza, including the novel H1N1, in organ transplant patients

Research output: Contribution to journalReview article

29 Scopus citations

Abstract

Purpose of review: This article will review the epidemiology, diagnosis, prevention and management of influenza in solid organ transplant recipients. Recent findings: A number of recent studies have documented that influenza vaccination is both well tolerated and generally effective in producing an immunologic response in most solid organ transplant (SOT) recipients. Antiviral use is associated with improved clinical outcomes, but prolonged shedding may require a longer course of therapy than what is currently approved by the FDA. Antiviral resistance emerges rarely in transplant patients and should be considered in all patients with an inadequate clinical and/or virologic response. Summary: Influenza is associated with significant morbidity and mortality, particularly in lung transplant recipients. Molecular diagnostics are preferred over other diagnostic modalities, if available. Influenza vaccination is well tolerated and provides protective benefit in most SOT recipients; in those with contraindications to vaccination or in whom responses are predicted to be poor, antivirals may be considered. Antiviral therapy is associated with improved outcomes in transplant patients and treatment should be continued until clinically and virologic response have been documented. Resistance, particularly with patients infected with the pandemic influenza A/H1N1, should be considered and treated with an antiviral with predicted activity.

Original languageEnglish (US)
Pages (from-to)365-373
Number of pages9
JournalCurrent Opinion in Infectious Diseases
Volume23
Issue number4
DOIs
StatePublished - Aug 1 2010

Keywords

  • influenza
  • oseltamivir
  • solid organ transplantation
  • vaccination
  • zanamivir

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases
  • Medicine(all)

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