Long-Term Infectious Complications of Kidney Transplantation

Akansha Agrawal, Michael G. Ison, Lara Danziger-Isakov

Research output: Contribution to journalReview articlepeer-review

5 Scopus citations


Infections remain a common complication of solid-organ transplantation. Most infections in the first month after transplant are typically health care-associated infections, whereas late infections, beyond 6-12 months, are community-acquired infections. Opportunistic infections most frequently present in the first 12 months post-transplant and can be modulated on prior exposures and use of prophylaxis. In this review, we summarize the current epidemiology of postkidney transplant infections with a focus on key viral (BK polyomavirus, cytomegalovirus, Epstein-Barr virus, and norovirus), bacterial (urinary tract infections and Clostridioides difficile colitis), and fungal infections. Current guidelines for safe living post-transplant are also summarized. Literature supporting prophylaxis and vaccination is also provided.

Original languageEnglish (US)
Pages (from-to)286-295
Number of pages10
JournalClinical journal of the American Society of Nephrology : CJASN
Issue number2
StatePublished - Feb 1 2022


  • blastomycosis
  • coccidioidomycosis
  • cytomegalovirus
  • histoplasmosis
  • kidney transplantation
  • kidney transplantation series
  • norovirus
  • polyomavirus
  • urinary tract infection
  • vaccination

ASJC Scopus subject areas

  • Epidemiology
  • Critical Care and Intensive Care Medicine
  • Nephrology
  • Transplantation


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