Clinical Transplantation
Volume 33, Issue 9, 2019

Travel medicine, transplant tourism, and the solid organ transplant recipient—Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice (Article)

Buchan C.A. , Kotton C.N.* , the AST Infectious Diseases Community of Practice
  • a Division of Infectious Diseases, The Ottawa Hospital, Ottawa, ON, Canada, Department of Medicine, The Ottawa Hospital, Ottawa, ON, Canada, The University of Ottawa, Ottawa, ON, Canada, The Ottawa Hospital Research Institute, Ottawa, ON, Canada
  • b Transplant Infectious Disease and Compromised Host Program, Division of Infectious Diseases, Massachusetts General Hospital, Boston, MA, United States, Travelers' Advice and Immunization Center, Division of Infectious Diseases, Massachusetts General Hospital, Boston, MA, United States, Department of Medicine, Harvard Medical School, Boston, MA, United States
  • c [Affiliation not available]

Abstract

These updated guidelines from the Infectious Diseases Community of Practice of the American Society of Transplantation review recommendations for prevention and management of travel-related infection in solid organ transplant (SOT) recipients as well as risks associated with transplant tourism. Counseling regarding travel post-transplant should be included during the pre-transplant evaluation, and all SOT recipients should be seen by a travel medicine specialist prior to traveling to destinations with higher rates of infection. Patients should be advised on vaccine-preventable illnesses as well as any need for prophylaxis (ie, malaria) based on their individual travel itineraries. Information with regards to specific recommendations for vaccines and prophylactic medications, along with drug-drug interactions, is summarized. Counseling should be provided for modifiable risks and exposures (ie, food and water safety, and insect bite prevention) as well as non-infectious travel topics. These guidelines also briefly address risks associated with transplant tourism and specific infections to consider if patients seek care for transplants done in foreign countries. © 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd

Author Keywords

travel medicine vaccines solid organ transplant vaccinations

Index Keywords

bloodborne bacterium Salmonella enterica serovar Typhi Altitude organ transplantation respiratory tract infection human hepatitis A travel related disease medical society chickenpox Malaria Mycobacterium tuberculosis enterotoxigenic Escherichia coli priority journal chikungunya Zika fever Japanese encephalitis Arbovirus nonhuman venous thromboembolism sexually transmitted disease dengue cholera insect drug interaction American counseling yellow fever clinical evaluation tuberculosis environmental exposure Article Neisseria meningitidis prophylaxis adult Rabies graft recipient medical tourism pneumococcal infection Streptococcus pneumoniae vaccination emporiatrics hepatitis B influenza poliomyelitis skin cancer traveller diarrhea practice guideline measles Mycobacterium bovis BCG meningococcosis vaccine
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064013118&doi=10.1111%2fctr.13529&partnerID=40&md5=7422fa4ebad64dee506b3ff42bfbb7b3
DOI: 10.1111/ctr.13529
ISSN: 09020063
Cited by: 2
Original Language: English