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vol.29 suppl.1Prophylaxis against fungal infections in solid organ and hematopoietic stem cells transplantationProphylaxis against cytomegalovirus infection in pediatric and adult patients undergoing solid organ and hematopoietic stem cells transplantation author indexsubject indexarticles search
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Revista chilena de infectología

Print version ISSN 0716-1018

Abstract

GAMBRA, M. Pilar  and  BIDART, Teresa. Prophylaxis against Pneumocystis pneumonia in pediatric and adult patients undergoing solid organ or hematopoietic stem cells transplantation. Rev. chil. infectol. [online]. 2012, vol.29, suppl.1, pp.19-22. ISSN 0716-1018.  http://dx.doi.org/10.4067/S0716-10182012000500003.

Pneumocystis jiroveci is an important pathogen in patients undergoing SOT and HSCT. Universal prophylaxis is recommended for all adults and children with SOT and HSCT, considering that its use significantly reduces the occurrence and mortality associated with pneumonia by this agent. The drug of choice is cotrimoxazole (A1) three times a week, low-dose scheme, that has proved equally effective and better tolerated than the daily regimen and/or at high doses. Prophylaxis starts 7 to 14 days post transplant in SOT recipients and post-implant in HSCT, with an average duration of 6 months except in liver and lung transplant as in HSCT with significant degree of immunosuppression, that lasts for 1 year. Alternatives for prophylaxis are dapsone (B2), aerosolized pentamidine (B2) and atovaquone (C2).

Keywords : Pneumocystis jiroveci; Pneumocystis pneumonia; prophylaxis; sulpha-trimethoprim; dapsone; pentamidine; transplant; solid organ transplantation; hematopoietic stem cells transplantation.

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