title: [Management of infection after organ transplantation by the primary care physician].
abstract: The primary care physician is frequently consulted in first line for infectious complications in organ transplant recipients. Many infections without signs of severity can nowadays be managed on an outpatient basis. However, a number of clinical situations specific to transplant recipients may require special attention and knowledge. In particular, the general practitioner must be aware of the potential interactions between immunosuppressive and antimicrobial therapies, the risk of renal dysfunction as a consequence of diarrhea or urinary tract infection, and the diagnostic of CMV disease as a cause of fever without obvious source occurring several months after transplantation. Collaboration with the transplantation specialists is recommended in order to assure an optimal management of these patients.
authors.affiliation: Service des maladies infectieuses, Département de médecine et Centre de transplantation d'organes, CHUV, 1011 Lausanne. oriol.manuel@chuv.ch
authors.forename: Oriol
authors.initials: O
authors.lastname: Manuel
authors.forename: Pascal R
authors.initials: PR
authors.lastname: Meylan
authors.forename: Christian
authors.initials: C
authors.lastname: van Delden
mesh_terms: D003586:Cytomegalovirus Infections / Q000517:prevention & control; D006801:Humans; D009894:Opportunistic Infections / Q000517:prevention & control*; D016377:Organ Transplantation / Q000009:adverse effects*; D011320:Primary Health Care; D014552:Urinary Tract Infections / Q000517:prevention & control