[Diagnosis, therapy and prevention of respiratory virus infections in lung transplant recipients].
Lung transplant recipients have a life-long profound immunosuppression which makes them prone to respiratory tract infections, in particular viral infections during the winter season. Since the respiratory tract infections may have potentially severe consequences, we recommend early diagnosis and treatment. We obtain nasopharyngeal swabs for viral and bacteriological examination and then treat pre-emptively with antivirals, broad-band antibiotics and often also with intravenous immunoglobulins. Treatment duration is often longer than in immunocompetent patients. As preventive measures we provide vaccination against seasonal influenza and recommend specific daily hygiene measures.
Klinik für Pneumologie, Universitätsspital Zürich.
Lars C
LC
Huber
Klinik für Pneumologie, Universitätsspital Zürich.
Bruno D
BD
Isenring
Klinik für Pneumologie, Universitätsspital Zürich.
Macé M
MM
Schuurmans
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D000998:Antiviral Agents / Q000008:administration & dosage; D004305:Dose-Response Relationship, Drug; D024841:Fluoroquinolones / Q000627:therapeutic use; D006801:Humans; D007116:Immunization, Passive; D007166:Immunosuppressive Agents / Q000008:administration & dosage / Q000009:adverse effects; D016040:Lung Transplantation; D009894:Opportunistic Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000517:prevention & control; D011024:Pneumonia, Viral / Q000175:diagnosis* / Q000188:drug therapy* / Q000517:prevention & control; D016133:Polymerase Chain Reaction; D011183:Postoperative Complications / Q000175:diagnosis* / Q000188:drug therapy* / Q000517:prevention & control; D012129:Respiratory Function Tests; D012141:Respiratory Tract Infections / Q000175:diagnosis* / Q000188:drug therapy* / Q000517:prevention & control; D014777:Virus Diseases / Q000175:diagnosis* / Q000188:drug therapy* / Q000517:prevention & control
D000900:Anti-Bacterial Agents; D000998:Antiviral Agents; D024841:Fluoroquinolones; D007166:Immunosuppressive Agents
Diagnostik; Lungentransplantierte; Therapie; Viren; diagnostic; infections respiratoires; lung transplant recipients; respiratorische Infektionen; respiratory infections; therapeutique; therapy; transplantation pulmonaire; virus