Infection Prophylaxis after Acute Rejection Treatment
It is suggested that oral nystatin mouthwash is used during the period of augmented corticosteroids (100,000 units qds).
If pulse IV Methylprednisolone or ATG is given for late AR, co-trimoxazole should be given for 3 months.
Valganciclovir should be given for 3-6 months if ATG is used, even if CMV serostatus is D-/R-. For pulse IV Methylprednisolone, it is suggested that a pre-emptive approach to CMV is employed for 6 months, involving checking for CMV PCR at clinic visits.
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