Approaches to safe living and diet after solid organ transplantation

Albert, Jonathan; Hanisch, Benjamin; Sgambat, Kristen

doi:10.1111/petr.13783

Cited by 5 publications

(10 citation statements)

References 51 publications

(93 reference statements)

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“…Expectations and concerns should be discussed with the family, and clinicians should evaluate individual risk based on immunosuppression and local epidemiology and offer information regarding the timing of pet acquisition and veterinary and hygiene requirements according to the available evidence (Table 2). 15,17,21,23,26,50,71,[73][74][75][76][77][78][79][80][81] Clear written information should be provided, including hygiene recommendations and additional sources of information if desired (Figure S1, SDC, http://links.lww. com/TP/C624)‚ to ensure an informed decision.…”

Section: Role Of Transplantation Clinicians In Counseling Patientsmentioning

confidence: 99%

“…The main recommendations regarding veterinary visits and immunizations are summarized in Table 2. 15,17,21,23,26,50,71,[73][74][75][76][77][78][79][80][81] Regarding pet vaccines, there are core (recommended for all animals by species) and noncore vaccines (optional, required for only those animals whose geographical location, local environment, or lifestyle places them at risk of contracting specific infections). 77 Interestingly, a number of these noncore vaccines protect against potential zoonosis, such as Leptospira, Borrelia, and Leishmania.…”

Section: Parasitic Infectionsmentioning

confidence: 99%

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Balancing the Risks and Benefits of Pet Ownership in Pediatric Transplant Recipients

Sánchez

Iglesias²,

Falces‐Romero

et al. 2022

Transplantation

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In recent decades, the number of pediatric transplantations and their survival rates have increased. Psychological problems and poorer quality of life are notable among children undergoing transplantation and can have long-lasting consequences and affect immunosuppressive therapy adherence. Pet ownership and animal contact have been associated with physical, mental, and social health benefits. Despite these potential benefits, however, companion animals are known to be a source of infection, which is one of the main concerns for clinicians. Because of immunosuppression, these children are particularly vulnerable to infections. Zoonoses comprise a long list of infectious diseases and represent a major public health problem. Nevertheless, many families and most healthcare providers are unaware of these potential risks, and there is a worrisome lack of recommendations to manage the risk-benefit balance, which could pose a risk for acquiring a zoonosis. Furthermore, no data are available on the number of transplanted patients with pets, and this risk-benefit balance is difficult to adequately evaluate. In this document, we review the currently available evidence regarding the epidemiology of zoonotic infections in patients undergoing transplantation, focusing on pediatric patients from a risk-benefit perspective, to help inform decision-making for clinicians. Families and healthcare professionals should be aware of the risks, and clinicians should actively screen for pets and offer comprehensive information as part of routine clinical practice. A multidisciplinary approach will ensure proper care of patients and pets and will establish preventive measures to ensure patients are safe living with their pets.

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Section: Role Of Transplantation Clinicians In Counseling Patientsmentioning

confidence: 99%

Section: Parasitic Infectionsmentioning

confidence: 99%

Balancing the Risks and Benefits of Pet Ownership in Pediatric Transplant Recipients

Sánchez

Iglesias²,

Falces‐Romero

et al. 2022

Transplantation

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“…L. monocytogenes can be present in raw milk and dairy products, deli meats and improperly washed produce. Finally, Escherichia coli infections are associated with ingestion of undercooked beef, raw milk, contaminated water and unwashed produce [54 ▪▪ ].…”

Section: Long-term Dietary Measuresmentioning

confidence: 99%

“…A general rule of thumb is to avoid raw, undercooked or unpasteurised products, especially meats and dairy, as well as possibly contaminated water. It is advised to only drink bottled, filtered or previously boiled tap water [54 ▪▪ ].…”

Section: Long-term Dietary Measuresmentioning

confidence: 99%

Nutrition in intestinal transplantation: centre stage or supporting act?

Oosterwyck

Lauwers²,

Pauwels³

et al. 2022

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Purpose of reviewIntestinal transplantation (ITx), whether isolated or combined with other organs, is now a valid treatment option in some patients with chronic intestinal failure or extensive venous mesenteric thrombosis. The aim in these patients is not only to restore nutritional autonomy, but also to minimize the risk of complications, both short and long term. Despite parenteral nutrition playing a central part in the management of intestinal failure patients, there are little data about the perioperative and postoperative nutritional management of ITx patients, due to small patient populations per centre. In this review, we collected the scientific data available to date. Recent findingsIn this review, we will bundle the limited scientific information about diet after intestinal and multivisceral transplantation combined with recommendations from our own clinical practice in 28 ITx patients in University Hospitals Leuven, Belgium. We will discuss the immediate preoperative period, surgical complications necessitating dietary interventions and the late postoperative phase in a stable outpatient transplant recipient.

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“…In addition, targeted immunosuppression against preventing allograft rejection is not available, resulting in increased risk of infections and malignancy. Albert and colleagues discuss measures to prevent common infections from the environment and foodborne pathogens, and offer advice on “how to live and eat safely” 3 . Since malignancies threaten the long‐term survival of pediatric transplant recipients, Robinson and colleagues highlight the seriousness of this issue and the need for long‐term screening and timely intervention.…”

mentioning

confidence: 99%