What is your approach to waiting period for an ESKD patient getting a kidney transplant after just being treated for bacteremia?
In general, I would like a waiting period of at least 6-8 weeks. I would review the clinical course of the hospital admission to ensure that the patient has recovered well physically and that the source of bacteremia has been adequately addressed, e.g., any lines/abscesses.
If this is a living donor recipient, I would see the patient in clinic prior to planned surgery and have our ID team review the case as well.
Practices might vary, and I would be glad if other providers weighed in too.
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Completely agree with Dr. @Dr. First Last's assessment. In fact, this is enshrined in the KDIGO 2020 guidelines on the management of transplant candidates, in that:
SECTION 10: INFECTIONS
10.1 Active infections
10.1.1: We recommend that kidney transplantation be delayed until active infections (bacterial, fungal, viral [except hepatitis C], parasitic) are treated (1C).
It would be reasonable to document that a patient with bacteremia recovers from this episode prior to proceeding with transplant...
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