Abstract
Cytomegalovirus (CMV) infection is one of the most common and significant complications after solid organ transplant (SOT). Severe acute respiratory coronavirus 2 (SARS-CoV-2), which causes the novel betacoronavirus 2019 disease (COVID-19), has become the first global pandemic in 100 years. The world’s attention has turned to address this unanticipated development; however, the viral infection that has long plagued outcomes after solid organ transplantation still requires vigilance. With physical distancing as the key intervention to reduce the healthcare burden, and the unease related to healthcare contact within the transplant population given the associated morbidity and mortality of COVID-19 in transplant recipients, providers have struggled to evaluate and streamline essential in-person healthcare contact, including laboratory visits. Owing to this, the COVID-19 pandemic has placed a significant strain on the delivery of CMV prophylaxis and treatment after solid organ transplantation. In this piece, we will describe issues our CMV antiviral stewardship service has encountered in the care of the transplant recipient with CMV during the this unprecedented time and share our expert opinion to approaches to providing optimal, evidenced based care during a pandemic associated with a seemingly unrelated viral infection.
Keywords: infection and infectious agents; quality of care/care delivery; viral; viral: cytomegalovirus.
【저자키워드】 Viral, infection and infectious agents, quality of care/care delivery, viral: cytomegalovirus., 【초록키워드】 COVID-19, Treatment, SARS-CoV-2, viral infection, pandemic, Antiviral, COVID-19 pandemic, Infection, solid organ transplantation, Intervention, outcome, Betacoronavirus, Laboratory, Prophylaxis, global pandemic, healthcare, Complication, cytomegalovirus, CMV, physical distancing, morbidity and mortality, disease, Care, solid organ transplant, organ transplantation, severe acute respiratory coronavirus 2, Contact, Streamline, solid organ, SOT, infectious agents, recipients, approaches, severe acute respiratory coronavirus, novel Betacoronavirus, Vigilance, Respiratory Coronavirus, evaluate, approach, cause, reduce, evidenced, 【제목키워드】 COVID-19, Treatment, Antiviral, Prophylaxis, Increasing,