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4. Clinical Guidelines for Liver Transplantation (PDF) - British ...

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Guidebook <strong>for</strong> the Solid Organ Transplant Programme Chapter 4<br />

Appendix J<br />

TREATMENT FOR OTHER OPPORTUNISTIC INFECTIONS IN<br />

LIVER TRANSPLANT RECIPIENTS<br />

Organism Site of Infection Drug of Choice<br />

Herpes Simplex Virus (HSV)<br />

Mucocutaneous<br />

to mild<br />

Acyclovir 800 mg PO qid <strong>for</strong> 7 days<br />

OR<br />

Valacyclovir 1000 mg PO tid <strong>for</strong> 7 to 10 days<br />

Varicella-Zoster Virus (VZV)<br />

Pneumocytis Carinii Pneumonia<br />

to severe<br />

Respiratory<br />

Encephalitis<br />

Mild<br />

Severe<br />

Prophylaxis<br />

Treatment<br />

Acyclovir 5 mg/kg IV q 8h <strong>for</strong> 7 days<br />

Acyclovir 10 mg/kg IV q 8h <strong>for</strong> 10 days<br />

Acyclovir 10 mg/kg IV q 8h <strong>for</strong> 10 days<br />

Acyclovir 800 mg PO <strong>for</strong> 4 to 5x daily <strong>for</strong> 7 to 10<br />

days OR<br />

Valacyclovir 1g to tid x 7 to 10 days<br />

Acyclovir 10 to 12 mg/kg IV q 8h <strong>for</strong> 7 to 14 days<br />

None<br />

TMP-SMX 5 mg/kg IV (based on TMP<br />

component) q 6h <strong>for</strong> 21 days<br />

Sulfa allergy: Pentamidine IV 4mg/kg/daily <strong>for</strong> 21<br />

days<br />

Chapter 4 – <strong>Clinical</strong> <strong>Guidelines</strong> <strong>for</strong> <strong>Liver</strong> <strong>Transplantation</strong> – July, 2010 Page 54<br />

See Page 1 <strong>for</strong> disclaimer

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