Challenges in the Diagnosis and Management of Bacterial Lung Infections in Solid Organ Recipients: A Narrative Review

Challenges in the Diagnosis and Management of Bacterial Lung Infections in Solid Organ Recipients: A Narrative Review

Respiratory infections pose a significant threat to the success of solid organ transplantation, and the diagnosis and management of these infections are challenging. The current narrative review addressed some of these challenges, based on evidence from the literature published in the last 20 years....

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Main Authors: Manuela Carugati, Letizia Corinna Morlacchi, Anna Maria Peri, Laura Alagna, Valeria Rossetti, Alessandra Bandera, Andrea Gori, Francesco Blasi, on behalf of the IFALT Working Group
Format: Article
Language:English
Published: MDPI AG 2020-02-01
Series:International Journal of Molecular Sciences
Subjects:
solid organ transplants
respiratory infections
pneumonia
Online Access:https://www.mdpi.com/1422-0067/21/4/1221
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spelling doaj-636cb32b01914da7af7b1d2e9d3452632020-11-25T01:42:25ZengMDPI AGInternational Journal of Molecular Sciences1422-00672020-02-01214122110.3390/ijms21041221ijms21041221Challenges in the Diagnosis and Management of Bacterial Lung Infections in Solid Organ Recipients: A Narrative ReviewManuela Carugati0Letizia Corinna Morlacchi1Anna Maria Peri2Laura Alagna3Valeria Rossetti4Alessandra Bandera5Andrea Gori6Francesco Blasi7on behalf of the IFALT Working Group8Internal Medicine Department, Division of Infectious Diseases, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milano, 20122 Milano, ItalyInternal Medicine Department, Respiratory Unit and Adult Cystic Fibrosis Center, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milano, 20122 Milano, ItalyInternal Medicine Department, Division of Infectious Diseases, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milano, 20122 Milano, ItalyInternal Medicine Department, Division of Infectious Diseases, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milano, 20122 Milano, ItalyInternal Medicine Department, Respiratory Unit and Adult Cystic Fibrosis Center, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milano, 20122 Milano, ItalyInternal Medicine Department, Division of Infectious Diseases, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milano, 20122 Milano, ItalyInternal Medicine Department, Division of Infectious Diseases, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milano, 20122 Milano, ItalyInternal Medicine Department, Respiratory Unit and Adult Cystic Fibrosis Center, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milano, 20122 Milano, ItalyMembers are listed at the Acknowledgments.Respiratory infections pose a significant threat to the success of solid organ transplantation, and the diagnosis and management of these infections are challenging. The current narrative review addressed some of these challenges, based on evidence from the literature published in the last 20 years. Specifically, we focused our attention on (i) the obstacles to an etiologic diagnosis of respiratory infections among solid organ transplant recipients, (ii) the management of bacterial respiratory infections in an era characterized by increased antimicrobial resistance, and (iii) the development of antimicrobial stewardship programs dedicated to solid organ transplant recipients.https://www.mdpi.com/1422-0067/21/4/1221solid organ transplantsrespiratory infectionspneumonia
collection DOAJ
language English
format Article
sources DOAJ
author Manuela Carugati
Letizia Corinna Morlacchi
Anna Maria Peri
Laura Alagna
Valeria Rossetti
Alessandra Bandera
Andrea Gori
Francesco Blasi
on behalf of the IFALT Working Group
spellingShingle Manuela Carugati
Letizia Corinna Morlacchi
Anna Maria Peri
Laura Alagna
Valeria Rossetti
Alessandra Bandera
Andrea Gori
Francesco Blasi
on behalf of the IFALT Working Group
Challenges in the Diagnosis and Management of Bacterial Lung Infections in Solid Organ Recipients: A Narrative Review
International Journal of Molecular Sciences
solid organ transplants
respiratory infections
pneumonia
author_facet Manuela Carugati
Letizia Corinna Morlacchi
Anna Maria Peri
Laura Alagna
Valeria Rossetti
Alessandra Bandera
Andrea Gori
Francesco Blasi
on behalf of the IFALT Working Group
author_sort Manuela Carugati
title Challenges in the Diagnosis and Management of Bacterial Lung Infections in Solid Organ Recipients: A Narrative Review
title_short Challenges in the Diagnosis and Management of Bacterial Lung Infections in Solid Organ Recipients: A Narrative Review
title_full Challenges in the Diagnosis and Management of Bacterial Lung Infections in Solid Organ Recipients: A Narrative Review
title_fullStr Challenges in the Diagnosis and Management of Bacterial Lung Infections in Solid Organ Recipients: A Narrative Review
title_full_unstemmed Challenges in the Diagnosis and Management of Bacterial Lung Infections in Solid Organ Recipients: A Narrative Review
title_sort challenges in the diagnosis and management of bacterial lung infections in solid organ recipients: a narrative review
publisher MDPI AG
series International Journal of Molecular Sciences
issn 1422-0067
publishDate 2020-02-01
description Respiratory infections pose a significant threat to the success of solid organ transplantation, and the diagnosis and management of these infections are challenging. The current narrative review addressed some of these challenges, based on evidence from the literature published in the last 20 years. Specifically, we focused our attention on (i) the obstacles to an etiologic diagnosis of respiratory infections among solid organ transplant recipients, (ii) the management of bacterial respiratory infections in an era characterized by increased antimicrobial resistance, and (iii) the development of antimicrobial stewardship programs dedicated to solid organ transplant recipients.
topic solid organ transplants
respiratory infections
pneumonia
url https://www.mdpi.com/1422-0067/21/4/1221
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