Skip to main content

Advertising Disclaimer »

Main menu

  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors/Reviewers
    • Submit Manuscript
    • Author Guidelines
    • Reviewer Guidelines
    • Open Access
    • Editorial Policies
  • Content
    • Current Issue
    • Online First
    • Archive
    • Blogs
    • Topic/Program Collections
    • AAP Meeting Abstracts
  • Pediatric Collections
    • COVID-19
    • Racism and Its Effects on Pediatric Health
    • More Collections...
  • AAP Policy
  • Supplements
  • Multimedia
    • Video Abstracts
    • Pediatrics On Call Podcast
  • Subscribe
  • Alerts
  • Careers
  • Other Publications
    • American Academy of Pediatrics

User menu

  • Log in

Search

  • Advanced search
American Academy of Pediatrics

AAP Gateway

Advanced Search

AAP Logo

  • Log in
  • Journals
    • Pediatrics
    • Hospital Pediatrics
    • Pediatrics in Review
    • NeoReviews
    • AAP Grand Rounds
    • AAP News
  • Authors/Reviewers
    • Submit Manuscript
    • Author Guidelines
    • Reviewer Guidelines
    • Open Access
    • Editorial Policies
  • Content
    • Current Issue
    • Online First
    • Archive
    • Blogs
    • Topic/Program Collections
    • AAP Meeting Abstracts
  • Pediatric Collections
    • COVID-19
    • Racism and Its Effects on Pediatric Health
    • More Collections...
  • AAP Policy
  • Supplements
  • Multimedia
    • Video Abstracts
    • Pediatrics On Call Podcast
  • Subscribe
  • Alerts
  • Careers

Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
State-of-the-Art Review Article

Care of Pediatric Solid Organ Transplant Recipients: An Overview for Primary Care Providers

Daphna T. Katz, Nicole S. Torres, Brandon Chatani, Ivan A. Gonzalez, Jayanthi Chandar, Tamir Miloh, Paolo Rusconi and Jennifer Garcia
Pediatrics December 2020, 146 (6) e20200696; DOI: https://doi.org/10.1542/peds.2020-0696
Daphna T. Katz
aHoltz Children’s Hospital, Jackson Health System, Miami, Florida;
bDepartment of Pediatrics, Miller School of Medicine, University of Miami, Miami, Florida; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Nicole S. Torres
bDepartment of Pediatrics, Miller School of Medicine, University of Miami, Miami, Florida; and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Brandon Chatani
cDivisions of Pediatric Infectious Diseases,
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ivan A. Gonzalez
cDivisions of Pediatric Infectious Diseases,
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jayanthi Chandar
dPediatric Nephrology,
eMiami Transplant Institute, Miami, Florida
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Tamir Miloh
eMiami Transplant Institute, Miami, Florida
fPediatric Gastroenterology, and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Paolo Rusconi
eMiami Transplant Institute, Miami, Florida
gPediatric Cardiology,
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jennifer Garcia
eMiami Transplant Institute, Miami, Florida
fPediatric Gastroenterology, and
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • Info & Metrics
  • Comments
Loading

This article requires a subscription to view the full text. If you have a subscription you may use the login form below to view the article. Access to this article can also be purchased.

Download PDF

Abstract

As the number of living pediatric solid organ transplant (SOT) recipients continues to grow, there is an increased likelihood that primary care providers (PCPs) will encounter pediatric SOT recipients in their practices. In addition, as end-stage organ failure is replaced with chronic medical conditions in transplant recipients, there is a need for a comprehensive approach to their management. PCPs can significantly enhance the care of immunosuppressed hosts by advising parents of safety considerations and avoiding adverse drug interactions. Together with subspecialty providers, PCPs are responsible for ensuring that appropriate vaccinations are given and can play an important role in the diagnosis of infections. Through early recognition of rejection and posttransplant complications, PCPs can minimize morbidity. Growth and development can be optimized through frequent assessments and timely referrals. Adherence to immunosuppressive regimens can be greatly improved through reinforcement at every encounter, particularly among adolescents. PCPs can also improve long-term outcomes by easing the transition of pediatric SOT recipients to adult providers. Although guidelines exist for the primary care management of adult SOT recipients, comprehensive guidance is lacking for pediatric providers. In this evidence-based overview, we outline the main issues affecting pediatric SOT recipients and provide guidance for PCPs regarding their management from the first encounter after the transplant to the main challenges that arise in childhood and adolescence. Overall, PCPs can and should use their expertise and serve as an additional layer of support in conjunction with the transplant center for families that are caring for a pediatric SOT recipient.

  • Accepted July 29, 2020.
  • Copyright © 2020 by the American Academy of Pediatrics

Individual Login

Log in
You will be redirected to aap.org to login or to create your account.

Institutional Login

via Institution

You may be able to gain access using your login credentials for your institution. Contact your librarian or administrator if you do not have a username and password.

Log in through your institution

If your organization uses OpenAthens, you can log in using your OpenAthens username and password. To check if your institution is supported, please see this list. Contact your library for more details.

Pay Per Article - You may access this article (from the computer you are currently using) for 2 days for US$25.00

Regain Access - You can regain access to a recent Pay per Article purchase if your access period has not yet expired.

Offer Reprints

PreviousNext
Back to top

Advertising Disclaimer »

In this issue

Pediatrics
Vol. 146, Issue 6
1 Dec 2020
  • Table of Contents
  • Index by author
View this article with LENS
PreviousNext
Email Article

Thank you for your interest in spreading the word on American Academy of Pediatrics.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Care of Pediatric Solid Organ Transplant Recipients: An Overview for Primary Care Providers
(Your Name) has sent you a message from American Academy of Pediatrics
(Your Name) thought you would like to see the American Academy of Pediatrics web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Request Permissions
Article Alerts
Log in
You will be redirected to aap.org to login or to create your account.
Or Sign In to Email Alerts with your Email Address
Citation Tools
Care of Pediatric Solid Organ Transplant Recipients: An Overview for Primary Care Providers
Daphna T. Katz, Nicole S. Torres, Brandon Chatani, Ivan A. Gonzalez, Jayanthi Chandar, Tamir Miloh, Paolo Rusconi, Jennifer Garcia
Pediatrics Dec 2020, 146 (6) e20200696; DOI: 10.1542/peds.2020-0696

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Care of Pediatric Solid Organ Transplant Recipients: An Overview for Primary Care Providers
Daphna T. Katz, Nicole S. Torres, Brandon Chatani, Ivan A. Gonzalez, Jayanthi Chandar, Tamir Miloh, Paolo Rusconi, Jennifer Garcia
Pediatrics Dec 2020, 146 (6) e20200696; DOI: 10.1542/peds.2020-0696
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
Print
Download PDF
Insight Alerts
  • Table of Contents

Jump to section

  • Article
    • Abstract
    • Methods
    • Transition From Hospital to Home
    • Immunosuppression
    • Vaccination
    • Fever
    • Infection
    • Rejection
    • Additional Complications
    • Growth and Nutrition
    • Development and Psychosocial Functioning
    • Adolescence
    • Transition to Adult Medicine
    • Conclusions
    • Acknowledgments
    • Footnotes
    • References
  • Figures & Data
  • Info & Metrics
  • Comments

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Contemporary Management of Urinary Tract Infection in Children
  • Effects of Peer Victimization on Child and Adolescent Physical Health
Show more State-of-the-Art Review Article

Similar Articles

Subjects

  • Surgery
    • Transplantation
    • Surgery
  • Community Pediatrics
    • Community Pediatrics
    • Medical Home
  • Journal Info
  • Editorial Board
  • Editorial Policies
  • Overview
  • Licensing Information
  • Authors/Reviewers
  • Author Guidelines
  • Submit My Manuscript
  • Open Access
  • Reviewer Guidelines
  • Librarians
  • Institutional Subscriptions
  • Usage Stats
  • Support
  • Contact Us
  • Subscribe
  • Resources
  • Media Kit
  • About
  • International Access
  • Terms of Use
  • Privacy Statement
  • FAQ
  • AAP.org
  • shopAAP
  • Follow American Academy of Pediatrics on Instagram
  • Visit American Academy of Pediatrics on Facebook
  • Follow American Academy of Pediatrics on Twitter
  • Follow American Academy of Pediatrics on Youtube
  • RSS
American Academy of Pediatrics

© 2021 American Academy of Pediatrics