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Improve Transplant ID Training
- Infectious disease trainees in transplant ID should engage in the AST education workgroup survey to improve training curriculum.
- This effort aims to identify gaps and update transplant infectious disease education for future specialists.
Toxo Risk in Transplant Mismatch
- Toxoplasmosis risk is highest in donor-positive, recipient-negative (D+/R-) mismatches, especially heart transplant recipients.
- Reactivation can also occur later during intensified immunosuppression for rejection without prophylaxis.
Toxo Prophylaxis and Prevention
- Use trimethoprim-sulfamethoxazole regimens for toxoplasmosis prophylaxis during high immunosuppression.
- Counsel patients to avoid raw meats, untreated water, and contact with cat litter or soil without precautions.