Table 2

Recommendations for respiratory viral infections before transplantation

VirusRecommendation for URTIRecommendation for LRTI
RSV Delay transplant, if possible; if not possible to delay, consider oral ribavirin* Delay transplant; consider ribavirin if delay is not feasible (anecdotal data)* 
Influenza virus Delay transplant if possible and treat Delay transplant and treat 
If not possible to delay, treat 
Parainfluenza virus Delay transplant if possible Delay transplant; consider ribavirin if delay is not feasible (anecdotal data)* 
If not possible to delay, supportive care 
Metapneumovirus Delay transplant if possible Delay transplant; no data on ribavirin 
Rhinovirus Delay transplant if possible; no data for autologous transplant Delay transplant, if feasible 
Coronavirus No data No data 
Bocavirus No data No data 
VirusRecommendation for URTIRecommendation for LRTI
RSV Delay transplant, if possible; if not possible to delay, consider oral ribavirin* Delay transplant; consider ribavirin if delay is not feasible (anecdotal data)* 
Influenza virus Delay transplant if possible and treat Delay transplant and treat 
If not possible to delay, treat 
Parainfluenza virus Delay transplant if possible Delay transplant; consider ribavirin if delay is not feasible (anecdotal data)* 
If not possible to delay, supportive care 
Metapneumovirus Delay transplant if possible Delay transplant; no data on ribavirin 
Rhinovirus Delay transplant if possible; no data for autologous transplant Delay transplant, if feasible 
Coronavirus No data No data 
Bocavirus No data No data 
*

Benefit and dosing of oral ribavirin in pediatric patients is not clearly understood.

See influenza treatment section in Table 1.

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