TABLE 961 Key Historical Elements in Evaluation of Renal Transplant Patients

Ihe risk of infection in a transplant patient is related to the state of immunosuppression. In general, renal grafts from living related donors have less risk of rejection, require less immunosuppression, and have less risk of infection. Ihe degree of immunosuppression can be gauged by calculating the length of time from the transplant. Immunosuppression is at its highest level during the first 6 months posttransplant, with the greatest risk of rejection. After this period, rejection is less likely, and dosages of immunosuppressants are usually tapered down. Ihe continued adjustment of immunosuppression over time has allowed a scheme to be developed that predicts the infectious agent by considering the age of the renal graft (Iable.ii96-2).15

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