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Infection following transplantation in children and young people

Lookup NU author(s): Dr Christo TsilifisORCiD, Professor Andrew GenneryORCiD

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Abstract

© 2026 Elsevier LtdOutcomes following solid organ transplantation (SOT) and haematopoietic stem cell transplantation (HSCT) in children and young people continue to improve, yet infections remain a leading cause of morbidity and mortality. Children are particularly vulnerable to infection due to immaturity of the immune system and incomplete vaccination. The risk of infection is governed by graft type, degree of immunosuppression, the time elapsed since transplantation, and for HSCT recipients, immune reconstitution and graft-versus-host disease (GvHD). The pathogens causing infection also vary by interval from transplant, and patient/donor characteristics such as serostatus and colonization with resistant organisms. This review summarises the epidemiology, pathogenesis, and spectrum of infections following paediatric SOT and HSCT.


Publication metadata

Author(s): Tsilifis C, Gennery AR

Publication type: Review

Publication status: Published

Journal: Paediatrics and Child Health

Year: 2026

Pages: epub ahead of print

Online publication date: 01/04/2026

Acceptance date: 02/04/2025

ISSN (print): 1751-7222

ISSN (electronic): 1878-206X

Publisher: Churchill Livingstone

URL: https://doi.org/10.1016/j.paed.2026.03.002

DOI: 10.1016/j.paed.2026.03.002


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