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Preventing Bacterial Infections:
        Most bacterial infections can be avoided by following good
        common sense and good personal hygiene.
        ● Wash your hands frequently throughout the day using warm
           water and soap.
        ● If you get a cut, wash and treat it immediately. If it gets red or
           sore contact your GP.
        ● Cook meats thoroughly and avoid eating raw eggs, raw meat or
           raw fish.

         Fungal Infections                                 Pneumocystis carinii
            The most common fungal infection, seen in      Pneumocystis carinii is a germ that is similar to a
            kidney transplant recipients, is Candida.      fungus, and it is normally found in the lungs of people
            Thrush is a common candida infection,          whose immune systems are suppressed. It may cause
            which occurs in the mouth. Thrush creates      a type of pneumonia. Early in the illness, you might
            creamy or grey patches on the inside of the    have mild, dry cough and a fever. If you think that you
            tongue or cheeks. Some women may               have a cold or flu-like illness that does not get better,
            experience vaginal thrush, which has similar   contact your transplant team right away. You will be
            symptoms. You will be given anti-fungal        prescribed Septrin (Co-trimoxazole) to prevent this
            medication to prevent or treat this infection.  infection.

         ● Viral Infections
            Although there are many viruses that can cause infection in transplanted patients, the ones that
            most often cause problems belong to the herpes group. You may be taking oral anti-viral medications
            such as Valtrex to prevent these.

        CMV – Cytomegalovirus            Varicella Zoster
        As previously discussed,         Varicella virus is the cause of chickenpox
        CMV is a member of the           in children. As with CMV, the virus
        herpes family and is             continues to live on in the body. If
        present in more than half of     someone has previously had chicken
        all adults, before they reach    pox, the virus will/can reactivate in the
        middle age. For most people      form of shingles.
        CMV causes only mild                If you never had chicken pox and come
        symptoms including a low         into contact with shingles then you may develop chicken pox which is
        fever and tiredness.             the primary form of Varicella. If you never had chicken pox and come into
        Although these symptoms          contact with chicken pox then you will get chicken pox.
        disappear, the virus remains        For the last five years patients have been tested for Varicella prior to
        in the body forever.             going on the transplant pool and before going on the pool will be
           When the immune               vaccinated if test is negative.
        system is suppressed,               If on the transplant pool before this and patient has never had chicken
        following a kidney               pox then you will need to be very careful to avoid infection.
        transplant, the CMV could           Measles, Mumps and Rubella are all highly contagious viral diseases
        be reactivated and can           that can be severe, if caught by anyone taking immunosuppressants. The
        cause a range of serious         vaccines against these diseases, as well as the oral polio vaccine, are
        infections such as               made from live viruses and can cause an immunosuppressed person to
        pneumonia, eye infections        catch the disease. Avoid these vaccines and anyone who has recently
        or gastrointestinal disease.     received them.

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