Post-transplant Guidelines and Timelines

Published on in CHOP News

Patients 0-6 months post-transplant

General:

  • Continue with good hydration, handwashing and wear sunscreen when outdoors

Exercise and exertion:

  • Do not lift more than 10 pounds for 8 – 12 weeks post-transplant; slowly increase weight as tolerated each week.
  • Avoid core exercises (such as crunches) for a few months post-transplant.
  • Light cardio as tolerated after one month post-transplant.
  • At 6 weeks post-transplant: this is the end of quarantine. Your child can be fitted for kidney protector and we will coordinate your visit with a nutritionist in clinic. 

Vaccines and medications:

  • At 6 weeks post-transplant: We may consider decreasing or discontinuing Nystatin at this visit. If a stent had been placed, it may be removed around this time.
  • At 3 months post-transplant: can receive non-live vaccines
  • At 6 months post-transplant: We may consider discontinuing Valcyte if your child was started on this antiviral medication

Patients 6+ months post-transplant

General:

  • Continue with good hydration, handwashing and wear sunscreen when outdoors

Follow-up visits at CHOP:

  • When patient reaches 14 years old: Teen Clinic every six months (this replaces the regular clinic visit)
  • Beginning one year post transplant: Hypertension Clinic every year or as recommended (this replaces the regular clinic visit)

Vaccines and medications:

  • Flu vaccine: every year
  • Gardasil: A three-dose schedule is recommended for patients age 9 to 26 who are immunocompromised.
  • Pneumovax 23: every five years x 2 doses (can be administered in clinic)

Clinic visit schedule

  • Transplant to 6 weeks post-transplant: two times per week
  • 6 – 12 weeks post-transplant: one time per week
  • 3 – 6 months post-transplant: every two weeks
  • 6 – 12 months post-transplant: one time a month
  • 1 – 2 years post-transplant: every four to six weeks
  • 2 years post-transplant until transition to adult care: at least every three months