Post-transplant Guidelines and Timelines

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