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Infection in Kidney Transplantation

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Infection in Kidney Transplantation

Importance of Adherence


Adherence to prescribed medications post transplant is a fundamental preventive measure for infection and organ rejection. Adherence has been shown to be especially decreased in the pediatric adolescent population. Possible causes of lower levels of adherence in this population include lack of understanding of the disease state, low health literacy of adolescents and their parents, and psychosocial issues.

Methods to improve adherence in all age groups include the use of pill boxes and daily reminders by cell phones, alarm clocks, or e-mail. Establishing rapport between patients and all healthcare providers is vital, as this is a lifelong condition. Education for the transplant patient should not end immediately post transplant, but instead should be revisited as often as possible and by all members of the healthcare team.

The farther away patients are from their transplant, the greater the risk of nonadherence based on the notion that there is less or no risk of complications after an initial period post surgery. No matter the length of time after surgery, the importance of staying vigilant cannot be stressed enough to these patients. Pharmacists in all settings can offer encouragement and support while seamlessly helping to prevent adverse outcomes in these patients.

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