Solid-organ transplant recipients and allogeneic HSCT or bone marrow transplant recipients with institutional incidence of ≥5% or in high-risk patients: |
History of PCP or frequent opportunistic infections |
With invasive CMV infection or at high risk for CMV disease |
During intensified immune suppression for acute allograft rejection or GVHD |
Individuals receiving anti-T-cell therapies |
Autologous bone marrow transplant recipients with leukemia or lymphoma, undergoing intensive conditioning or graft manipulation, or after fludarabine or 2-CDA |
Individuals with prolonged neutropenia (if marrow suppression is tolerable) |
Individuals with corticosteroid doses of ≥20 mg of prednisone per day for ≥2-3 wk |