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. 2020 Mar;8(6):413. doi: 10.21037/atm.2020.01.120

Table 2. Recommendations for safe living by solid organ transplant recipients with regards to prevention of bacterial and mycobacterial infections from the American Society of Transplantation (92).

Type of infection Common causative organisms Strategies
Infections transmitted by direct contact Clostridioides difficile Frequent and thorough handwashing especially when touching mucous membranes
Non tuberculous mycobacterium Wear gloves whenever handling heavily contaminated materials
Avoid going barefoot outside
Wear shoes, socks, long pants, and long-sleeved shirts while doing gardening, yard work, farming, or being in parks or wooded areas
Avoid self-piercing or tattooing or sharing of needles
Respiratory infections Mycobacterium tuberculosis Avoid close contact with persons with respiratory illnesses
Pseudomonas aeruginosa Avoid crowded areas
Avoid tobacco or marijuana smoke
Avoid activities and occupational settings that increase the risk of exposure to tuberculosis
Wear a mask if exposure to above high-risk areas is unavoidable
Food safety Escherichia coli 0157:H7 Avoid the following:
Salmonella ● Drinking unpasteurized milk, fruit, or vegetable juice/cider
Brucella ● Eating cheeses made with unpasteurized milk
Listeria ● Eating raw or undercooked eggs
Yersinia ● Ingesting raw seed sprouts
● Cross-contamination when preparing food
● Eating uncooked pate, meat spreads, cold cuts, and smoked seafood
● Eating from public salad bars or buffets, street vendors, picnics
● Eating any food prepared by someone with a recent diarrheal illness
Animal contact related infections Enterobacteriaceae Avoid contact with animals that have diarrhea
Chlamydophila Take the pet regularly to the veterinarian for checkups
Pasteurella Avoid cleaning bird cages, bird feeders, litter boxes, and handling animal feces
Capnocytophaga Avoid stray animals
Mycobacterium marinum Avoid animal bites and scratches
Wear gloves to clean aquariums or have someone else in the household do the cleaning
Sexually transmitted infections Treponema pallidum Always use latex condoms outside of long term monogamous relationship or during periods of immunosuppression
Neisseria gonorrhea Avoid exposure to feces during sexual activity
Chlamydia trachomatis
Work and school related infections Seek guidance from transplant teams and/or transplant
infectious disease consultants regarding the following:
The optimal timing of returning to work or school
Mitigating potential infectious risks in the workplace
Reported outbreaks of infections in the workplace or at school