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. 2022 Dec 30;21(2):854–863. doi: 10.1111/ajt.16348

TABLE 2.

Clinical management of patients

Patient Type of carea Day of hospitalization post–symptom onset Day of ICU transfer post–symptom onset Type of O2 therapyb Immuno suppression at onsetc Immuno suppression level at diagnosisd Immuno suppression taperinge Immuno suppressants during COVID–19f Day of immunosuppressive regimen resumptiong Time of recovery post–symptom onset (days) Sampling days post–symptom onseth
Kidney transplanted patients
KTX1 ICU 4 5 HFNC Tac, MPA, Cs Tac <2.2i
MPA 500 mg x2
Tac↕, MPA↕ Tac <2.2
Cs 20 mg
24 (Tac MPA Cs 7.5 mg) 24 19E38S–60E,S
KTX2 ICU 10 16 HFNC Tac, MPA, Cs Tac 8
MPA 750 mg x2
Tac↕, MPA↕ dy 13 Tac 4.4
dy 16 Tac<2.2
Cs 20 mg
37 (Tac MPA Cs 10 mg) 37 31E53E,S
KTX3 ICU 10 10 MV Bel, MPA, Cs Bel day –27
MPA 500 mg x2
Bel↕, MPA↕ Cs 20 mg - (Cs 20 mg) >80j 26E,S
KTX4 Hosp 7 Conv Tac, MPA, Cs Tac 4.7
MPA 750 mg x 2
MPA↕ Tac 4
Cs 20 mg
12 (Tac MPA Cs 7.5 mg) 12 42E,S
KTX5 ICU 14 14 HFNC Tac, MPA, Cs Tac 6.1
MPA 500 mg x2
MPA↕ Tac 4
Cs 20 mg
40 (Tac MPA Cs 7.5 mg) 40 39E,S56E,S
KTX6 Hosp 12 Conv CsA, MPA CsA 78
MPA 500 mg x 2
Csa↕, MPA↕ Cs 20 mg 25 (CsA MPA Cs 5 mg) 29 26E,S
KTX7 Outpatient Tac, MPA, Cs Tac 6.6
MPA 500 mg x2
48E,S
KTX8 Outpatient Bel, MPA, Cs Bel day 0
MPA 500 mg x2
37E,S
KTX9 Outpatient Bel, MPA, Cs Bel day –5
MPA 500 mg x2
37E,S
KTX10 Outpatient Tac, MPA Tac 9
MPA 750 mg x2
40E,S
KTX11 Outpatient Sir, Cs Sir 10 49E,S
Patients on hemodialysis
HD1 Outpatient 21E,S–49S
HD2 Hosp 4 Conv 16 17E
a

ICU: intensive care unit; Hosp: patient hospitalized in conventional medical unit.

b

Conv: conventional oxygen therapy; HFNC: high-flow nasal canula; MV: mechanical ventilation.

c

Tac: tacrolimus; CsA: cyclosporine A; MPA: mycophenolic acid or mycophenolate mofetil; Cs: corticosteroids; Bel: belatacept. Sir: sirolimus.

d

Trough levels of tacrolimus (Tac), cyclosporine A (CsA), or sirolimus (Sir) in ng/ml, day of the last belatacept (Bel) infusion relative to symptoms onset, and mycophenolic acid or mycophenolate mofetil (MPA) dosage per day.

e

↕: withdrawal.

f

Trough levels of tacrolimus on the indicated day relative to symptoms onset and dosage of corticosteroids (Cs).

g

Immunosuppressive regimen at resumption in brackets. Immunosuppressants were not re-administered in patient KTX3.

h

The type of immunological assay performed at each sampling date is indicated as E: ELISPOT, S: serology. In bold, sampling done under or after reintroduction of a full immunosuppressive regimen.

i

Low Tac trough levels maintained prior to and after COVID-19 due to Kaposi sarcoma in this patient.

j

Patient still hospitalized in ICU due to post-COVID-19 pulmonary function impairment.