Management of immunosuppressants in the era of coronavirus disease-2019

M Manansala, R Baughman, R Novak… - Current Opinion in …, 2021 - journals.lww.com
M Manansala, R Baughman, R Novak, M Judson, N Sweiss
Current Opinion in Pulmonary Medicine, 2021journals.lww.com
Currently, there is no conclusive evidence to suggest that solid organ transplant recipients
on chronic immunosuppression are at increased risk of contracting COVID-19. Solid organ
transplant recipients may be at increased risk for worse COVID-19 outcomes but the data
are not consistent. There is evidence to suggest that patients with rheumatologic disorders
or IBDs are not at increased risk of contracting COVID-19 and do not necessarily experience
worse clinical outcomes. Patients with sarcoidosis are not necessarily at increased risk of …
Summary
Currently, there is no conclusive evidence to suggest that solid organ transplant recipients on chronic immunosuppression are at increased risk of contracting COVID-19. Solid organ transplant recipients may be at increased risk for worse COVID-19 outcomes but the data are not consistent. There is evidence to suggest that patients with rheumatologic disorders or IBDs are not at increased risk of contracting COVID-19 and do not necessarily experience worse clinical outcomes. Patients with sarcoidosis are not necessarily at increased risk of COVID-19, although there is limited data available to determine if immunosuppression worsens outcomes in this population.
Lippincott Williams & Wilkins