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pharmacologically and mechanically, is implemented as needed. Relisting and consideration for retransplantation are the recommended plans for progressive rejection despite escalating immunosuppression.

Antibiotic Prophylaxis

As a result of immunosuppression, infection can be a major problem postoperatively. Prophylaxis against cytomegalovirus, with gancyclovir or acyclovir, should be administered if the recipient or the donor is positive. Toxoplasmosis, Pneumocystis carinii, Candida albicans and Herpes Simplex are seen as opportunistic infections.

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