Antibiotic Prophylaxis Protocol
Intravenous cefepime is included as antibiotic prophylaxis before transplantation. If cephalosporin allergy is present, vancomycin is chosen. It is prescribed at discharge oral trimethoprim/sulfamethoxazole once daily, oral nystatin three times daily, after meals, rinsing and swallowing, and topical clotrimazole twice daily. Oral valganciclovir is added on intermediate to high-risk patients once daily.