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Primary varicella is an uncommon complication post\u2010solid\u2010organ transplant (SOT), except among pediatric transplant patients and those seronegative for VZV. As the majority of SOT recipients are seropositive for VZV, herpes zoster (HZ) occurs frequently following SOT, particularly among recipients who are older (\u226565\u00a0years of age) and those receiving more intensive immunosuppression. Transplant providers should aware of the increased risk for HZ\u2010related complications such as dissemination, organ\u2010specific involvement, and post\u2010herpetic neuralgia. Treatment for localized zoster is primarily given as oral regimens, but those with more complicated presentations or those at risk for dissemination should be treated initially with IV therapy. Available antiviral prophylaxis regimens and vaccination strategies for varicella and HZ among these immunosuppressed patients remain a mainstay for prevention in the pre\u2010and post\u2010transplant periods. Finally, we discuss important approaches to addressing post\u2010exposure prophylaxis and infection control practices for those SOT patients with documented VZV infections.<\/jats:p>","DOI":"10.1111\/ctr.13622","type":"journal-article","created":{"date-parts":[[2019,6,4]],"date-time":"2019-06-04T12:10:15Z","timestamp":1559650215000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":129,"title":["Varicella zoster virus in solid organ transplantation: Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice"],"prefix":"10.1111","volume":"33","author":[{"given":"Steven A.","family":"Pergam","sequence":"first","affiliation":[{"name":"Division of Allergy and Infectious Diseases, Department of Medicine University of Washington Seattle Washington"},{"name":"Vaccine and Infectious Disease Division Fred Hutchinson Cancer Research Center Seattle Washington"},{"name":"Clinical Research Division Fred 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