International Survey on Screening and Management of Strongyloidiasis in Solid Organ Transplant Patients
1
Issued Date
2026-01-01
Resource Type
ISSN
13982273
eISSN
13993062
Scopus ID
2-s2.0-105038550554
Journal Title
Transplant Infectious Disease
Rights Holder(s)
SCOPUS
Bibliographic Citation
Transplant Infectious Disease (2026)
Suggested Citation
Simkins J., Ravindra A., Wolfe C.R., Mularoni A., Slavin M., Ushiro-Lumb I., Baddley J.W., Hand J., Pouch S., Malinis M., Freire M.P., Radisic M., Roberts M.B., Tan B.H., Watcharananan S., Clemente W.T. International Survey on Screening and Management of Strongyloidiasis in Solid Organ Transplant Patients. Transplant Infectious Disease (2026). doi:10.1111/tid.70233 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/116818
Title
International Survey on Screening and Management of Strongyloidiasis in Solid Organ Transplant Patients
Author's Affiliation
Universidade de São Paulo
The University of Queensland
Johns Hopkins University School of Medicine
Emory University School of Medicine
Duke University Medical Center
Universidade Federal de Minas Gerais
University of Miami Leonard M. Miller School of Medicine
Vanderbilt University Medical Center
Royal Adelaide Hospital
Ramathibodi Hospital
NHS Blood and Transplant
The Sir Peter MacCallum Department of Oncology
Singapore Health Services
Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione
Instituto de Trasplante y Alta Complejidad (ITAC)
Kauvery Hospital
The University of Queensland
Johns Hopkins University School of Medicine
Emory University School of Medicine
Duke University Medical Center
Universidade Federal de Minas Gerais
University of Miami Leonard M. Miller School of Medicine
Vanderbilt University Medical Center
Royal Adelaide Hospital
Ramathibodi Hospital
NHS Blood and Transplant
The Sir Peter MacCallum Department of Oncology
Singapore Health Services
Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione
Instituto de Trasplante y Alta Complejidad (ITAC)
Kauvery Hospital
Corresponding Author(s)
Other Contributor(s)
Abstract
Background: Strongyloides stercoralis infection can be associated with high mortality in solid organ transplant (SOT) recipients, yet global practices regarding screening and management remain poorly characterized. We conducted an international survey to evaluate knowledge, screening, and management practices among healthcare workers (HCWs) involved in SOT care. Methods: We performed a cross-sectional, web-based survey of HCWs caring for SOT candidates and recipients. The survey assessed provider characteristics, knowledge of strongyloidiasis, as well as screening and management practices. Descriptive statistics were used to summarize responses. Results: A total of 101 HCWs responded, including 65 (64%) infectious diseases (ID) providers and 36 (36%) non-ID providers. Knowledge gaps were identified regarding transmission and mortality, particularly among non-ID providers. Overall, 85% of respondents reported screening SOT candidates for S. stercoralis; among those who screen, serology is the most commonly used method. Screening strategies varied by geographic region, with universal screening more common in endemic areas and targeted screening in non-endemic regions. Management practices, including approaches to indeterminate or negative test results, showed substantial heterogeneity. Conclusions: This international survey demonstrates considerable variability in knowledge, screening, and management of strongyloidiasis among HCWs involved in SOT care. These findings highlight opportunities for improved education, clearer guidance, and greater standardization of practices related to Strongyloides infection to avoid unnecessary morbidity. (Figure presented.).