Implementing a Systematic Quality Improvement Strategy to Reduce Cytomegalovirus Infection Following Kidney Transplantation.

Our work shows how multiple factors need to be addressed to reduce the occurrence of cytomegalovirus infection post kidney transplantation. We reduced the incidence of cytomegalovirus infection within 6 months after kidney transplantation, in all cytomegalovirus risk categories, by adopting a multifaceted quality improvement strategy targeting key factors identified on a baseline audit. Transplant centers should regularly survey cytomegalovirus infection rates and adopt a quality improvement strategy to reduce infection rates given its complexity and detrimental outcomes.