1. PCP Prophylaxis: should be given to all patients for as long as they are on steroids. The standard is Bactrim SS given once per day (or given every other day for those with GFR less than 30 ml/min).
2. CMV Prophylaxis: I know that different transplant centers have different protocols for which antiviral agent is used for CMV prophylaxis, with choice of agent based on the CMV donor/recipient status. We tend to use valgancyclovir (Valcyte) most commonly given at 450mg po qd (or 450mg po qod if GFR less than 30.)