Ganciclovir/valganciclovir is first-line for CMV infection
Consultation with Infectious Diseases is strongly encouraged
Duration of treatment depends on indication and response; ideally continue until serum/plasma viral load is undetectable. Weak evidence for secondary prophylaxis.
Hydration recommended prior to each dose: 10-20 mL/kg normal saline or other appropriate fluid prior to each dose (usual adult hydration 750 - 1000 mL prior to first dose and 500 - 750 mL prior to subsequent doses)