Maintenance Immunosuppressive Treatment of Renal Transplant Recipients in the Critical Care Unit.

•During intensive care unit (ICU) admission, transplant nephrologists and surgeons take care of their patients by prescribing an immunosupressive treatment individually, balancing life-threatening sepsis and rejection prevention.•The main reason for admission of renal transplant recipients to the ICU was a life-threatening infection.•In the ICU, kidney trasnplant recipients need individualized maintenance IS treatment based on the severity of the life-threatening condition.•We showed that a single-dose steroid was the most frequently used modification of maintenance IS treatments for kidney transplant recipients in the ICU.•In our series, lower doses of maintenance immunosuppression seem safe and suitable for kidney transplant recipients.