Situación de los receptores de trasplante de órganos sólidos con COVID-19 en México

Abstract

Introduction: Transplanted patients who receive immunosuppressants are at a higher risk of getting COVID-19 infection, of presenting complications in its evolution and the concomitant probability of rejection of the transplanted organ, besides the difficulties for its prevention, prompt detection, monitoring and control. It is relevant to identify the status and evolution of transplant recipients who acquired COVID-19 disease in the Mexican case. Material and methods: It is a cross-sectional study, for which information was collected between April 1 and May 25, 2020 in Mexico. A descriptive analysis of simple and relative frequencies as ratios, proportions and rates was performed from primary sources of information, to identify the general characteristics of the recipients of transplantation with COVID-19. Results: 28 confirmed cases of COVID-19 were reported in transplant recipients. Of these, the majority occurred in men (57.14%), in recipients from Mexico City (78.57%), in facilities from the Ministry of Health (46.43%) and corresponded to kidney transplantation (92.86%). The most affected age group was 45-64 years. Of the total cases, eight died, it has been estimated a case fatality of 28.6%. Conclusions: The data may suggest that COVID-19 disease in solid organ transplant recipients could have a more severe course compared to the general Mexican population. The information generated is a relevant tool for professionals and members of SNDT to approach to this epidemic and to have a better understand about its pattern.