Non-Standard Risk Donors and Risk of Donor-Derived Infections: From Evaluation to Therapeutic Management.

IF 2.7 3区 医学 Q1 SURGERY
Transplant International Pub Date : 2024-10-02 eCollection Date: 2024-01-01 DOI:10.3389/ti.2024.12803
Paolo A Grossi, Cameron Wolfe, Maddalena Peghin
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引用次数: 0

Abstract

Expected and unexpected donor-derived infections are a rare complication of solid organ transplantation, but can result in significant morbidity and mortality. Over the last years, the growing gap existing between patients on the waiting list and available organs has favored the use of organs from donors with suspected or confirmed infections, thanks to the improvement of risk mitigation strategies against transmission of well recognized and emerging infections. Given the recent developments, the particular interest of this review is to summarize data on how to maximize utilization of HIV+ donors in HIV+ recipients, the use of HCV-viremic donors and HBV positive donors. This article also covers the implications for recipient of organs from donors with bacteremia and the challenge of multidrug resistant (MDR) infections. Lastly this review describes emerging risks associated with recent Coronavirus Disease-2019 (COVID-19) pandemics.

非标准风险捐献者与捐献者感染风险:从评估到治疗管理。
预期和意外的捐献者感染是实体器官移植的罕见并发症,但可导致严重的发病率和死亡率。在过去几年中,由于针对公认的和新出现的感染传播的风险缓解策略不断改进,等待器官移植名单上的患者与可用器官之间的差距越来越大,这有利于使用来自疑似或确诊感染供体的器官。鉴于近期的发展,本综述特别关注如何在 HIV+受者中最大限度地利用 HIV+供体、使用 HCV 病毒感染供体和 HBV 阳性供体的数据。本文还涉及菌血症捐献者器官对受者的影响以及耐多药(MDR)感染的挑战。最后,本综述介绍了与近期冠状病毒病-2019(COVID-19)大流行相关的新风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Transplant International
Transplant International 医学-外科
CiteScore
4.70
自引率
6.50%
发文量
211
审稿时长
3-8 weeks
期刊介绍: The aim of the journal is to serve as a forum for the exchange of scientific information in the form of original and high quality papers in the field of transplantation. Clinical and experimental studies, as well as editorials, letters to the editors, and, occasionally, reviews on the biology, physiology, and immunology of transplantation of tissues and organs, are published. Publishing time for the latter is approximately six months, provided major revisions are not needed. The journal is published in yearly volumes, each volume containing twelve issues. Papers submitted to the journal are subject to peer review.
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