Oscar Len, Melissa A Greenwald, Aurora Navarro, Evangelia Petrisli, Claudia Carella, Paolo Antonio Grossi, Giuseppe Feltrin, Massimo Cardillo
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引用次数: 0
摘要
在使用源于人类的医疗产品 (MPHO) 时,不可能杜绝供体衍生感染 (DDI) 传播的可能性。不过,对供体进行周到、系统的评估可以降低风险。预防是一个关键问题,医生在评估 MPHO 供体或受体时必须保持高度怀疑和警惕,并随时了解新出现的感染。生物警戒是对严重不良反应和事件(SARE)的系统监测,可确保移植中 MPHO 的质量和安全性。拥有 2808 篇参考文献的通知图书馆是一个可用的教学工具,可帮助医生对供体或受体进行评估,为生物警戒活动提供信息,并使国际科学界受益。用户可以免费查阅大量不同类型的 SARE,这些 SARE 主要是通过审查发表的文章和国家或地区监测计划的病例报告确定的。通知图书馆包括许多有据可查的 DDI 领域 SARE 记录,是评估与移植相关的 SARE 的有用工具。该资料库会不断更新记录,尤其是在首次报告新类型事件时。所有类型的描述事件在指导检测、调查或风险管理的同时都可能具有教育价值。分享从这些事件中吸取的经验教训是一个重要的教育机会,有助于改进器官捐献流程,实现更高的质量和安全标准。
Perspectives on donor-derived infections from the Notify Library.
It is impossible to eliminate the potential for transmission of donor-derived infections (DDI) when using medical products of human origin (MPHO). However, a thoughtful and systematic approach to donor evaluation can mitigate the risk. Prevention is a key issue, and physicians must maintain a high index of suspicion and remain vigilant in evaluating MPHO donors or recipients, as well as stay current on emerging infections. Biovigilance is the systematic monitoring of serious adverse reactions and events (SARE) that ensures the quality and safety of MPHO in transplantation. The Notify Library with its 2808 references is an available didactic tool that could support physicians in donor or recipient evaluation, inform biovigilance activity, and benefit the international scientific community. It provides free access to a large collection of many different types of SARE, identified mainly through the review of published articles and case reports from national or regional surveillance programs. The Notify Library includes many well-documented records of SARE in the field of DDI, representing a useful tool for assessing SARE associated with transplantation. It is continuously updated with new records, especially when a new type of incident is first reported. All types of described incidents may have educational value while guiding detection, investigation, or risk management. Sharing the lessons learned from these incidents represents an important educational opportunity that can help improve organ donation processes and achieve higher standards of quality and safety.
期刊介绍:
Transplant Infectious Disease has been established as a forum for presenting the most current information on the prevention and treatment of infection complicating organ and bone marrow transplantation. The point of view of the journal is that infection and allograft rejection (or graft-versus-host disease) are closely intertwined, and that advances in one area will have immediate consequences on the other. The interaction of the transplant recipient with potential microbial invaders, the impact of immunosuppressive strategies on this interaction, and the effects of cytokines, growth factors, and chemokines liberated during the course of infections, rejection, or graft-versus-host disease are central to the interests and mission of this journal.
Transplant Infectious Disease is aimed at disseminating the latest information relevant to the infectious disease complications of transplantation to clinicians and scientists involved in bone marrow, kidney, liver, heart, lung, intestinal, and pancreatic transplantation. The infectious disease consequences and concerns regarding innovative transplant strategies, from novel immunosuppressive agents to xenotransplantation, are very much a concern of this journal. In addition, this journal feels a particular responsibility to inform primary care practitioners in the community, who increasingly are sharing the responsibility for the care of these patients, of the special considerations regarding the prevention and treatment of infection in transplant recipients. As exemplified by the international editorial board, articles are sought throughout the world that address both general issues and those of a more restricted geographic import.