Coronavirus disease 2019 and transplantation: A view from the inside

Conversely, no specific indications for recipients from and for Transplant Centers within high‐risk areas are available.2 Our Hospital, located in Milan, northern Italy, hosts a liver, lung, kidney and bone marrow transplant Centre. From the beginning of COVID‐19 outbreak in Italy, in our Hospital s...

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Bibliographic Details
Published in:American Journal of Transplantation 2020-07, Vol.20 (7), p.1939-1940
Main Authors: Gori, Andrea, Dondossola, Daniele, Antonelli, Barbara, Mangioni, Davide, Alagna, Laura, Reggiani, Paolo, Bandera, Alessandra, Rossi, Giorgio
Format: Article
Language:English
Subjects:
Betacoronavirus
Clinical Laboratory Techniques
complication: infectious
Coronavirus Infections - diagnosis
Coronavirus Infections - prevention & control
Coronaviruses
COVID-19
COVID-19 Testing
Critical Pathways
ethics and public policy
health services and outcomes research
Humans
infection and infectious agents – viral
Infection Control - methods
Infection Control - standards
infectious disease
Italy
organ procurement and allocation
Organ Transplantation - methods
Organ Transplantation - standards
Pandemics - prevention & control
Pneumonia, Viral - diagnosis
Pneumonia, Viral - prevention & control
SARS-CoV-2
Tissue and Organ Procurement - methods
Tissue and Organ Procurement - standards
Transplantation
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Summary:Conversely, no specific indications for recipients from and for Transplant Centers within high‐risk areas are available.2 Our Hospital, located in Milan, northern Italy, hosts a liver, lung, kidney and bone marrow transplant Centre. From the beginning of COVID‐19 outbreak in Italy, in our Hospital several preventive measures were implemented such as: (a) personnel training and application of infection control measures (hand hygiene, facial mask, gloves and gown for healthcare professionals assisting transplant patients, a dedicated pathway in Emergency Department for suspected cases), (b) limitation of non urgent surgical activities, (c) screening with NPS and pre‐emptive isolation of possibly exposed subjects.3 As transplant and infectious disease specialists, we deem it is crucial to carefully balance cost and benefits in performing a transplant during a COVID‐19 outbreak. Briefly, due to the unknown viral kinetic and the possibility of false negative results described for NPS,5 we limit LT to the most urgent cases of patients living in the epidemic area, while consider a more liberal allocation for patients outside high‐risk areas.
ISSN:1600-6135
1600-6143
DOI:10.1111/ajt.15853