PropertyValue
?:abstract
  • Universal screening of potential organ donors and recipients for SARS‐CoV‐2 is now recommended prior to transplantation in the United States during the COVID‐19 pandemic. Challenges have included limited testing capacity, short windows of organ viability, brief lead time for notification of potential organ recipients, and the need to test lower respiratory donor specimens to optimize sensitivity. In an early US epicenter of the outbreak, we designed and implemented a system to expedite this testing and here report results from the first three weeks. The process included a Laboratory Medicine designee for communication with organ recovery and transplant clinical staff, specialized sample labeling and handoff, and priority processing. Thirty‐two organs recovered from 14 of 17 screened donors were transplanted versus 70 recovered from 23 donors during the same period in 2019. No pre‐transplant or organ donors tested positive for SARS‐CoV‐2. Median turnaround time from specimen receipt was 6.8h (donors), 6.5h (recipients): 4.5h faster than daily inpatient median. No organ recoveries or transplants were disrupted by a lack of SARS‐CoV‐2 testing. Waitlist inactivations for COVID‐19 precautions were reduced in our region. Systems that include specialized ordering pathways and adequate testing capacity can support continued organ transplantation even in a SARS‐CoV‐2 hyperendemic area.
?:creator
?:doi
  • 10.1111/ajt.16081
?:doi
?:journal
  • Am_J_Transplant
?:license
  • no-cc
?:pdf_json_files
  • document_parses/pdf_json/d9ab728829686b4140d89a2df364243ae2942d85.json
?:pmcid
?:pmid
?:pmid
  • 32476285.0
?:publication_isRelatedTo_Disease
?:sha_id
?:source
  • Medline; PMC; WHO
?:title
  • Expedited SARS‐CoV‐2 Screening of Donors and Recipients Supports Continued Solid Organ Transplant
?:type
?:year
  • 2020-06-01

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