Transplant Infectious Diseases, Multi-Organ Transplant Program, University Health Network, Toronto, Ontario, Canada.
Infectious Diseases Service and Transplantation Center, Lausanne University Hospital, Lausanne, Switzerland.
Am J Transplant. 2020 Jul;20(7):1773-1779. doi: 10.1111/ajt.15876. Epub 2020 Apr 12.
The COVID-19 pandemic has rapidly evolved and changed our way of life in an unprecedented manner. The emergence of COVID-19 has impacted transplantation worldwide. The impact has not been just restricted to issues pertaining to donors or recipients, but also health-care resource utilization as the intensity of cases in certain jurisdictions exceeds available capacity. Here we provide a personal viewpoint representing different jurisdictions from around the world in order to outline the impact of the current COVID-19 pandemic on organ transplantation. Based on our collective experience, we discuss mitigation strategies such as donor screening, resource planning, and a staged approach to transplant volume considerations as local resource issues demand. We also discuss issues related to transplant-related research during the pandemic, the role of transplant infectious diseases, and the influence of transplant societies for education and disseminating current information.
COVID-19 大流行以空前的方式迅速发展并改变了我们的生活方式。COVID-19 的出现对全球移植产生了影响。这种影响不仅局限于供体或受体问题,还包括医疗资源的利用,因为某些司法管辖区的病例强度超过了可用能力。在这里,我们提供了来自世界各地不同司法管辖区的个人观点,以概述当前 COVID-19 大流行对器官移植的影响。基于我们的集体经验,我们讨论了缓解策略,例如供体筛查、资源规划以及分阶段考虑移植量的方法,因为当地资源问题需要这样做。我们还讨论了大流行期间与移植相关的研究、移植传染病的作用以及移植学会在教育和传播当前信息方面的影响。