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新冠疫情期间器官捐献流程的管理:土耳其首例

Management of an Organ Donation Process in COVID-19 Pandemic: First Case of Turkey.

作者信息

Yakar Mehmet Nuri, İstan Pakize, Gürkök Mehmet Çağatay, Yıldız Diren, Yaka Erdem, Gökmen Ali Necati

机构信息

Department of Anaesthesiology and Reanimation, Division of Intensive Care, Dokuz Eylül University School of Medicine, İzmir, Turkey.

Department of Neurology, Dokuz Eylül University School of Medicine, İzmir, Turkey.

出版信息

Turk J Anaesthesiol Reanim. 2020 Jun;48(3):244-247. doi: 10.5152/TJAR.2020.607. Epub 2019 Jun 1.

Abstract

The first case of coronavirus disease 2019 (COVID-19) was defined as unexplained pneumonia on December 8, 2019, and then it rapidly caused a pandemic and affected transplantation rates negatively. Organ donation processes got more complex because the exclusion of the disease in a short period became more difficult than normal. The exclusion of the disease is vital not only for recipients but also for the medical staff, transplantation teams, and intensive care professionals to reduce the transmission risk. The main steps for diagnosis of COVID-19 are investigation of symptoms, recollection of travel and physical contact history, and testing using the real time polymerase chain reaction (RT-PCR) test. Although it has limitations such as false negative results, RT-PCR is the most accurate method to detect COVID-19, and it is mandatory before donation processes in many countries. In this case report, we aim to share our experience about the first organ donation during the COVID-19 pandemic in Turkey.

摘要

2019年12月8日,首例2019冠状病毒病(COVID-19)被定义为不明原因肺炎,随后迅速引发大流行并对移植率产生负面影响。器官捐献流程变得更加复杂,因为在短时间内排除该疾病比正常情况更加困难。排除该疾病不仅对受者至关重要,对医务人员、移植团队和重症监护专业人员降低传播风险也至关重要。COVID-19诊断的主要步骤包括症状调查、旅行和身体接触史回顾以及使用实时聚合酶链反应(RT-PCR)检测。尽管RT-PCR存在假阴性结果等局限性,但它是检测COVID-19最准确的方法,在许多国家,捐献流程前进行该检测是强制性的。在本病例报告中,我们旨在分享在土耳其COVID-19大流行期间首例器官捐献的经验。

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本文引用的文献

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Temporal dynamics in viral shedding and transmissibility of COVID-19.新冠病毒脱落和传播的时间动态。
Nat Med. 2020 May;26(5):672-675. doi: 10.1038/s41591-020-0869-5. Epub 2020 Apr 15.

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