Gopal Jeevan Prakash, Papalois Vassilios E
Imperial College Renal and Transplant Center, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London W12 0HS, United Kingdom.
Imperial College Renal and Transplant Center, Department of Surgery and Cancer, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London W12 0HS, United Kingdom.
World J Transplant. 2020 Oct 18;10(10):277-282. doi: 10.5500/wjt.v10.i10.277.
The prevailing coronavirus disease 2019 pandemic has challenged our lives in an unprecedented manner. The pandemic has had a significant impact on transplantation worldwide. The logistics of travel restrictions, stretching of available resources, unclear risk of infection in immunosuppressed transplant recipients, and evolving guidelines on testing and transplantation are some of the factors that have unfavourably influenced transplant activity. We must begin to build organisational flexibility in order to restart transplantation so that we can be mindful stewards of organ donation and sincere advocates for our patients. Building a culture of honesty and transparency (with patients, families, colleagues, societies, and authorities), keeping the channels of communication open, working in collaboration with others (at local, regional, national, and international levels), and not restarting without rethinking and appraising all elements of our practice, are the main underlying principles to increase the flexibility.
当前的2019冠状病毒病大流行以前所未有的方式挑战着我们的生活。这场大流行对全球移植领域产生了重大影响。旅行限制的后勤问题、可用资源的紧张、免疫抑制移植受者感染风险不明以及不断演变的检测和移植指南等，都是对移植活动产生不利影响的一些因素。我们必须开始建立组织灵活性以重启移植工作，这样我们才能成为器官捐赠的谨慎管理者和患者的真诚倡导者。营造诚实和透明的文化（与患者、家属、同事、协会及当局），保持沟通渠道畅通，与他人合作（在地方、区域、国家和国际层面），以及在没有重新思考和评估我们实践的所有要素之前不重启，是提高灵活性的主要基本原则。
