Department of General Surgery and Transplantation, Pomeranian Medical University, Szczecin, Poland.
Department of General Surgery and Transplantation, Pomeranian Medical University, Szczecin, Poland.
Transplant Proc. 2022 May;54(4):888-889. doi: 10.1016/j.transproceed.2022.03.006. Epub 2022 Apr 11.
The SARS-CoV-2 pandemic has significantly affected the number of transplanted organs worldwide. The rules and restrictions related to transplantation activities in Poland are included in the updated guidelines of the Polish Organizational and Coordination Centre for Transplantation. Our clinic faces the same problems as the rest of the hospitals in the country. Not only are the number of recipients falling, but there are also numerous restrictions concerning, among other things, qualification of donors and recipients and even preparation of centers for long-term care in the event of infection of organ recipients with the SARS-CoV-2 virus. Statistics showed, after an initial fall in the number of kidneys transplanted, a temporary normalization during the summer months, only to record a fall again with an increase in new cases of COVID-19. A total of 29 kidneys were transplanted at our center between March and December 2020. Kidney transplantation is not only linked to the operation itself, but also to the follow-up care of the recipients. Reduced immunity among recipients due to immunosuppressive treatment as well as comorbidities among recipients contribute to this group being at increased risk of symptomatic SARS-CoV-2 infection. The number of cases of SARS-CoV-2 infection among kidney transplant recipients at our center was 7, of which we recorded 2 deaths due to COVID-19 in the period after kidney transplant. Postoperative complications probably related to previous SARS-CoV-2 infection occurred in 1 patient.
SARS-CoV-2 大流行极大地影响了全球移植器官的数量。波兰组织和协调移植中心的更新指南中包含了与波兰移植活动相关的规则和限制。我们的诊所与该国其他医院面临着相同的问题。不仅受者人数下降，而且还存在许多限制，例如供者和受者的资格，甚至在 SARS-CoV-2 病毒感染器官受者的情况下，长期护理中心的准备工作。统计数据显示，在肾脏移植数量最初下降后，夏季几个月暂时恢复正常，但随着 COVID-19 新病例的增加，再次下降。2020 年 3 月至 12 月期间，我们中心共进行了 29 例肾脏移植。肾脏移植不仅与手术本身有关，还与受者的后续护理有关。由于免疫抑制治疗以及受者的合并症，受者的免疫力下降，这使得他们感染 SARS-CoV-2 的症状风险增加。我们中心的肾脏移植受者中共有 7 例 SARS-CoV-2 感染病例，其中我们记录了 2 例 COVID-19 后因 COVID-19 死亡的病例。1 例患者术后并发症可能与之前的 SARS-CoV-2 感染有关。
