Department of Infectious Diseases, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.
Centro de Investigación Biomédica en Red en Enfermedades Infecciosas, Instituto de Salud Carlos III, Madrid, Spain.
Transpl Infect Dis. 2024 Nov;26 Suppl 1:e14359. doi: 10.1111/tid.14359. Epub 2024 Aug 19.
It is impossible to eliminate the potential for transmission of donor-derived infections (DDI) when using medical products of human origin (MPHO). However, a thoughtful and systematic approach to donor evaluation can mitigate the risk. Prevention is a key issue, and physicians must maintain a high index of suspicion and remain vigilant in evaluating MPHO donors or recipients, as well as stay current on emerging infections. Biovigilance is the systematic monitoring of serious adverse reactions and events (SARE) that ensures the quality and safety of MPHO in transplantation. The Notify Library with its 2808 references is an available didactic tool that could support physicians in donor or recipient evaluation, inform biovigilance activity, and benefit the international scientific community. It provides free access to a large collection of many different types of SARE, identified mainly through the review of published articles and case reports from national or regional surveillance programs. The Notify Library includes many well-documented records of SARE in the field of DDI, representing a useful tool for assessing SARE associated with transplantation. It is continuously updated with new records, especially when a new type of incident is first reported. All types of described incidents may have educational value while guiding detection, investigation, or risk management. Sharing the lessons learned from these incidents represents an important educational opportunity that can help improve organ donation processes and achieve higher standards of quality and safety.
在使用源于人体的医疗产品(MPHO)时,不可能消除供体源性感染(DDI)的传播风险。然而,通过深思熟虑和系统的方法对供体进行评估,可以降低风险。预防是关键问题,医生在评估 MPHO 的供体或受者时,必须保持高度怀疑和警惕,并及时了解新出现的感染。生物监测是对严重不良反应和事件(SARE)的系统监测,可确保移植中 MPHO 的质量和安全性。带有 2808 个参考文献的 Notify 文库是一种可用的教学工具,可支持医生进行供体或受者评估、为生物监测活动提供信息,并使国际科学界受益。它提供了对大量不同类型的 SARE 的免费访问,这些 SARE 主要是通过审查来自国家或地区监测计划的已发表文章和病例报告来确定的。Notify 文库包含许多有关 DDI 领域的 SARE 的记录,是评估与移植相关的 SARE 的有用工具。它会不断更新新记录,尤其是在首次报告新类型的事件时。描述的所有类型的事件都可能具有教育价值,同时有助于检测、调查或风险管理。分享从这些事件中吸取的经验教训是一个重要的教育机会,可以帮助改进器官捐献流程,并实现更高的质量和安全标准。