Health
COVID-19 Organ transplant plunges during crisis
When COVID-19 struck the United States, most grafts from living donors-which can be rescheduled-were temporarily put on hold. One of the reasons was to protect donors from possible exposure to viruses in hospitals, Krassen said.
Transplant patients also require many hospital resources, including intensive care beds. If living donors are involved, that means two patients for each procedure.
At the outset, US transplant centers didn’t know if all cities “look like New York”, said Dr. Stephen Pastan, director of medicine for the kidney and pancreas transplant program at Emory University in Atlanta.
“The hospital was prepared for the worst,” said Pastan, a board member of the National Kidney Foundation.
“In Emory,” he said, “we took a cautious approach and closed our kidney program.”
It also took time to implement the test protocol nationwide. According to Pastan, transplant recipients should be screened for coronavirus infections to prevent them from being brought to the hospital.
Meanwhile, according to the American Transplant Society, organ-sourcing organizations have begun testing viral donors.
Now Pastan said, “The program is slowly increasing again.”
The current survey of data through April 10 does not capture more recent trends. According to UNOS Classen, there are no signs of further declines in US transplants.
The decline across the US centers, although significant, was less severe than the 91% decline in France.
Pastan said it is likely to reflect differences in the medical system. In the United States, individual transplant centers have decided what to do.
Reese made a similar claim.
“There was no rehearsal for COVID’s dress,” he said. “But it’s clear now that the spread of infections across the country is uneven. We’re approaching the idea that customization is possible, depending on the location of the transplant center.”
Even in areas with few cases of COVID-19, safety concerns remain.
One is whether organ recipients are at increased risk of severe coronavirus infection shortly after transplantation. The most powerful regimen is to suppress the immune system and avoid organ rejection.
Pastan says there is no evidence at this time. However, he added that transplant patients “assume high risk” and should follow all recommended precautions to avoid exposure to the virus.
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