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SPECIAL ARTICLE
Year : 2022  |  Volume : 16  |  Issue : 1  |  Page : 8-16

Consensus statement on organ donation from COVID-positive deceased donors-Indian Society of Organ Transplantation, Liver Transplant Society of India and Indian Society for Heart and Lung Transplantation


1 Hepatobiliary Surgery and Liver Transplantation, Aster CMI Hospital, Bengaluru, Karnataka; Liver Transplant Society of India, India
2 Institute of Kidney Diseases and Research Center and Dr. H L Trivedi Institute of Transplantation Sciences (IKDRC-ITS), Ahmedabad, Gujarat, India
3 KIMS Hospital, Hyderabad, Telangana, India
4 Liver Transplant Society of India; Department Hepatobiliary Surgery and Liver Transplantation, HN Reliance Hospital, Mumbai, Maharashtra, India
5 Department of Nephrology, Osmania Medical College and Osmania General Hospital, Hyderabad, Telangana, India
6 Department of Intensive Care, Aster RV Hospital, Bengaluru, Karnataka, India
7 Aster CMI Hospital, Bengaluru, Karnataka, India
8 Department of Urology, GSMC and KEMH, Parel, Mumbai, Maharashtra, India
9 Department of Nephrology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
10 Division of Renal Transplantation, Indraprastha Apollo Hospital, New Delhi, India
11 Department of Nephrology, Medanta Hospital, Gurugram, Haryana, India
12 Department of Nephrology, IPGMER, Kolkata, West Bengal, India
13 Renal Transplant Programme, Narayana Health (RTIICS), Kolkata, West Bengal; Indian Society of Organ Transplantation, India
14 Department of Urology, Government Medical College and SSH, Nagpur, Maharashtra, India
15 Fortis Hospitals, Delhi, India
16 Department of Cardiology, AIIMS, New Delhi, India
17 Department of Nephrology, AIIMS, New Delhi, India
18 Indian Society of Organ Transplantation; Apex Hospital, Varanasi, Uttar Pradesh, India
19 Department of Nephrology, Primus Hospital, New Delhi, India
20 Indian Society of Organ Transplantation and Consultant, Madras Medical Mission Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Sunil Shroff
Department of Urology, Sri Ramachandra Medical College Chennai, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijot.ijot_29_22

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COVID has drastically impacted organ donation across the world, leading to untold misery for thousands of patients who have been waiting for organs. Early rules on the use of organs from COVID positive or affected donors were stringent due to the fear of spread of disease or thrombotic complications in patients who received these organs. However much has changed in the past two years. Most of our adult population has either been infected with COVID, or has received two doses of vaccine, or both. The current variant, despite being more infective, is associated with mild disease, especially in those who have been vaccinated Our armamentarium against severe COVID has improved dramatically in the past year- we have effective vaccines, monoclonal antibodies for treatment of mild COVID in high risk patients and post exposure and antiviral prophylaxis and treatment which can substantially reduce the risk of severe COVID requiring ICU admission. The risk of transmission of COVID infection has to be balanced against the risk of patients dying with end organ disease. We will have to learn to live with COVID- this also means investigating whether organs from donors who are, or have been COVID positive can be used with acceptable risk –benefit in selected patients with end stage organ failure. This document is a summary of evidence and information regarding donor screening for SARS-CoV-2 and considerations for organ acceptance from donors with a history of COVID-19.


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