Discussion on the experience of organ donation after citizen's death under COVID-19 epidemic
10.3969/j.issn.1674-7445.2020.06.013
- VernacularTitle:新型冠状病毒肺炎疫情下开展公民逝世后器官捐献的经验探讨
- Author:
Xiaochun HUANG
1
;
Li ZHOU
;
Zhen PANG
;
Feixiong PANG
;
Yanhua LAI
Author Information
1. Department of Organ Transplantation, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
- Publication Type:Research Article
- Keywords:
Organ donation after citizen's death;
Novel coronavirus pneumonia (COVID-19);
Infection prevention and control;
Workflow;
Organ transplantation;
Organ procurement organization;
Donor;
Risk classification assessment
- From:
Organ Transplantation
2020;11(6):731-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience of organ donation after citizen' s death during the novel coronavirus pneumonia (COVID-19) epidemic. Methods Eleven cases of potential donors of organ donation after citizen' s death during the COVID-19 epidemic were retrospectively analyzed, and the workflow and key points of infectionprevention and control were summarized. Results Among 11 cases of potential donors, 6 cases failed to implement organ donation. Five donors who were successfully performed organ donation had no respiratory symptoms before the onset of encephalopathy. CT scan of the lungs upon the onset of encephalopathy showed that one case was diagnosed with aspiration pneumonia, and the remaining four cases obtained negative results. During hospitalization, all of the 5 donors showed fever symptom and repeated chest CT scan detected lung inflammation. Bronchoalveolar lavage fluid or blood samples tested for novel coronavirus nucleic acids were all negative. No confirmed or suspected cases appeared among all staff and recipients who were in close contact with organ donors. Conclusions Targeted formulation of the workflow and prevention and control measures, in combination with selection and implementation of infection risk classification can effectivelyreduce the risk of COVID-19 infection and carry out organ donation after citizen' s death in a safe and organized manner.