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Published on: March 17, 2020
Diagnostic and management strategies for donor-derived infections
Pearlie P Chong1, Raymund R Razonable
1Division of Infectious Diseases, Department of Medicine, William J. von Liebig Transplant Center, College of Medicine, Mayo Clinic, Rochester, MN 55905, USA. Chong.Pearlie@mayo.edu
Abstract:
Donor-derived infections continue to occur in spite of standard organ donor screening. These infections can be challenging to diagnose and manage for a treating physician. This article reviews the process of organ donor evaluation, limitations of current screening strategies, approach to recipient evaluation in suspected donor-derived infections, and diagnostic and management strategies of selected donor-derived infections.
Insights
Donor-derived infections pose risks despite screening. This review covers donor evaluation, screening limits, recipient assessment, and managing these infections for physicians.
Area of Science:
- Infectious Diseases
- Transplantation Medicine
- Public Health
Background:
- Donor-derived infections remain a significant concern in organ transplantation.
- Current screening methods for organ donors have limitations in detecting all potential infections.
Purpose of the Study:
- To review organ donor evaluation and screening limitations.
- To outline recipient evaluation for suspected donor-derived infections.
- To discuss diagnostic and management strategies for selected donor-derived infections.
Main Methods:
- Literature review of donor evaluation processes.
- Analysis of current organ donor screening protocols.
- Review of diagnostic and management guidelines for infections transmitted via organ donation.
Main Results:
- Standard donor screening is insufficient to prevent all infections.
- Prompt recipient evaluation is crucial when donor-derived infection is suspected.
- Specific diagnostic and management approaches are necessary for different pathogens.
Conclusions:
- Improving donor screening and recipient vigilance is essential.
- Physicians need clear guidelines for managing donor-derived infections.
- Further research into advanced screening may reduce transmission risks.
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