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Kidney Transplant I: Introduction01:28

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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Transplant tourism: understanding the risks.

Jennifer M Babik1, Peter Chin-Hong

  • 1Division of Infectious Diseases, Department of Medicine, University of California, San Francisco, San Francisco, CA, 94143, USA, Jennifer.babik@ucsf.edu.

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Transplant tourism involves traveling abroad for organ transplants, often leading to increased risks of surgical complications and severe infections. Physicians should be vigilant for these issues in patients returning from international transplants.

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Area of Science:

  • Medical Science
  • Transplantation Medicine
  • Infectious Diseases

Background:

  • Transplant tourism, defined as international travel for organ transplantation, is rising due to global organ shortages.
  • It accounts for approximately 10% of all transplants worldwide, with significant ethical and legal implications.
  • Renal transplantation is a common reason for patients from the USA to seek transplants abroad, primarily in China, the Philippines, and India.

Purpose of the Study:

  • To highlight the significant health risks associated with transplant tourism.
  • To inform medical professionals about the potential complications in patients undergoing international transplantation.
  • To emphasize the need for heightened clinical suspicion regarding infectious diseases in these patients.

Main Methods:

  • Review of existing literature and case reports on transplant tourism.
  • Analysis of common destinations and types of transplants sought internationally.
  • Identification of prevalent complications, including surgical risks and infectious diseases.

Main Results:

  • Transplant tourism poses substantial risks, including surgical complications, poor graft survival, and increased mortality.
  • Infectious complications are frequent and severe, encompassing bacterial, viral, fungal, and parasitic infections.
  • Blood-borne viral infections and invasive fungal infections are particularly concerning due to their high rates and potential lethality.

Conclusions:

  • Patients undertaking transplant tourism face severe health risks, underscoring the dangers of commercial transplantation abroad.
  • Physicians must maintain a high index of suspicion for diverse and serious infectious complications in patients returning from international transplant procedures.
  • Increased awareness and vigilance are crucial for managing the health outcomes of transplant tourism recipients.