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Updated: Sep 7, 2025

Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
The impact of COVID-19 on the pediatric solid organ transplant population
Amy G Feldman1, Lara A Danziger-Isakov2
1Pediatric Liver Transplant Center, Section of Pediatric Gastroenterology, Hepatology and Nutrition, Digestive Health Institute, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, CO, United States.
Insights
The COVID-19 pandemic impacted pediatric solid organ transplantation, affecting graft access and disease outcomes in recipients. This review covers COVID-19 prevention and management in this vulnerable population.
Area of Science:
- Pediatric transplantation
- Infectious diseases
- Immunology
Background:
- The COVID-19 pandemic, caused by SARS-CoV-2, has profoundly affected global healthcare systems.
- Solid organ transplantation, particularly in pediatric patients, faces unique challenges during pandemics.
- Understanding these impacts is crucial for optimizing care for transplant-dependent children.
Purpose of the Study:
- To review the specific effects of COVID-19 on pediatric solid organ transplant recipients.
- To examine challenges in graft access for pediatric transplant candidates.
- To outline current knowledge on COVID-19 prevention and management in this population.
Main Methods:
- Literature review of studies on COVID-19 and pediatric solid organ transplantation.
- Analysis of data regarding transplant candidate access to organs.
- Synthesis of information on clinical manifestations, prevention, and management strategies.
Main Results:
- COVID-19 has influenced graft availability and procurement for pediatric transplant candidates.
- Pediatric transplant recipients exhibit specific COVID-19 disease patterns.
- Effective prevention strategies and management protocols are essential for this group.
Conclusions:
- The COVID-19 pandemic presents multifaceted challenges for pediatric solid organ transplantation.
- Tailored approaches to infection control and treatment are necessary for pediatric transplant recipients.
- Guidance on social distancing, infection prevention, and school reintegration is vital.
Abstract:
The coronavirus disease 2019 (COVID-19) pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has significantly impacted all aspects of healthcare including solid organ transplantation. In this review, we discuss the specific impact of COVID-19 on the pediatric solid organ transplant population including access to grafts for pediatric transplant candidates as well as COVID-19 disease manifestations in pediatric transplant recipients. We address the current knowledge of prevention and management of COVID-19 in pediatric transplant recipients and provide additional information regarding social distancing, infection prevention and return to school.
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