Changes regarding solid organ transplantation during the COVID-19 pandemic

Area of Science:

• Infectious Diseases
• Transplant Surgery
• Public Health

Background:

• Coronavirus disease 2019 (COVID-19), caused by SARS-CoV-2, emerged in Wuhan, China.
• The pandemic led to increased mortality in transplant recipients and disrupted global organ transplantation.
• Social and psychological factors exacerbated risks for transplant candidates and providers.

Purpose of the Study:

• To provide an overview of the significant effects of the COVID-19 pandemic on solid organ transplantation.
• To highlight the challenges and necessary adaptations in transplant protocols and practices.
• To emphasize the need for a multidisciplinary approach in managing transplant procedures during the pandemic.

Main Methods:

• Review of challenges in screening, prioritization, and surgical procedures.
• Analysis of changes in telemedicine, immunosuppression management, and post-transplantation care.
• Examination of difficulties in organ procurement and patient support.

Main Results:

• Transplant procedures faced numerous challenges, including modified screening, virtual consultations, and altered surgical approaches.
• Management of immunosuppression, organ procurement, and patient education required significant adjustments.
• The pandemic necessitated strict infection control measures and close collaboration among transplant teams.

Conclusions:

• The COVID-19 pandemic profoundly impacted solid organ transplantation, necessitating adaptive strategies for patient safety and transplant success.
• Effective management requires a multidisciplinary approach, robust infection control, and continuous adaptation of protocols.
• Ensuring the safety of both transplant recipients and healthcare providers remains a critical priority.