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Expedited SARS‐CoV‐2 screening of donors and recipients supports continued solid organ transplantation
Author(s) -
Lieberman Joshua A.,
Mays James A.,
Wells Candy,
Cent Anne,
Bell Deborah,
Bankson Daniel D.,
Greninger Alexander L.,
Jerome Keith R.,
Limaye Ajit P.
Publication year - 2020
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/ajt.16081
Subject(s) - medicine , transplantation , covid-19 , organ transplantation , organ donation , lung transplantation , outbreak , intensive care medicine , emergency medicine , infectious disease (medical specialty) , surgery , disease , virology
Universal screening of potential organ donors and recipients for severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) is now recommended prior to transplantation in the United States during the coronavirus disease 19 (COVID‐19) pandemic. Challenges have included limited testing capacity, short windows of organ viability, brief lead time for notification of potential organ recipients, and the need to test lower respiratory donor specimens to optimize sensitivity. In an early U.S. epicenter of the outbreak, we designed and implemented a system to expedite this testing and the results here from the first 3 weeks. The process included a Laboratory Medicine designee for communication with organ recovery and transplant clinical staff, specialized sample labeling and handoff, and priority processing. Thirty‐two organs recovered from 14 of 17 screened donors were transplanted vs 70 recovered from 23 donors during the same period in 2019. No pretransplant or organ donors tested positive for SARS‐CoV‐2. Median turnaround time from specimen receipt was 6.8 hours (donors), 6.5 hours (recipients): 4.5 hours faster than daily inpatient median. No organ recoveries or transplantations were disrupted by a lack of SARS‐CoV‐2 testing. Waitlist inactivations for COVID‐19 precautions were reduced in our region. Systems that include specialized ordering pathways and adequate testing capacity can support continued organ transplantation, even in a SARS‐CoV‐2 hyperendemic area.