Volume 11 Issue 6
Jan.  2021
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Huang Xiaochun, Zhou Li, Pang Zhen, et al. Discussion on the experience of organ donation after citizen's death under COVID-19 epidemic[J]. ORGAN TRANSPLANTATION, 2020, 11(6): 731-736. doi: 10.3969/j.issn.1674-7445.2020.06.013
Citation: Huang Xiaochun, Zhou Li, Pang Zhen, et al. Discussion on the experience of organ donation after citizen's death under COVID-19 epidemic[J]. ORGAN TRANSPLANTATION, 2020, 11(6): 731-736. doi: 10.3969/j.issn.1674-7445.2020.06.013

Discussion on the experience of organ donation after citizen's death under COVID-19 epidemic

doi: 10.3969/j.issn.1674-7445.2020.06.013
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  • Corresponding author: Lai Yanhua, E-mail:1379771812@qq.com
  • Received Date: 2020-07-22
    Available Online: 2021-01-19
  • Publish Date: 2021-01-19
  •   Objective  To summarize the experience of organ donation after citizen' s death during the novel coronavirus pneumonia (COVID-19) epidemic.  Methods  Eleven cases of potential donors of organ donation after citizen' s death during the COVID-19 epidemic were retrospectively analyzed, and the workflow and key points of infectionprevention and control were summarized.  Results  Among 11 cases of potential donors, 6 cases failed to implement organ donation. Five donors who were successfully performed organ donation had no respiratory symptoms before the onset of encephalopathy. CT scan of the lungs upon the onset of encephalopathy showed that one case was diagnosed with aspiration pneumonia, and the remaining four cases obtained negative results. During hospitalization, all of the 5 donors showed fever symptom and repeated chest CT scan detected lung inflammation. Bronchoalveolar lavage fluid or blood samples tested for novel coronavirus nucleic acids were all negative. No confirmed or suspected cases appeared among all staff and recipients who were in close contact with organ donors.  Conclusions  Targeted formulation of the workflow and prevention and control measures, in combination with selection and implementation of infection risk classification can effectivelyreduce the risk of COVID-19 infection and carry out organ donation after citizen' s death in a safe and organized manner.

     

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  • [1]
    广西壮族自治区卫生健康委员会. 2020年3月20日广西新型冠状病毒肺炎疫情情况[EB/OL].[2020-03-21]. http://wsjkw.gxzf.gov.cn/ztbd_49627/sszt/xxgzbdfyyqfk/yqtb/t5709726.shtml.
    [2]
    中华医学会器官移植学分会.新型冠状病毒肺炎疫情期间全国器官捐献与移植工作的指导原则(二○二○年二月二十三日通过)[J].器官移植, 2020, 11(2):179-184. DOI: 10.3969/j.issn.1674-7445.2020.02.001.

    Branch of Organ Transplantation of Chinese Medical Association. Guidelines for organ donation and transplantation in China during novel coronavirus pneumonia epidemic[J]. Organ Transplant, 2020, 11(2): 179-184. DOI: 10.3969/j.issn.1674-7445.2020.02.001.
    [3]
    季茹, 霍枫, 陈建雄, 等.新型冠状病毒肺炎疫情期器官捐献相关风险评估的经验总结[J].中华器官移植杂志, 2020, 41(4):212-216. DOI: 10.3760/cma.j.cn421203-20200304-00056.

    JI R, HUO F, CHEN JX, et al. Risk assessments of organ donation and procurement during COVID-19 pandemic[J]. Chin J Organ Transplant, 2020, 41(4):212-216. DOI:10. 3760/cma.j.cn421203-20200304-00056.
    [4]
    中山大学附属第三医院新冠肺炎感染防控编写组.中山大学附属第三医院推荐防控医务人员感染COVID-19方案[J].中山大学学报(医学科学版), 2020, 41(3):339-344. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zsykdxxb202003002

    The Medical Working Group of the Third Affiliated Hospital of Sun Yat-sen University for Prevention and Control of COVID-19 Nosocomial Infection. Prevention and control of nosocomial infection of COVID-19 in healthcare workers:recommendation of the Third Affiliated Hospital of Sun Yat-sen University[J]. J Sun Yat-sen Univ(Med Sci), 2020, 41(3):339-344. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zsykdxxb202003002
    [5]
    中山大学附属第三医院重型/危重型新冠肺炎推荐方案编写组.中山大学附属第三医院推荐救治重型/危重型COVID-19方案[J].中山大学学报(医学科学版), 2020, 41(3):321-338. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zsykdxxb202003001

    Medical Panel of Severe/Critical COVID-19, the Third Affiliated Hospital of Sun Yat-sen University. Management of severe/critical novel COVID-19:recommendations of the Third Affiliated Hospital of Sun Yat-sen University[J]. J Sun Yat-sen Univ(Med Sci), 2020, 41(3):321-338. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zsykdxxb202003001
    [6]
    吕涛, 杨家印, 严律南, 等.新型冠状病毒性肺炎疫情时期器官移植调整策略及体会[J].中国普外基础与临床杂志, 2020, 27(3):261-264.DOI: 10.7507/1007-9424.202002017.

    LYU T, YANG JY, YAN LN, et al. The adjustment strategy and experience of organ transplantation during the epidemic of novel coronavirus pneumonia[J]. Chin J Bases Clin Gen Surg, 2020, 27(3):261-264. DOI: 10.7507/1007-9424.202002017.
    [7]
    季茹, 霍枫, 陈建雄, 等.重大疫情期器官捐献与移植国际经验对新型冠状病毒肺炎疫情期相关防控的启示[J/CD].中华移植杂志(电子版), 2020, 14(1): 6-11. DOI: 10.3877/cma.j.issn.1674-3903.2020.01.002.

    JI R, HUO F, CHEN JX, et al. Practice and experience of organ donation and transplantation during the international epidemic and its enlightenment to the prevention and control of corona virus disease 2019[J/CD]. Chin J Transplant (Electr Edit), 2020, 14(1): 6-11. DOI: 10.3877/cma.j.issn.1674-3903.2020.01.002.
    [8]
    国家卫生健康委办公厅.国家卫生健康委办公厅关于印发新型冠状病毒感染的肺炎防控中居家隔离医学观察感染防控指引(试行)的通知[EB/OL]. [2020-02-05]. http://www.nhc.gov.cn/yzygj/s7659/202002/cf80b05048584f8da9b4a54871c44b26.shtml.
    [9]
    国家卫生健康委办公厅.医疗机构内新型冠状病毒感染预防与控制技术指南(第一版)[J].中国感染控制杂志, 2020, 19(2):189-191.DOI:10.12138/j.issn.1671- 9638.20206152.

    National Health Commission of the People' s Republic of China. Technical guidelines on prevention and control of novel coronavirus infection in medical institutions (first edition)[J]. Chin J Infect Control, 2020, 19(2):189-191. DOI: 10.12138/j.issn.1671-9638.20206152.
    [10]
    国家卫生健康委办公厅.国家卫生健康委办公厅关于印发新型冠状病毒感染的肺炎病例转运工作方案(试行)的通知[EB/OL]. [2020-01-27]. http://www.nhc.gov.cn/yzygj/s7653p/202001/ccee6ec0942a42a18df8e5ce6329b6f5.shtml.
    [11]
    国务院应对新型冠状病毒感染的肺炎疫情联防联控机制.关于印发新型冠状病毒感染的肺炎疑似病例轻症患者首诊隔离点观察工作方案的通知[EB/OL]. [2020-02-03]. http://www.gov.cn/xinwen/2020-02/04/content_5474519.htm.
    [12]
    国家卫生健康委办公厅, 国家中医药管理局办公室.关于印发新型冠状病毒感染的肺炎诊疗方案(试行第三版)的通知[ EB/OL]. [2020-01-22]. http://www.nhc.gov.cn/xcs/zhengcwj/202001/f492c9153ea9437bb587ce2ffcbee1fa.shtml.
    [13]
    KUMAR D, TELLIER R, DRAKER R, et al. Severe acute respiratory syndrome (SARS) in a liver transplant recipient and guidelines for donor SARS screening[J]. Am J Transplant, 2003, 3(8):977-981. DOI: 10.1034/j.1600-6143.2003.00197.x.
    [14]
    国家卫生健康委办公厅, 国家中医药管理局办公室.关于印发新型冠状病毒感染的肺炎诊疗方案(试行第五版)的通知[EB/OL]. [2020-02-04]. http://www.gov.cn/zhengce/zhengceku/2020-02/05/content_5474791.htm.
    [15]
    巨春蓉, 李宁, 邱涛, 等.器官移植受者新型冠状病毒肺炎的临床特点和疫情期间的管理策略(第1版)[J].器官移植, 2020, 11(2):185-193. DOI:10.3969/j.issn. 1674-7445.2020.02.002.

    JU CR, LI N, QIU T, et al. Clinical characteristics of novel coronavirus pneumonia in organ transplant recipients and management strategy during the epidemic (1st edition)[J]. Organ Transplant, 2020, 11(2): 185-193. DOI: 10.3969/j.issn.1674-7445.2020.02.002.
    [16]
    PARK J, YOO SY, KO JH, et al. Infection prevention measures for surgical procedures during a Middle East respiratory syndrome outbreak in a tertiary care hospital in south Korea[J]. Sci Rep, 2020, 10(1):325. DOI: 10.1038/s41598-019-57216-x.
    [17]
    中国疾病预防控制中心新型冠状病毒肺炎疫情防控流行病学组和防控技术组.新型冠状病毒肺炎聚集性疫情流行病学调查技术指南(试行第一版)[J].中华流行病学杂志, 2020, 41(3):293-295. DOI: 10.3760/cma.j.issn.0254-6450.2020.03.001.

    Epidemiology Working Group and Strategy and Policy Working Group for NCIP Epidemic Response of Chinese Center for Disease Control and Prevention. Cluster investigation technical guideline for the 2019 novel coronavirus pneumonia (COVID- 19), China (1st trial version)[J]. Chin J Epidemiol, 2020, 41(3):293-295. DOI: 10.3760/cma.j.issn.0254-6450.2020.03.001.
    [18]
    The Transplantation Society and Transplant Infectious Disease. Guidance on coronavirus disease 2019 (COVID-19) for transplant clinicians[EB/OL]. [2020-06-08]. https://www.tts.org/tid-about/tid-presidents-message/23-tid/tid-news/657-tid-update-and-guidance-on-2019-novel-coronavirus-2019-ncov-for-tranplant-id-clinicians.
    [19]
    WANG C, HORBY PW, HAYDEN FG, et al. A novel coronavirus outbreak of global health concern[J]. Lancet, 2020, 395(10223):470-473. DOI: 10.1016/S0140-6736(20)30185-9.
    [20]
    陆雪芳, 龚威, 王莉, 等.新型冠状病毒肺炎临床表现及高分辨率CT影像演变特征[J].中华结核和呼吸杂志, 2020, 43(6):509-515. DOI: 10.3760/cma.j.cn112147-20200214-00094.

    LU XF, GONG W, WANG L, et al. Clinical features and high resolution CT imaging evolution of novol coronavirus pneumonia[J]. Chin J Tubere Respir Dis, 2020, 43(6):509-515. DOI: 10.3760/cma.j.cn112147-20200214-00094.
    [21]
    刘松, 谢红, 余成新, 等.新型冠状病毒肺炎患者的临床特点及肺部CT变化模式[J].放射学实践, 2020, 35(4): 421-427. DOI: 10.13609/j.cnki.1000-0313.2020.04.004.

    LIU S, XIE H, YU CX, et al. Clinical features and change patterns of CT features in the lungs of patients with novol coronavirus pneumonia[J]. Radiol Practice, 2020, 35(4):421-427. DOI: 10.13609/j.cnki.1000-0313.2020.04.004.
    [22]
    GUAN WJ, NI ZY, HU Y, et al. Clinical characteristics of coronavirus disease 2019 in China[J]. N Engl J Med, 2020, 382(18):1708-1720. DOI: 10.1056/NEJMoa2002032.
    [23]
    WONG HYF, LAM HYS, FONG AH, et al. Frequency and distribution of chest radiographic findings in patients positive for COVID-19[J]. Radiology, 2020, 296(2):E72-E78. DOI: 10.1148/radiol.2020201160.
    [24]
    中华医学会放射学分会.新型冠状病毒肺炎的放射学诊断:中华医学会放射学分会专家推荐意见(第一版)[J].中华放射学杂志, 2020, 54(4):279-285.DOI: 10.3760/cma.j.cn112149-20200205-00094.

    Chinese Society of Radiology, Chinese Medical Association. Radiological diagnosis of COVID-19: expert recommendation from the Chinese Society of Radiology (first edition)[J]. Chin J Radiol, 2020, 54(4):279-285.DOI: 10.3760/cma.j.cn112149-20200205-00094.
    [25]
    全国首例!南通通州一提前复工老板被警方拘留[EB/OL]. [2020-02-05]. http://www.nantong.gov.cn//ntsrmzf/shza/content/02a94749-d57e-403c-8363-f0a6ed34492f.html.
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