TY - JOUR
T1 - Organ donor screening practices for Strongyloides stercoralis infection among US organ procurement organizations
AU - Abanyie, Francisca A.
AU - Valice, Emily
AU - Delli Carpini, Kristin W.
AU - Gray, Elizabeth B.
AU - McAuliffe, Isabel
AU - Chin-Hong, Peter V.
AU - Handali, Sukwan
AU - Montgomery, Susan P.
AU - Huprikar, Shirish
N1 - Publisher Copyright:
Published 2018. This article is a U.S. Government work and is in the public domain in the USA.
PY - 2018/6
Y1 - 2018/6
N2 - Background: Targeted donor screening for strongyloidiasis performed at the time of organ procurement can prevent this life-threatening donor-derived infection. Method: The Association of Organ Procurement Organizations surveyed members to determine the number of US organ procurement organizations (OPOs) performing donor screening for Strongyloides infection and their screening practices. Results: All 58 OPOs responded to the survey. Only 6 (10%) currently screen donors for strongyloidiasis; most OPOs started 6-36 months before the survey and one started 6 years prior. All used risk-based criteria to determine which donors to screen, though the criteria varied among OPOs. A median of 56 donors have been screened at each OPO since initiating their screening programs, with a median of 2 infected donors (range 0-13) identified. Overall, 53 organs have been transplanted from 22 infected donors, including hearts, lungs, kidneys, and livers. Of 52 OPOs not currently screening, 20 had considered screening and one plans to start screening in the near future. Of those considering risk-based screening, most had not decided on the criteria. Uncertainty about the benefits of and guidelines for screening and misconceptions about the interpretation of test results were concerns shared by non-screening OPOs. Conclusion: Continued education and advocacy on the importance of targeted donor screening are needed.
AB - Background: Targeted donor screening for strongyloidiasis performed at the time of organ procurement can prevent this life-threatening donor-derived infection. Method: The Association of Organ Procurement Organizations surveyed members to determine the number of US organ procurement organizations (OPOs) performing donor screening for Strongyloides infection and their screening practices. Results: All 58 OPOs responded to the survey. Only 6 (10%) currently screen donors for strongyloidiasis; most OPOs started 6-36 months before the survey and one started 6 years prior. All used risk-based criteria to determine which donors to screen, though the criteria varied among OPOs. A median of 56 donors have been screened at each OPO since initiating their screening programs, with a median of 2 infected donors (range 0-13) identified. Overall, 53 organs have been transplanted from 22 infected donors, including hearts, lungs, kidneys, and livers. Of 52 OPOs not currently screening, 20 had considered screening and one plans to start screening in the near future. Of those considering risk-based screening, most had not decided on the criteria. Uncertainty about the benefits of and guidelines for screening and misconceptions about the interpretation of test results were concerns shared by non-screening OPOs. Conclusion: Continued education and advocacy on the importance of targeted donor screening are needed.
KW - donor screening
KW - donor-derived infection
KW - parasitic infections
KW - strongyloidiasis
KW - transplant-associated infection
UR - http://www.scopus.com/inward/record.url?scp=85044613883&partnerID=8YFLogxK
U2 - 10.1111/tid.12865
DO - 10.1111/tid.12865
M3 - Article
C2 - 29512242
AN - SCOPUS:85044613883
SN - 1398-2273
VL - 20
JO - Transplant Infectious Disease
JF - Transplant Infectious Disease
IS - 3
M1 - e12865
ER -