![]() Hence consideration of minimal and selected low risk grafts only may be more appropriate in child and young adult recipients, depending on clinical urgency and following discussion with the patient and/or their family, depending on age. Health care professionals should exercise judgement about which category is most appropriate for their patient.īalancing risk against benefit is particularly important in the case of children and young adults, where the risk of waiting list mortality may be less and longevity with a graft much greater. ![]() In line with current guidance, potential organ recipients must be carefully counselled and give informed consent.įinally, it should be noted that disease transmission does not necessarily imply any fault on the part of the transplanting team.įor the purpose of this tool, transplant candidates have been classified as exceptional, urgent or routine. If a potential recipient has an allergy to any medication recommended in this guide, clinicians should seek expert advice on alternative agents. microbiologist or infection specialist experienced in transplantation oncologist or oncological surgeon) regarding the possible risks and consequences of donor transmitted disease. However, we strongly recommend that, where there is any uncertainty, the transplant team seek advice from a clinician with relevant expertise (e.g. The ultimate decision to use any organ for transplantation rests solely with the transplant clinician in consultation with and with the consent of the patient. ![]() This list is not exhaustive and the presence or absence of a disease in this document does not imply the appropriateness or otherwise of using organs from such a donor. ![]() This quick reference guide is designed for transplant clinicians to help decision-making when considering the use of organs for transplantation from donors with infection, malignancy and other potentially transmissible diseases. ![]()
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