Your browser doesn't support javascript.
COVID-19 and kidney transplantation: an Italian Survey and Consensus.
Vistoli, Fabio; Furian, Lucrezia; Maggiore, Umberto; Caldara, Rossana; Cantaluppi, Vincenzo; Ferraresso, Mariano; Zaza, Gianluigi; Cardillo, Massimo; Biancofiore, Giandomenico; Menichetti, Francesco; Russo, Alessandro; Turillazzi, Emanuela; Di Paolo, Marco; Grandaliano, Giuseppe; Boggi, Ugo.
  • Vistoli F; Division of General and Transplant Surgery, University of Pisa, Pisa, Italy.
  • Furian L; Kidney and Pancreas Transplantation Unit, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Padua, Italy.
  • Maggiore U; Kidney and Kidney-Pancreas Transplant Unit, Department of Nephrology, Parma University Hospital, Parma, Italy.
  • Caldara R; Department of Internal Medicine, Transplant Medicine Unit, San Raffaele Scientific Institute, Milan, Italy.
  • Cantaluppi V; Nephrology and Kidney Transplantation Unit, University of Piemonte Orientale (UPO), Novara, Italy.
  • Ferraresso M; Renal Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
  • Zaza G; Renal Unit, Department of Medicine, University Hospital of Verona, Verona, Italy. gianluigi.zaza@univr.i.
  • Cardillo M; Italian National Transplant Center, Italian National Institute of Health, Rome, Italy.
  • Biancofiore G; Division of Anesthesia and Intensive Care, University of Pisa, Pisa, Italy.
  • Menichetti F; Division of Infectious Disease Control, University of Pisa, Pisa, Italy.
  • Russo A; Division of Infectious Disease Control, University of Pisa, Pisa, Italy.
  • Turillazzi E; Section of Legal Medicine, Department of Surgical, Medical, Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
  • Di Paolo M; Section of Legal Medicine, Department of Surgical, Medical, Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy.
  • Grandaliano G; Division of Nephrology, Università Cattolica del Sacro Cuore, Rome, Italy.
  • Boggi U; Division of General and Transplant Surgery, University of Pisa, Pisa, Italy.
J Nephrol ; 33(4): 667-680, 2020 08.
Article in English | MEDLINE | ID: covidwho-505584
ABSTRACT
Italy was the first Western country to face the COVID-19 pandemic. Here we report the results of a national survey on kidney transplantation activity in February and March 2020, and the results of a three-round Delphi consensus promoted by four scientific societies the Italian Society of Organ Transplantation, the Italian Society of Nephrology, the Italian Society of Anesthesia and Intensive Care, and the Italian Group on Antimicrobial Stewardship. All 41 Italian transplant centers were invited to express their opinion in the Delphi rounds along with a group of seven experts. The survey revealed that, starting from March 2020, there was a decline in kidney transplantation activity in Italy, especially for living-related transplants. Overall, 60 recipients tested positive for SARS-CoV2 infection, 57 required hospitalization, 17 were admitted to the ICU, and 11 died. The online consensus had high response rates at each round (95.8%, 95.8%, and 89.5%, respectively). Eventually, 27 of 31 proposed statements were approved (87.1%), 12 at the first or second round (38.7%), and 3 at the third (9.7%). Based on the Italian experience, we discuss the reasons for the changes in kidney transplantation activity during the COVID-19 pandemic in Western countries. We also provide working recommendations for the organization and management of kidney transplantation under these conditions.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Kidney Transplantation / Coronavirus Infections / Betacoronavirus Type of study: Observational study Limits: Humans Language: English Journal: J Nephrol Journal subject: Nephrology Year: 2020 Document Type: Article Affiliation country: S40620-020-00755-8

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Kidney Transplantation / Coronavirus Infections / Betacoronavirus Type of study: Observational study Limits: Humans Language: English Journal: J Nephrol Journal subject: Nephrology Year: 2020 Document Type: Article Affiliation country: S40620-020-00755-8