COVID-19 and Living Donor Kidney Transplantation in Naples during the Pandemic.
COVID-19 and Living Donor Kidney Transplantation in Naples during the Pandemic.
复制标题
DOI：
10.1155/2020/5703963
复制
发表时间：
2020
影响因子：
--
通讯作者：
Santangelo ML
中科院分区：
文献类型：
--
作者：
Peluso G;Campanile S;Scotti A;Tammaro V;Jamshidi A;Pelosio L;Caggiano M;Pagano T;Cuozzo F;D'Ambrosio F;Calogero A;Dodaro C;Sagnelli C;Carlomagno N;Santangelo ML
SARS-CoV-2是一种病毒，可引起一种潜在的致命综合征，尤其影响呼吸道。肾移植患者的免疫功能受到抑制，更容易受到病毒感染。我们已检查我们的移植活动，以探索在COVID-19时代，已故及活体供者肾脏移植的未来角色。患者和方法。我们位于那不勒斯的移植中心（位于意大利南部坎帕尼亚的两个移植中心之一）在COVID-19大流行期间继续开展活动。我们分析了2020年3月9日至6月9日期间进行的肾移植，将这些数据与前两年进行的手术数量进行了比较。此外，我们还考虑了在全球大流行期间进行活体器官移植的可能性。 从2020年3月9日意大利封锁开始到2020年6月9日，我们在那不勒斯的移植中心进行了五例肾脏移植手术，全部来自已故捐赠者。捐赠者和接受者都接受了COVID-19感染筛查，所有无症状的患者都采取了严格的预防措施，并充分了解了大流行期间手术和免疫抑制的风险。所有移植患者在随访期间保持COVID阴性。与2018年和2019年同期相比，进行的移植数量保持不变。在与患者达成一致后，我们决定推迟活体供体移植，以更好地控制意大利的SARS-CoV-2传播。 死亡供体肾移植应该继续，特别是在一个中等风险的地区，如坎帕尼亚，更仔细地选择供体和受体，更喜欢没有严重合并症的标准供体和受体。相反，活体移植计划应该推迟到更好地控制SARS-CoV-2传播的时期，因为这是一种选择性手术，其延迟并不决定患者的额外风险。
SARS-CoV-2 is a virus that causes a potentially deadly syndrome that affects especially the respiratory tract. Kidney-transplanted patients are immunosuppressed and more susceptible to viral infections. We have examined our transplantation activity to explore the future role of kidney transplantation from deceased and living donors in COVID-19 era. Patients and Methods. The activity of our transplant center of Naples (one of the two transplant centers in Campania, South Italy) continued during the COVID-19 pandemic. We have analysed the kidney transplants carried out between March 9 and June 9, 2020, comparing these data with the numbers of procedures performed in the two previous years. Moreover, we have considered the possibility of performing living donor transplants during a worldwide pandemic. From March 9, 2020, when the Italian lockdown begun, till June 9, 2020, five kidney transplants have been performed at our transplant center in Naples, all from deceased donors. The donors and the recipients have been screened for COVID-19 infection, and the patients, all asymptomatic, followed strict preventive measures and were fully informed about the risks of surgery and immunosuppression during a pandemic. All the transplanted patients remained COVID negative during the follow-up. The number of transplants performed has been constant compared to the same months of 2018 and 2019. In agreement with the patients, we decided to postpone living donor transplants to a period of greater control of the SARS-CoV-2 spread in Italy. Deceased donor kidney transplantation should continue, especially in a region with moderate risk, like Campania, with a more careful selection of donors and recipients, preferring standard donors and recipients without severe comorbidities. Living donor transplantation program, instead, should be postponed to a period of greater control of the SARS-CoV-2 spread, as it is an elective surgery and its delay does not determine additional risks for patients.
登录
查看更多内容
机器人手术的知情同意：信息质量和患者感知。
DOI：
10.1515/med-2016-0054
发表时间：
2016
期刊：
Open medicine (Warsaw, Poland)
影响因子：
--
作者：
Ferrarese A;Pozzi G;Borghi F;Pellegrino L;Di Lorenzo P;Amato B;Santangelo M;Niola M;Martino V;Capasso E
通讯作者：
Capasso E
影响因子：
12.6
作者：
Pisani, Antonio;Sabbatini, Massimo;Ruggenenti, Piero
通讯作者：
Ruggenenti, Piero
影响因子：
0.9
作者：
De Rosa, P;Santangelo, M;Imperatore, P
通讯作者：
Imperatore, P
意大利乳腺癌的发病率：2000年至2005年之间进行的乳腺切除术和四局切除术。
DOI：
10.1186/1756-9966-28-86
发表时间：
2009-06-19
期刊：
Journal of experimental & clinical cancer research : CR
影响因子：
--
作者：
Piscitelli P;Santoriello A;Buonaguro FM;Di Maio M;Iolascon G;Gimigliano F;Marinelli A;Distante A;Serravezza G;Sordi E;Cagossi K;Artioli F;Santangelo M;Fucito A;Gimigliano R;Brandi ML;Crespi M;Giordano A;CROM;Human Health Foundation Study Group
通讯作者：
Human Health Foundation Study Group
影响因子：
2.7
作者：
Nacif, Lucas Souto;Zanini, Leonardo Y.;D'Albuquerque, Luiz Carneiro
通讯作者：
D'Albuquerque, Luiz Carneiro