COVID-19: A global transplant perspective on successfully navigating a pandemic

Am J Transplant. 2020 Jul;20(7):1773-1779. doi: 10.1111/ajt.15876. Epub 2020 Apr 12.


The COVID-19 pandemic has rapidly evolved and changed our way of life in an unprecedented manner. The emergence of COVID-19 has impacted transplantation worldwide. The impact has not been just restricted to issues pertaining to donors or recipients, but also health-care resource utilization as the intensity of cases in certain jurisdictions exceeds available capacity. Here we provide a personal viewpoint representing different jurisdictions from around the world in order to outline the impact of the current COVID-19 pandemic on organ transplantation. Based on our collective experience, we discuss mitigation strategies such as donor screening, resource planning, and a staged approach to transplant volume considerations as local resource issues demand. We also discuss issues related to transplant-related research during the pandemic, the role of transplant infectious diseases, and the influence of transplant societies for education and disseminating current information.

Keywords: clinical decision-making; clinical research/practice; donors and donation: donor-derived infections; infection and infectious agents - viral; infectious disease; organ transplantation in general.

MeSH terms

  • Betacoronavirus
  • COVID-19
  • Coronavirus Infections / complications*
  • Coronavirus Infections / prevention & control*
  • Decision Making
  • Donor Selection
  • Global Health
  • Humans
  • Infectious Disease Medicine / organization & administration
  • Organ Transplantation / trends*
  • Pandemics / prevention & control*
  • Pneumonia, Viral / complications*
  • Pneumonia, Viral / prevention & control*
  • SARS-CoV-2
  • Tissue Donors
  • Tissue and Organ Procurement / standards
  • Transplants
  • Vulnerable Populations