Organ Donation

Question 1

Which organs can be donated from a patient who died and COVID was a contributing factor?

Which organs can be donated from a patient who is SARS-CoV-2 positive but with no COVID diagnosis at time of death?

What is the prophylaxis/follow up in the recipient?

Answer 1

None - donations not accepted

Donations of non-lung organs accepted (low risk). No prophylaxis, but recipients should be tested weekly for 14 days

Question 2

What testing is done pre organ transplant for HHV-8? And when was this initiated in the UK? Which organ transplant is most often affected?

Answer 2

Serology is performed pre transplant, but results not available Pre transplant

Started in 2023

Kidney transplant

Question 3

What follow up would you do for an HHV-8 negative patient transplanted with an HHV-8 positive organ?

Answer 3

PCR monthly for 3 months
PCR quarterly for next 9 months
Final serology at 18 months

Seroconversion should be detected within 3 months and disease usually occurs within 18 months