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Thursday, July 28, 2011

Live from the consensus conference on "Optimal Testing of Live Donors to Prevent Transmission of Infectious Diseases

From Dr. Segev's well put lecture:
Perhaps we can stratify Kidney transplant donors into "higher risk" groups. This group can include men who have had sexual relations with other men, hemophiliacs, those who were involved in sex trafficking or received money for it, person who had sexual relations with those high risk for HIV, those who have been incarcerated, and those who use or have used iv or im drugs.
Probably at high risk would be those who use intranasal cocaine or heroin, those with recent STD, those with recent genital herpes, those who traveled to endemic areas where HIV and hepatitis c are prevalent in high numbers, and perhaps natives from endemic areas.

Once we stratify these donors, what further testing should we do? And more importantly how do we inform the recipient that their donor is high risk?  Some things to ponder on!

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