Child Organ Offer Process ( cOOPS ): Understanding Infectious Risk Assessment and Mitigation Strategies
Year: 2025
Type: article
Study design: Observational Study
Abstract: INTRODUCTION: Pediatric Infectious Disease (PID) clinicians involved in solid organ transplantation often assess infection risk and mitigation strategies for donor organ offers. While some guidance is available, real-life practice patterns have not been previously described. METHODS: We surveyed PID clinicians about organ acceptance and associated posttransplantation interventions using 12 fictitious pediatric case scenarios through 3 PID-specific listservs. Descriptive statistics were employed. RESULTS: 48 (71.6%) of 67 ID respondents were involved in organ offer assessment. Agreement was strong (> 80%) to accept (syphilis, severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], MRSA, E. coli, TB [liver], rhino/enterovirus) or decline (undifferentiated encephalitis, TB [lung]) organs from these cases, while there was less agreement for cases with risk of coccidioidomycosis, Chagas disease, multi-drug-resistant Acinetobacter baumannii, and influenza. Less agreement was present for posttransplant monitoring and antimicrobial administration. Practice varied in testing and treatment for donors with SARS-CoV-2 positive test, MRSA bacteremia, and Chagas disease. CONCLUSIONS: For many pediatric organ offer scenarios, agreement in donor acceptance was high; however, improved education based on currently available recommendations may enhance organ acceptance decision-making. The variability in management highlights educational and research opportunities to optimize strategies to limit the impact of donor-derived infections in pediatric organ recipients.
Source: Pediatric Transplantation
DOI: 10.1111/petr.70088
Institutions: Cincinnati Children's Hospital Medical Center, University of Cincinnati, University of Maryland, Baltimore, University of Pittsburgh, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center, University Hospital of Geneva, Boston Children's Hospital, Harvard University, Johns Hopkins University, Johns Hopkins Medicine
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4410187666