title: Recommendations for management of Chagas disease in organ and hematopoietic tissue transplantation programs in nonendemic areas.
abstract: The substantial immigration into Spain from endemic areas of Chagas disease such as Latin America has increased the number of potential donors of organs and tissues. In addition, an increasing number of patients with advanced Chagas heart disease may eventually be eligible to receive a heart transplant, a universally accepted therapeutic strategy for the advanced stages of this disease. Therefore, it is necessary to establish protocols for disease management. This document is intended to establish the guidelines to be followed when a potential donor or a tissue or organ recipient is potentially affected by Chagas disease and summarizes the action criteria against the possibility of Chagas disease transmission through the donation of organs, tissues, or hematopoietic stem cells and aims to help professionals working in this field. A single registry of transplants in Trypanosoma cruzi infected donors and/or recipients will provide and disseminate experience in this area, which has shown a low recorded incidence to date.
authors.affiliation: Tropical Medicine Unit, Barcelona Centre for International Health Research (CRESIB), Hospital Clínic/IDIBAPS, Universitat de Barcelona, CIBER Epidemiología y Salud Pública (CIBERESP), Roselló, 132. 4th. 08036 Barcelona, Spain. mpinazo@clinic.ub.es
authors.forename: María-Jesús
authors.initials: MJ
authors.lastname: Pinazo
authors.forename: Blanca
authors.initials: B
authors.lastname: Miranda
authors.forename: Camino
authors.initials: C
authors.lastname: Rodríguez-Villar
authors.forename: Javier
authors.initials: J
authors.lastname: Altclas
authors.forename: Mercè
authors.initials: M
authors.lastname: Brunet Serra
authors.forename: Elías Cañas
authors.initials: EC
authors.lastname: García-Otero
authors.forename: Eros Antonio
authors.initials: EA
authors.lastname: de Almeida
authors.forename: Manuel
authors.initials: M
authors.lastname: de la Mata García
authors.forename: Joaquim
authors.initials: J
authors.lastname: Gascon
authors.forename: Magdalena
authors.initials: M
authors.lastname: García Rodríguez
authors.forename: Nicolás
authors.initials: N
authors.lastname: Manito
authors.forename: Asunción
authors.initials: A
authors.lastname: Moreno Camacho
authors.forename: Federico
authors.initials: F
authors.lastname: Oppenheimer
authors.forename: Sabino
authors.initials: S
authors.lastname: Puente Puente
authors.forename: Adelina
authors.initials: A
authors.lastname: Riarte
authors.forename: Joaquín
authors.initials: J
authors.lastname: Salas Coronas
authors.forename: Miguel
authors.initials: M
authors.lastname: Salavert Lletí
authors.forename: Guillermo F
authors.initials: GF
authors.lastname: Sanz
authors.forename: Faustino
authors.initials: F
authors.lastname: Torrico
authors.forename: Diego
authors.initials: D
authors.lastname: Torrús Tendero
authors.forename: Piedad
authors.initials: P
authors.lastname: Ussetti
authors.forename: Maria Aparecida
authors.initials: MA
authors.lastname: Shikanai-Yasuda
mesh_terms: D014355:Chagas Disease / Q000517:prevention & control / Q000601:surgery* / Q000635:transmission*; D016027:Heart Transplantation; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D012042:Registries; D014019:Tissue Donors