title: Diagnosis and management of tuberculosis in transplant donors: a donor-derived infections consensus conference report.
abstract: Mycobacterium tuberculosis is a ubiquitous organism that infects one-third of the world's population. In previous decades, access to organ transplantation was restricted to academic medical centers in more developed, low tuberculosis (TB) incidence countries. Globalization, changing immigration patterns, and the expansion of sophisticated medical procedures to medium and high TB incidence countries have made tuberculosis an increasingly important posttransplant infectious disease. Tuberculosis is now one of the most common bacterial causes of solid-organ transplant donor-derived infection reported in transplant recipients in the United States. Recognition of latent or undiagnosed active TB in the potential organ donor is critical to prevent emergence of disease in the recipient posttransplant. Donor-derived tuberculosis after transplantation is associated with significant morbidity and mortality, which can best be prevented through careful screening and targeted treatment. To address this growing challenge and provide recommendations, an expert international working group was assembled including specialists in transplant infectious diseases, transplant surgery, organ procurement and TB epidemiology, diagnostics and management. This working group reviewed the currently available data to formulate consensus recommendations for screening and management of TB in organ donors.
authors.affiliation: Division of Infectious Diseases, University of Miami Miller School of Medicine, FL, USA. mmorris2@med.miami.edu
authors.forename: M I
authors.initials: MI
authors.lastname: Morris
authors.forename: J S
authors.initials: JS
authors.lastname: Daly
authors.forename: E
authors.initials: E
authors.lastname: Blumberg
authors.forename: D
authors.initials: D
authors.lastname: Kumar
authors.forename: M
authors.initials: M
authors.lastname: Sester
authors.forename: N
authors.initials: N
authors.lastname: Schluger
authors.forename: S-H
authors.initials: SH
authors.lastname: Kim
authors.forename: B S
authors.initials: BS
authors.lastname: Schwartz
authors.forename: M G
authors.initials: MG
authors.lastname: Ison
authors.forename: A
authors.initials: A
authors.lastname: Humar
authors.forename: N
authors.initials: N
authors.lastname: Singh
authors.forename: M
authors.initials: M
authors.lastname: Michaels
authors.forename: J P
authors.initials: JP
authors.lastname: Orlowski
authors.forename: F
authors.initials: F
authors.lastname: Delmonico
authors.forename: T
authors.initials: T
authors.lastname: Pruett
authors.forename: G T
authors.initials: GT
authors.lastname: John
authors.forename: C N
authors.initials: CN
authors.lastname: Kotton
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use; D004797:Enzyme-Linked Immunosorbent Assay; D006801:Humans; D015994:Incidence; D019520:Living Donors; D014019:Tissue Donors; D014376:Tuberculosis / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*
chemical_list: D000995:Antitubercular Agents