Status:
Ready to upload
Record number:
1463
Adverse Occurrence type:
MPHO Type:
Estimated frequency:
Transmission rates without recipient chemoprophylaxis is in the order of 18 to 22% according to different cases series.
Time to detection:
N/A
Alerting signals, symptoms, evidence of occurrence:
FIRST CASE: living donor known positive by ELISA and negative by PCR, treated with 5-nitrofurazone prior to donation. Recipient case 1 received prophylactic treatment to avoid infection and never seroconverted after 6 years of follow-up. Recipient case 2: living donor known positive by ELISA and PCR. 5-nitrofurazone was provided to recipient prohpylacticaly for one month prior to transplant through to 2 months after transplant. PCR negative at 7 months post-transplant.
SECOND CASE: organ donor with positive serology for Trypanosoma cruzi, whose kidneys were implanted into two different recipients. Prophylaxis was administered with benznidazole for 3 weeks. Over the course of two years of serological and clinical follow-up, no evidence of Chagas'
transmission or infection was observed.
Demonstration of imputability or root cause:
Intervention without documented transmission (IWDT). Recipients of known positive donors received therapy with 5-nitrofurazone. No evidence of transmission.
Groups audience:
Keywords:
References:
Suggest references:
Ortiz AM; Troncoso P; Sainz M; and Vilches S. Prophylaxis and Treatment of Chagas Disease in Renal Transplant Donor and Recipient: Case Report. Transplantation Proceedings; 42: 393-4.