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. Author manuscript; available in PMC: 2016 Dec 1.
Published in final edited form as: Am J Transplant. 2015 May 27;15(12):3215–3223. doi: 10.1111/ajt.13356

Table 1.

Summary of (a) 1994 and (b) 2013 Guidelines for Reducing Transmission Through Organ Transplantation:

2013 Guidelines: Increased Risk for HIV, HBV, and
HCV
1994 Guidelines: Increased Risk for HIV Only
Men who have had sex with men (MSM) in the preceding 12
months
Men who have had sex with men (MSM) in the preceding 5
years
People who have injected drugs by intravenous, intramuscular
or subcutaneous route for nonmedical reasons in the
preceding 12 months
Persons who report nonmedical intravenous, intramuscular,
or subcutaneous injection of drugs in the preceding 5 years.
No Equivalent Persons with hemophilia or related clotting disorders who
have received human-derived clotting factor concentrates
People who have had sex in exchange for money or drugs in
the preceding 12 months
Men and women who have engaged in sex in exchange for
money or drugs in the preceding 5 years.
Women who have had sex with a man with a history of MSM
behavior in the preceding 12 months
Persons who have had sex in the preceding 12 months with
any person described in items above or with a person known
or suspected to have HIV infection.
People who have had sex with a person who had sex in
exchange for money or drugs in the preceding 12 months
People who have had sex with a person who injected drugs by
intravenous, intramuscular or subcutaneous route for
nonmedical reasons in the preceding 12 months
People who have had sex with a person known or suspected
to have HIV, HBV or HCV infection in the preceding 12
months
No Equivalent Persons who have been exposed in the preceding 12 months
to known or suspected HIV-infected blood through
percutaneous inoculation or through contact
with an open wound, non-intact skin, or mucous membrane
People who have been in lockup, jail, prison or a juvenile
correctional facility for more than 72 consecutive hours in
the preceding 12 months
Inmates of correctional systems
People who have been newly diagnosed with, or have been
treated for, syphilis, gonorrhea, Chlamydia or genital ulcers in
the preceding 12 months
Persons whose history, physical examination, medical
records, or autopsy reports reveal other evidence of HIV
infection or high-risk behavior, such as diagnosis of AIDS,
unexplained weight loss, night sweats, blue or purple spots
on the skin or mucous membranes typical of Kaposi’s
sarcoma, unexplained lymphadenopathy lasting > 1 month,
unexplained temperature > 100.5 (38.6 C) for > 10 days,
unexplained persistent cough and shortness of breath,
opportunistic infections, unexplained persistent diarrhea,
male-to-male sexual contact, sexually transmitted diseases, or
needle tracks or other signs of parenteral drug abuse.
No Equivalent Persons who cannot be tested for HIV infection because of
refusal, inadequate blood samples (e.g., hemodilution that
could result in false-negative tests), or any
other reasons.
No Equivalent Persons with a repeatedly reactive screening assay for HIV-1
or HIV-2 antibody regardless of the results of supplemental
assays
People who have been on hemodialysis in the preceding 12
months (Increased risk for HCV only)
No Equivalent
A child who is 18 months of age and born to a mother known
to be infected with, or at increased risk for, HIV, HBV or HCV
infection
Children less than or equal to 18 months of age who are born
to mothers with or at risk for HIV infection or who have been
breast fed within the past 12 months should not be accepted
as donors regardless of their HIV test results
A child who has been breastfed within the preceding 12
months and the mother is known to be infected with, or at
increased risk for HIV infection