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. 2020 May 27;33(9):1040–1045. doi: 10.1111/tri.13634

Table 1.

Workflow adjustment program for kidney transplantation under the COVID‐19 epidemic.

Transplant processes Adjustment methods
Donor and recipient screening

  1. Within 14 days, the donor or the recipient had no history of staying in the epidemic area and no history of contact with COVID‐19 patients. None of the people in close contact with them had a history of sojourn in the epidemic area

  2. There are no fever, progressive dyspnea, dry cough, diarrhea, and other related symptoms within 14 days before the onset of the primary disease

  3. Chest CT and laboratory examination showed no pneumonia

  4. Nasopharyngeal swabs, sputum, lower respiratory tract secretions, blood, feces, and other specimens tested negative for new coronavirus nucleic acid

  5. All were limited to one escort, who had no epidemiological history and normal body temperature

  6. The hospital ethics committee examines the authenticity of the worker's willingness to donate and the legality of the source of the donor
Donor maintenance

  1. Single‐room medical unit, fixed personnel to participate in the maintenance

  2. Screening the coordinator and donor and transplant staff

  3. The apparatus and equipment needed for organ acquisition shall be packed with protection; after the operation is completed, store the protective layer of the outer packaging of the instruments should in a centralized manner and dispose of it medical waste as medical waste contaminated by viruses; after the acquisition personnel return, sterilize the exterior of the organ preservation device, refrigerator, and other instruments
Operation and postoperative management

  1. Strengthen the health investigation and management of medical staff

  2. Independent operating room and postoperative laminar flow ward

  3. In case of suspected infection of COVID‐19 during the perioperative period, the transplant recipient shall be isolated in a single room immediately and report to the relevant department of the hospital for consultation. When the patient is confirmed to be infected with COVID‐19, the patient is transferred to the special ward of the hospital immediately and the medical staff who contacted the patient are isolated for 14 days

  4. Strict implementation of disinfection and isolation system

  5. Implement the system of professional responsible persons to improve the quality of care