Difference between revisions of "Coronavirus"

From Anthony Nolan Medical Guidelines
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==Guidance==
 
==Guidance==
Must not donate if:
+
'''1)''' '''Donor with confirmed Coronavirus infection on diagnostic PCR test and history of one or more symptoms of Coronavirus infection as per the UK GOV definition (a new persistent cough;  high temperature; loss of/change in normal sense of smell or taste):'''
a) Less than 28 days from a donor’s return from a Coronavirus risk area.  This includes transit through an airport in a Coronavirus risk area, even if the traveller has not left the airport.
+
Must not donate within 3 months of resolution of symptoms. If less than 3 months have passed since resolution of symptoms and the transplant is urgent then refer to the designated MO for a risk assessment and consideration of proceeding sooner than 3 months.
  
b) Less than 28 days from the last contact with a person with Coronavirus infection.
+
'''2)''' '''Donor with confirmed Coronavirus infection on diagnostic PCR test and no history of symptoms of Coronavirus infection as per the UK GOV definition:'''
 +
Must not donate within 3 months of positive result by diagnostic test. If less than 3 months have passed since positive result by diagnostic test and the transplant is urgent then refer to the designated MO for a risk assessment and consideration of proceeding sooner than 3 months.
  
c) Less than 28 days since recovery from Coronavirus infection or possible Coronavirus infection.  
+
'''3)''' '''Donor with suspected Coronavirus infection ie. NO confirmation of infection on diagnostic PCR test, but does have a history of one or more symptoms suggestive of Coronavirus infection as per the UK GOV definition (a new persistent cough;  high temperature; loss of/change in normal sense of smell or taste):'''
 +
If more than 14 days have passed since resolution of symptoms and the donor has been tested and advised that they do not have coronavirus infection then accept. If the donor has never been tested and never been advised that they do not have infection with Coronavirus then they must not donate within 3 months of resolution of symptoms. If less than 3 months have passed since of resolution of symptoms and the transplant is urgent then refer to the designated MO for a risk assessment and consideration of proceeding sooner than 3 months.  
  
Discretionary:
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'''4)''' '''Donor is a contact of a confirmed or suspected case of Coronavirus infection as per definitions above:''' Must not donate if less than 28 days from last contact with the individual with confirmed or suspected Coronavirus infection. If less than 28 days have passed since last contact with the individual and the transplant is urgent then refer to the designated MO for a risk assessment and consideration of proceeding sooner than 28 days. Healthcare workers should be referred to the MO for an individual risk assessment.
  
If more than 28 days has passed since:
+
'''5)''' '''Donor with a positive antibody test:''' This is managed case by case. Donors should be referred to the MO for an individual risk assessment.
•    returning from a Coronavirus risk area, and/or
 
•    last contact with a person affected by Coronavirus, and/or
 
•    recovery from proven or presumed Coronavirus infection
 
and the donor has remained well, accept.
 
 
 
If less than 28 days has passed since returning from a Coronavirus risk area, or from the last contact with a person affected by Coronavirus, or since recovery from Coronavirus infection or possible Coronavirus infection, refer to designated clinical support officer. Donor may be accepted with individual risk assessment subject to expert microbiological advice.
 
  
 
==Pseudonyms or Related Conditions==
 
==Pseudonyms or Related Conditions==

Revision as of 00:15, 13 July 2020

Acceptability at Recruitment

QUALIFIED

Acceptability at CT / Work-Up

QUALIFIED

Individual at Risk

Recipient

Explanation of Condition

Viral infection that can cause diseases in mammal and birds. In humans, common coronaviruses cause colds and respiratory tract infections but are not considered a risk for transfusion recipients. Since 2002 there have been outbreaks in humans of new strains of coronavirus, associated with severe pulmonary infections and mortality rates of 10-35% e.g. SARS and MERS. There is no evidence at present that coronaviruses can be transmitted by blood transfusion or tissue/cell transplantation and therefore these measures are precautionary. See also Coronavirus

Guidance

1) Donor with confirmed Coronavirus infection on diagnostic PCR test and history of one or more symptoms of Coronavirus infection as per the UK GOV definition (a new persistent cough; high temperature; loss of/change in normal sense of smell or taste): Must not donate within 3 months of resolution of symptoms. If less than 3 months have passed since resolution of symptoms and the transplant is urgent then refer to the designated MO for a risk assessment and consideration of proceeding sooner than 3 months.

2) Donor with confirmed Coronavirus infection on diagnostic PCR test and no history of symptoms of Coronavirus infection as per the UK GOV definition: Must not donate within 3 months of positive result by diagnostic test. If less than 3 months have passed since positive result by diagnostic test and the transplant is urgent then refer to the designated MO for a risk assessment and consideration of proceeding sooner than 3 months.

3) Donor with suspected Coronavirus infection ie. NO confirmation of infection on diagnostic PCR test, but does have a history of one or more symptoms suggestive of Coronavirus infection as per the UK GOV definition (a new persistent cough; high temperature; loss of/change in normal sense of smell or taste): If more than 14 days have passed since resolution of symptoms and the donor has been tested and advised that they do not have coronavirus infection then accept. If the donor has never been tested and never been advised that they do not have infection with Coronavirus then they must not donate within 3 months of resolution of symptoms. If less than 3 months have passed since of resolution of symptoms and the transplant is urgent then refer to the designated MO for a risk assessment and consideration of proceeding sooner than 3 months.

4) Donor is a contact of a confirmed or suspected case of Coronavirus infection as per definitions above: Must not donate if less than 28 days from last contact with the individual with confirmed or suspected Coronavirus infection. If less than 28 days have passed since last contact with the individual and the transplant is urgent then refer to the designated MO for a risk assessment and consideration of proceeding sooner than 28 days. Healthcare workers should be referred to the MO for an individual risk assessment.

5) Donor with a positive antibody test: This is managed case by case. Donors should be referred to the MO for an individual risk assessment.

Pseudonyms or Related Conditions

Version

Version 1, Edition 1 Date of Last Update 20 February 2020