ad hoc disease transmission advisory committee fall 2014
TRANSCRIPT
Ad Hoc Disease Transmission Advisory Committee
Fall 2014
Recent Public Comment ProposalAligning OPTN Policies with the 2013 PHS Guideline for Reducing Transmission of HIV, HBV, and HCV through Organ Transplantation
Specific concerns from public comment feedback : Need NAT testing standardization Guidance on how to proceed with initial positive results (triplex
tests) Hemodialysis as a risk factor Need educational materials for candidates considering
increased risk organ offer How to handle recipient consent for increased risk living donor
Aligning OPTN Policies with the 2013 PHS Guideline for Reducing Transmission of HIV, HBV, and HCV through Solid Organ Transplantation
Board review - November 2014 without changes to proposed policy
DTAC will consider guidance to help educate members, including a recorded town hall meeting with PHS/CDC representation
Recent Public Comment Proposal
Modifications to Deceased Donor Testing Requirements
Implemented September 1, 2014
Temporary manual solution in place until programming is complete to capture HIV combination antigen/antibody and syphilis testing requirements
More details available in July 2014 Policy Notice
Policy Implementation Dates
New Donor Information Learned Post-Transplant, Sharing with Recipient Centers
Joint subcommittee evaluating potential failure points in communication process
Patient Safety Contact is not working effectively in many cases
Do you have suggestions on who should be the point of contact for this information? Is the on call coordinator a more appropriate contact point?
January 2015 public comment planned
Ongoing Committee Initiatives
What to do when serologies affecting match run appearance are updated
If results are pending when match is executed, patients are not screened off even if results come back positive
Current policy does not require match run be re-executed if positive results are learned during allocation for the following tests:
HBV core Ab, HCV, HTLV (if completed), and CMV (intestine only)
Ongoing Committee Initiatives
What to do when serologies affecting match run appearance are updated
Joint subcommittee may require the match run be re-executed for any positive serologies that could impact allocation/screening
Liver allocation may be especially sensitive -rapidly change list (both due to new listing and candidate status changes)
What to do when new, sicker candidates appear on new match ahead of the potential recipient who had provisionally accepted an offer?
January 2015 public comment planned
Ongoing Committee Initiatives
Dan Kaul, MDCommittee Chair
Shandie CovingtonCommittee Liaison
Questions?