3.1 For advice on COVID‑19 screening and assessment in potential deceased donors, follow NHS Blood and Transplant Kidney Advisory Group guidance on re-opening of transplant programmes.
3.2 Transplant specialists should talk to potential donors about:
the implications of kidney donation in the context of COVID‑19 and how risks can be mitigated
the delay to transplantation if they contract COVID‑19
the importance of avoiding infection.
For further information, see British Transplantation Society and NHS Blood and Transplant guidance for clinicians on consent for solid organ transplantation in adults, children and young people and living organ donation in the context of COVID-19.
3.3 For donors who are self-isolating because they have known or suspected COVID‑19, defer donations until they have been symptom-free for at least 28 days and have a negative nasopharyngeal swab test result for SARS‑CoV‑2.
3.4 For donors who are self-isolating because they have been in close contact with someone with COVID‑19, defer donations for at least 28 days from the first day of isolation and until they have a negative nasopharyngeal swab test result for SARS‑CoV‑2.
3.5 Tell donors and members of their household to self-isolate for 14 days before the transplant.
3.6 Assess donors for COVID‑19 before scheduling the transplant and on admission:
check their history of social distancing and any possible contact with people who might have COVID‑19
conduct rapid turnaround nasopharyngeal swab testing for SARS‑CoV‑2
conduct a respiratory assessment.
3.7 Do not start the donation until the donor and recipient have negative swab test results for SARS‑CoV‑2.
3.8 Be aware that a negative result does not definitely rule out infection and must be interpreted in the context of other assessments. Do not start the donation if the donor or recipient is likely to have COVID‑19 despite a negative test result.