3 Transplant donors

3 Transplant donors

Deceased donors

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.

Living donors

3.2 Transplant specialists should talk to potential donors about:

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 follow comprehensive social-distancing and hand-hygiene measures for 14 days before the transplant. [amended 19 August 2020]

3.6 Discuss with donors whether they should also self-isolate for 14 days before admission. Include in the discussion:

  • their individual risk of contracting COVID-19 and likelihood of a poorer outcome if they do

  • the current local prevalence of COVID-19

  • the delay to transplantation if they contract COVID-19.

    Make a shared decision about the need for 14-day self-isolation based on this discussion. [19 August 2020]

3.7 Tell all donors to:

  • have a nasopharyngeal swab test for SARS-CoV-2 no more than 3 days before admission, with the results available beforehand

  • self-isolate from the day of the test until admission. [19 August 2020]

3.8 Assess donors for COVID‑19 before scheduling the transplant, on the day before admission and on admission:

  • Assess them for symptoms of COVID-19.

  • 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 if a test has not been done in the 3 days before admission or if the results are not available.

  • Conduct a respiratory assessment.

    Discuss beforehand how the assessments will be done, for example, by telephone or video consultation to minimise face-to-face contact. [amended 19 August 2020].

3.9 Do not start the donation until the donor and recipient have negative swab test results for SARS‑CoV‑2.

3.10 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.