Febrile

117: They Paged Me What? A TID Guide to Donor Call

9 snips
Apr 14, 2025
In this engaging conversation, Dr. Chelsea Gorsline, a transplant infectious diseases physician and founder of the Transplant ID Early Career Network, along with Dr. Courtney Harris and Dr. Rebecca Kumar, share essential insights about donor calls. They discuss a structured approach to evaluating donor offers, including the importance of donor history and recipient factors. The trio also addresses challenges like managing drug-resistant infections and the risks of donor-derived infections, emphasizing vigilance and collaboration for improved transplant outcomes.
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INSIGHT

How The Early Career Network Evolved

  • The Transplant ID Early Career Network grew from virtual trainee support into faculty-led education and publications.
  • They now create practical tools, social media education, and in-person events to support trainees and early faculty.
ADVICE

Use A Stepwise Framework For Donor Calls

  • Ask donor-specific, recipient-specific, and transmissibility questions in a stepwise way for every donor call.
  • Weigh donor-derived infection risk against recipient waitlist mortality before deciding.
ADVICE

Investigate Unexplained Encephalopathy Urgently

  • Treat unexplained encephalopathy in a donor as high risk and request lumbar puncture and CNS testing before accepting.
  • Decline the organ if LP or West Nile testing cannot be completed in-season because transmission risk is unacceptable.
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