Diagnosis and management of tuberculosis in transplant donors: A donor-derived infections consensus conference report

M. I. Morris, J. S. Daly, E. Blumberg, D. Kumar, M. Sester, N. Schluger, S. H. Kim, B. S. Schwartz, M. G. Ison, A. Humar, N. Singh, M. Michaels, J. P. Orlowski, F. Delmonico, T. Pruett, G. T. John, C. N. Kotton

Research output: Contribution to journalArticlepeer-review

78 Scopus citations


Mycobacterium tuberculosis is a ubiquitous organism that infects one-third of the world's population. In previous decades, access to organ transplantation was restricted to academic medical centers in more developed, low tuberculosis (TB) incidence countries. Globalization, changing immigration patterns, and the expansion of sophisticated medical procedures to medium and high TB incidence countries have made tuberculosis an increasingly important posttransplant infectious disease. Tuberculosis is now one of the most common bacterial causes of solid-organ transplant donor-derived infection reported in transplant recipients in the United States. Recognition of latent or undiagnosed active TB in the potential organ donor is critical to prevent emergence of disease in the recipient posttransplant. Donor-derived tuberculosis after transplantation is associated with significant morbidity and mortality, which can best be prevented through careful screening and targeted treatment. To address this growing challenge and provide recommendations, an expert international working group was assembled including specialists in transplant infectious diseases, transplant surgery, organ procurement and TB epidemiology, diagnostics and management. This working group reviewed the currently available data to formulate consensus recommendations for screening and management of TB in organ donors. This consensus report reviews current epidemiology and diagnostic testing for the identification of latent and active tuberculosis infection in deceased and living organ transplant donors and provides recommendations for the management of transplant donors and recipients, as well as suggested areas for future research.

Original languageEnglish (US)
Pages (from-to)2288-2300
Number of pages13
JournalAmerican Journal of Transplantation
Issue number9
StatePublished - Sep 2012


  • Donor-derived
  • interferon-gamma release assay
  • solid-organ transplant
  • TB screening
  • tuberculosis

ASJC Scopus subject areas

  • Transplantation
  • Immunology and Allergy
  • Pharmacology (medical)


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