000			02253na a2200241 4500
003			H12O
005			20180417112619.0
008			130622s2012 xxx||||| |||| 00| 0 eng d
040			_cH12O
041			_aeng
100			_aAndrés Belmonte, Amado _91321 _eNefrología
100			_9576 _aMorales Cerdán, José María _eNefrología
245	0	0	_aRenal Transplantation from Donors with a Positive Serology for Hepatitis C _h[artículo]
260			_bContributions to Nephrology, _c2012
300			_a176:117-29.
500			_aFormato Vancouver: Domínguez-Gil B, Esforzado N, Andrés A, Campistol JM, Morales JM. Renal transplantation from donors with a positive serology for hepatitis C. Contrib Nephrol. 2012;176:117-29.
501			_aPMID: 22310787
504			_aContiene 37 referencias
520			_aTransplantation of kidneys from donors with a positive serology for hepatitis C virus (HCVD+) remains controversial as made evident by wide variations in practice. Current knowledge derived from unicenter and registry experiences have demonstrated that the use of HCVD+ kidneys in HCV+ recipients seems to be safe in the long-term. This information, summarized in this chapter, has provided the basis for internationally agreed recommendations which limit the use of these kidneys for transplantation in recipients with a positive HCV RNA while on the waiting list and consenting in advance. Avoiding superinfection might require matching donors and recipients based on the involved HCV genotype, an approach limited by obvious time constraints. Because the incidence and prevalence of HCV infection is decreasing and there is a proactive treatment of patients with end-stage renal disease and HCV infection before being included on the waiting list, kidneys from HCVD+ are becoming surplus organs due to the lack of appropriate recipients. The underutilization of these kidneys at a moment of dramatic organ shortage requires organizational measures, including the offer of these kidneys for preemptive transplantation, besides the need of reviewing the evidence driving local criteria.
710			_986 _aServicio de Nefrología
856			_uhttp://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/6/pc6813.pdf _ySolicitar documento
942			_n0 _2ddc _cART
999			_c6813 _d6813