transplantologiyaТрансплантологияTransplantologiya. The Russian Journal of Transplantation2074-05062542-0909IPO Association of Transplantologists10.23873/2074-0506-2023-15-3-376-389transplantologiya-797Research ArticleОБЗОРНЫЕ СТАТЬИ И ЛЕКЦИИREVIEW ARTICLES AND LECTURESТрансплантация солидных органов в период пандемии новой коронавирусной инфекцииTransplantation of solid organs during the pandemic of a new coronavirus infectionhttps://orcid.org/0000-0003-4204-8865ШумаковД. В.ShumakovD. V.

Дмитрий Валерьевич Шумаков, чл.-корр. РАН, проф., д-р мед. наук, руководитель отделения хирургии сердца и сосудов

129110, Москва, ул. Щепкина, д. 61/2

Dmitriy V. Shumakov, Corresponding Member of the Russian Academy of Sciences, Prof., Dr Sci. (Med.), Head of the Department of Surgery of Heart and Vessels

61/2 Shchepkin St., Moscow 129110

https://orcid.org/0000-0001-7087-5441ЗыбинД. И.ZybinD. I.

Дмитрий Игоревич Зыбин, канд. мед. наук, заведующий отделением кардиохирургии

129110, Москва, ул. Щепкина, д. 61/2

Dmitriy I. Zybin, Cand. Sci. (Med.), Head of the Cardiac Surgery Department

61/2 Shchepkin St., Moscow 129110

https://orcid.org/0000-0001-5405-7887ЗулькарнаевА. Б.ZulkarnaevA. B.

Алексей Батыргараевич Зулькарнаев, доц., д-р мед. наук, ведущий научный сотрудник хирургического отделения транс- плантации почки

129110, Москва, ул. Щепкина, д. 61/2

Aleksey B. Zulkarnaev, Assoc. Prof., Dr. Sci. (Med.), Leading Researcher of the Surgical Department of Kidney Transplantation

61/2 Shchepkin St., Moscow 129110

https://orcid.org/0000-0003-2904-5213ДонцовВ. В.DontsovV. V.

Владислав Викторович Донцов, врач сердечно-сосудистый хирург, научный сотрудник отделения кардиохирургии

129110, Москва, ул. Щепкина, д. 61/2

Vladislav V. Dontsov, Cardiovascular Surgeon, Researcher of the Cardiac Surgery Department

61/2 Shchepkin St., Moscow 129110

vvdontsov@yandex.ruhttps://orcid.org/0000-0002-6074-1201АгафоновЕ. Г.AgafonovE. G.

Евгений Геннадьевич Агафонов, врач сердечно-сосудистый хирург, научный сотрудник отделения кардиохирургии

129110, Москва, ул. Щепкина, д. 61/2

Evgeniy G. Agafonov, Cardiovascular Surgeon, Researcher of the Cardiac Surgery Department

61/2 Shchepkin St., Moscow 129110

https://orcid.org/0000-0002-0316-8410ПоповМ. А.PopovM. A.

Михаил Александрович Попов, канд. мед. наук, врач сердечно-сосудистый хирург, старший научный сотрудник отделения кардиохирургии

129110, Москва, ул. Щепкина, д. 61/2

Mikhail A. Popov, Cand. Sci. (Med.), Cardiovascular Surgeon, Researcher of the Cardiac Surgery Department

61/2 Shchepkin St., Moscow 129110

ГБУЗ МО МОНИКИ им. М.Ф. ВладимирскогоРоссияMoscow Regional Research and Clinical Institute n.a. M.F. VladimirskiyRussian Federation202314092023153376389Copyright © Шумаков Д.В., Зыбин Д.И., Зулькарнаев А.Б., Донцов В.В., Агафонов Е.Г., Попов М.А., 20232023Шумаков Д.В., Зыбин Д.И., Зулькарнаев А.Б., Донцов В.В., Агафонов Е.Г., Попов М.А.Shumakov D.V., Zybin D.I., Zulkarnaev A.B., Dontsov V.V., Agafonov E.G., Popov M.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jtransplantologiya.ru/jour/article/view/797

Терминальная стадия хронических заболеваний солидных органов имеет весомое значение в структуре заболеваемости и смертности среди больных во всем мире, которых к настоящему моменту насчитывается более 6 млн. Трансплантация сердца, печени и почек является золотым стандартом лечения этих больных. Ежегодно количество трансплантаций растет.В конце 2019 г. мир встретился с новым видом вирусной инфекции – SARS-CoV-2 – высококонтагиозным системным респираторным заболеванием, передающимся воздушно-капельным путем, которое за 3 месяца привело к возникновению пандемии и унесло жизни сотен тысяч человек. Пандемия внесла коррективы в структуру оказания плановой медицинской помощи. Количество плановых операций значительно снизилось, а число осложнений, связанных с инфекцией, выросло.Больные с терминальной стадией хронических заболеваний изначально имеют ослабленный иммунитет и являются наиболее подверженной заражению категорией. В настоящий момент вопрос о тактике ведения больных остается открытым. Нет единого мнения, характеризующего ее до операции и в посттрансплантационном периоде при терминальной стадии хронических заболеваний разных органов. Данная тематика требует дальнейшего изучения и формирования алгоритмов лечения.

The end-stage stage of chronic diseases of solid organs is rather significant in the structure of morbidity and mortality among patients worldwide. To date, there are more than six million patients in this status worldwide. Heart, liver and kidney transplantation is the gold standard of treatment for these patients. The number of transplants is growing every year.At the end of 2019, the world faced a new type of viral infection – SARS-CoV-2 – a highly contagious systemic respiratory disease transmitted by airborne droplets, which in three months led to a pandemic and killed hundreds of thousands of people. The pandemic has made adjustments to the structure of planned medical care. The number of planned operations has decreased significantly, and the number of the infection-associated complications has increased.Patients with end-stage chronic diseases initially have weakened immunity and represent the category most susceptible to the infection. At the moment, the question of patient management tactics remains open. There is no consensus on the patient management tactics before surgery and in the posttransplantation period for patients at the end-stage chronic disease of different organs. This topic requires further study and the development of treatment algorithms for such patients.

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The authors declare that there are no conflicts of interest present.