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2020 ; 20
(11
): 3042-3050
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Between fear and courage: Attitudes, beliefs, and behavior of liver
transplantation recipients and waiting list candidates during the COVID-19
pandemic
#MMPMID32515125
Reuken PA
; Rauchfuss F
; Albers S
; Settmacher U
; Trautwein C
; Bruns T
; Stallmach A
Am J Transplant
2020[Nov]; 20
(11
): 3042-3050
PMID32515125
show ga
Patients with chronic liver disease and patients after solid organ
transplantation (SOT) are vulnerable to severe coronavirus disease 2019
(COVID-19). We evaluated fears, attitudes, and opinions associated with COVID-19
in 365 SOT recipients (95% liver, 5% pancreas/kidney), 112 SOT candidates, and
394 immediate household contacts in 2 German transplant centers. Seven (1.5%)
patients and 10 (2.5%) controls had contact with confirmed COVID-19 cases. Fear
of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
was expressed by 65% of SOT recipients and by 55% of SOT candidates. SOT
recipients had higher levels of fear of infection and more often wore personal
protective gear than household controls. Female sex, steroid treatment, and using
the local newspaper as a primary source of information were independently
associated with expressed fear of infection in SOT recipients. Younger age and
more recent transplantation correlated with concerns about severe COVID-19
expressed by patients and with concerns about worse medical care expressed by
household controls. One third of the patients expressed fear that
immunosuppression could worsen COVID-19 but only 15% used the transplantation
center as a source of information. These data show that fears associated with the
SARS-CoV-2 pandemic are frequently expressed but measures to prevent infection
are regularly followed by patients before and after SOT.