Under the new policy proposed by the Centers for Disease Control and Prevention in the United States or the CDC, dead and living donors who had had sex with more than two people in the 12 months are considered at risk of transmitting HIV, hepatitis B and hepatitis C, even without taking into account risk factors other.
"It is intended for patients so that patients know as much as possible about the transplanted organ in it," said Dr.. Matthew J. Kuehnert, director of CDC's Office of Blood, Organ and Other Network Safety as reported by MSN.com, Tuesday (27/12/2011).
But transplant experts do not agree because the proposal is considered to be an arbitrary focused on monogamy and may limit the number of donors available and the number of recipients who are willing to accept the new organ at risk classified.
Experts worry that living donor transplantation that could potentially contribute to refuse if you know your own sexual history could raise questions about the fit, especially if the situation involves a family member.
"If you want to give organs to the mother, father or brother and admit sexual history may be embarrassing. Happens to people instead will say no or lie," said Dr. Harry Dorn-Arias, a transplant surgeon at the University of Virginia.
The proposed policy also may ask the donor family who have died to answer uncomfortable questions about sexual behavior from a loved one, in which they may not know the answer.
"This policy may scare away patients who will receive organs. Patients are more likely to die because they do not want to receive these organs," said Tracy Giacoma, transplant administrator at the University of Kansas Hospital.
More than 28,000 organs transplanted each year, but more than 112,000 people are in the organ waiting list, according to the Organ Procurement and Transplantation Network in the United States.
These guidelines may affect the breadth of potential donors, especially young people. According to the National Center for Health Statistics in 2006-2008, about a quarter of women and nearly 30 percent of men aged 20-24 years in the United Serikta admitted that they have two or more sexual partners in last 12 months.
"When there is a tragic death, it is precisely those people who have to donate their organs if possible. If you have a donor aged 19 years and have many partners, we must inform the recipient that this is a high-risk organs," says Giacoma.
Calculation of sexual partners is part of a set of new guidelines to update the broader policies of 1994 Health Office in preventing HIV transmission through human tissues and organs.
"Our priority here is patient safety. The new guidelines explain the increased risk, not a high risk of infection. And patients should know if they get organs at high risk," Kuehnert said.
"I am against these guidelines. The list of people with high-risk behaviors seems too broad," said Dr. John Radomski, chief of surgery at Our Lady of Lourdes Medical Center in Camden, NJ.
CDC officials said that the proposal is still a draft and can be changed, especially if there is strong evidence that supports the change. The CDC said that the main goal is to get as much information about organ transplants, both derived from the personal history or further tests.
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