National Landscape of Human Immunodeficiency Virus-Positive Deceased Organ Donors in the United States

William A. Werbel; Diane M. Brown; Oyinkansola T. Kusemiju; Brianna L. Doby; Shanti M. Seaman; Andrew D. Redd; Yolanda Eby; Reinaldo E. Fernandez; Niraj M. Desai; Jernelle Miller; Gilad A. Bismut; Charles S. Kirby; Haley A. Schmidt; William A. Clarke; Michael Seisa; Christos J. Petropoulos; Thomas C. Quinn; Sander S. Florman; Shirish Huprikar; Meenakshi M. Rana; Rachel J. Friedman-Moraco; Aneesh K. Mehta; Peter G. Stock; Jennifer C. Price; Valentina Stosor; Shikha G. Mehta; Alexander J. Gilbert; Nahel Elias; Michele I. Morris; Sapna A. Mehta; Catherine B. Small; Ghady Haidar; Maricar Malinis; Jennifer S. Husson; Marcus R. Pereira; Gaurav Gupta; Jonathan Hand; Varvara Kirchner; Avinash Agarwal; Saima Aslam; Emily A. Blumberg; Cameron R. Wolfe; Kevin Myer; R. Patrick Wood; Nikole Neidlinger; Sara Strell; Marion Shuck; Harry Wilkins; Matthew Wadsworth; Jennifer D. Motter; Jonah Odim; Dorry L. Segev; Christine M. Durand; Aaron A.R. Tobian; Dominque Piquant; Katherine Link; Marion Hemmersbach-Miller; Thomas Pearson; Nicole Turgeon; G. Marshall Lyon; William Kitchens; Jeryl Huckaby; A. Francie Lasseter; Rivka Elbein; April Roberson; Elizabeth Ferry; Ethan Klock; Willa V. Cochran; Michelle Morrison; Sarah Rasmussen; Juli Bollinger; Jeremy Sugarman; Angela R. Smith; Margaret Thomas; Margaret Coakley; Joseph Timpone; Alyssa Stucke; Brandy Haydel; Rebecca Dieter; Elizabeth J. Klein; Henry Neumann; Lorenzo Gallon; Leah Goudy; Michelle Callegari; Ilise Marrazzo; Towanda Jackson; Timothy Pruett; Mary Farnsworth; Jayme E. Locke; Darnell Mompoint-Williams; Katherine Basinger; Kristin Mekeel; Phirum Nguyen; Joanne Kwan; Tab Srisengfa; Peter Chin-Hong; Rodney Rogers; Jacques Simkins; Carlos Munoz; Ty B Dunn; Dierdre Sawinski; Fernanda Silveira; Kailey Hughes; Diana Lynn Pakstis; Jamie Nagy; Mary Baldecchi; Thangamani Muthukumar; Melissa D. Eddie; Katharine Robb; Elizabeth Salsgiver; Britta Witting; Marwan M. Azar; Merceditas Villanueva; Richard Formica; Ricarda Tomlin

doi:10.1093/cid/ciab743

National Landscape of Human Immunodeficiency Virus-Positive Deceased Organ Donors in the United States

William A. Werbel, Diane M. Brown, Oyinkansola T. Kusemiju, Brianna L. Doby, Shanti M. Seaman, Andrew D. Redd, Yolanda Eby, Reinaldo E. Fernandez, Niraj M. Desai, Jernelle Miller, Gilad A. Bismut, Charles S. Kirby, Haley A. Schmidt, William A. Clarke, Michael Seisa, Christos J. Petropoulos, Thomas C. Quinn, Sander S. Florman, Shirish Huprikar, Meenakshi M. RanaRachel J. Friedman-Moraco, Aneesh K. Mehta, Peter G. Stock, Jennifer C. Price, Valentina Stosor, Shikha G. Mehta, Alexander J. Gilbert, Nahel Elias, Michele I. Morris, Sapna A. Mehta, Catherine B. Small, Ghady Haidar, Maricar Malinis, Jennifer S. Husson, Marcus R. Pereira, Gaurav Gupta, Jonathan Hand, Varvara Kirchner, Avinash Agarwal, Saima Aslam, Emily A. Blumberg, Cameron R. Wolfe, Kevin Myer, R. Patrick Wood, Nikole Neidlinger, Sara Strell, Marion Shuck, Harry Wilkins, Matthew Wadsworth, Jennifer D. Motter, Jonah Odim, Dorry L. Segev, Christine M. Durand, Aaron A.R. Tobian, Dominque Piquant, Katherine Link, Marion Hemmersbach-Miller, Thomas Pearson, Nicole Turgeon, G. Marshall Lyon, William Kitchens, Jeryl Huckaby, A. Francie Lasseter, Rivka Elbein, April Roberson, Elizabeth Ferry, Ethan Klock, Willa V. Cochran, Michelle Morrison, Sarah Rasmussen, Juli Bollinger, Jeremy Sugarman, Angela R. Smith, Margaret Thomas, Margaret Coakley, Joseph Timpone, Alyssa Stucke, Brandy Haydel, Rebecca Dieter, Elizabeth J. Klein, Henry Neumann, Lorenzo Gallon, Leah Goudy, Michelle Callegari, Ilise Marrazzo, Towanda Jackson, Timothy Pruett, Mary Farnsworth, Jayme E. Locke, Darnell Mompoint-Williams, Katherine Basinger, Kristin Mekeel, Phirum Nguyen, Joanne Kwan, Tab Srisengfa, Peter Chin-Hong, Rodney Rogers, Jacques Simkins, Carlos Munoz, Ty B Dunn, Dierdre Sawinski, Fernanda Silveira, Kailey Hughes, Diana Lynn Pakstis, Jamie Nagy, Mary Baldecchi, Thangamani Muthukumar, Melissa D. Eddie, Katharine Robb, Elizabeth Salsgiver, Britta Witting, Marwan M. Azar, Merceditas Villanueva, Richard Formica, Ricarda Tomlin

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Abstract

Background: Organ transplantation from donors with human immunodeficiency virus (HIV) to recipients with HIV (HIV D+/R+) presents risks of donor-derived infections. Understanding clinical, immunologic, and virologic characteristics of HIV-positive donors is critical for safety. Methods: We performed a prospective study of donors with HIV-positive and HIV false-positive (FP) test results within the HIV Organ Policy Equity (HOPE) Act in Action studies of HIV D+/R+ transplantation (ClinicalTrials.gov NCT02602262, NCT03500315, and NCT03734393). We compared clinical characteristics in HIV-positive versus FP donors. We measured CD4 T cells, HIV viral load (VL), drug resistance mutations (DRMs), coreceptor tropism, and serum antiretroviral therapy (ART) detection, using mass spectrometry in HIV-positive donors. Results: Between March 2016 and March 2020, 92 donors (58 HIV positive, 34 FP), representing 98.9% of all US HOPE donors during this period, donated 177 organs (131 kidneys and 46 livers). Each year the number of donors increased. The prevalence of hepatitis B (16% vs 0%), syphilis (16% vs 0%), and cytomegalovirus (CMV; 91% vs 58%) was higher in HIV-positive versus FP donors; the prevalences of hepatitis C viremia were similar (2% vs 6%). Most HIV-positive donors (71%) had a known HIV diagnosis, of whom 90% were prescribed ART and 68% had a VL <400 copies/mL. The median CD4 T-cell count (interquartile range) was 194/μL (77-331/μL), and the median CD4 T-cell percentage was 27.0% (16.8%-36.1%). Major HIV DRMs were detected in 42%, including nonnucleoside reverse-transcriptase inhibitors (33%), integrase strand transfer inhibitors (4%), and multiclass (13%). Serum ART was detected in 46% and matched ART by history. Conclusion: The use of HIV-positive donor organs is increasing. HIV DRMs are common, yet resistance that would compromise integrase strand transfer inhibitor-based regimens is rare, which is reassuring regarding safety.

Original language	English (US)
Pages (from-to)	2010-2019
Number of pages	10
Journal	Clinical Infectious Diseases
Volume	74
Issue number	11
DOIs	https://doi.org/10.1093/cid/ciab743
State	Published - Jun 1 2022

Bibliographical note

Publisher Copyright:
© 2021 The Author(s). Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved.

Keywords

HIV
drug resistance
organ donation
transplant

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Werbel, W. A., Brown, D. M., Kusemiju, O. T., Doby, B. L., Seaman, S. M., Redd, A. D., Eby, Y., Fernandez, R. E., Desai, N. M., Miller, J., Bismut, G. A., Kirby, C. S., Schmidt, H. A., Clarke, W. A., Seisa, M., Petropoulos, C. J., Quinn, T. C., Florman, S. S., Huprikar, S., ... Tomlin, R. (2022). National Landscape of Human Immunodeficiency Virus-Positive Deceased Organ Donors in the United States. Clinical Infectious Diseases, 74(11), 2010-2019. https://doi.org/10.1093/cid/ciab743

Werbel, WA, Brown, DM, Kusemiju, OT, Doby, BL, Seaman, SM, Redd, AD, Eby, Y, Fernandez, RE, Desai, NM, Miller, J, Bismut, GA, Kirby, CS, Schmidt, HA, Clarke, WA, Seisa, M, Petropoulos, CJ, Quinn, TC, Florman, SS, Huprikar, S, Rana, MM, Friedman-Moraco, RJ, Mehta, AK, Stock, PG, Price, JC, Stosor, V, Mehta, SG, Gilbert, AJ, Elias, N, Morris, MI, Mehta, SA, Small, CB, Haidar, G, Malinis, M, Husson, JS, Pereira, MR, Gupta, G, Hand, J, Kirchner, V, Agarwal, A, Aslam, S, Blumberg, EA, Wolfe, CR, Myer, K, Patrick Wood, R, Neidlinger, N, Strell, S, Shuck, M, Wilkins, H, Wadsworth, M, Motter, JD, Odim, J, Segev, DL, Durand, CM, Tobian, AAR, Piquant, D, Link, K, Hemmersbach-Miller, M, Pearson, T, Turgeon, N, Lyon, GM, Kitchens, W, Huckaby, J, Lasseter, AF, Elbein, R, Roberson, A, Ferry, E, Klock, E, Cochran, WV, Morrison, M, Rasmussen, S, Bollinger, J, Sugarman, J, Smith, AR, Thomas, M, Coakley, M, Timpone, J, Stucke, A, Haydel, B, Dieter, R, Klein, EJ, Neumann, H, Gallon, L, Goudy, L, Callegari, M, Marrazzo, I, Jackson, T, Pruett, T, Farnsworth, M, Locke, JE, Mompoint-Williams, D, Basinger, K, Mekeel, K, Nguyen, P, Kwan, J, Srisengfa, T, Chin-Hong, P, Rogers, R, Simkins, J, Munoz, C, Dunn, TB, Sawinski, D, Silveira, F, Hughes, K, Pakstis, DL, Nagy, J, Baldecchi, M, Muthukumar, T, Eddie, MD, Robb, K, Salsgiver, E, Witting, B, Azar, MM, Villanueva, M, Formica, R & Tomlin, R 2022, 'National Landscape of Human Immunodeficiency Virus-Positive Deceased Organ Donors in the United States', Clinical Infectious Diseases, vol. 74, no. 11, pp. 2010-2019. https://doi.org/10.1093/cid/ciab743

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title = "National Landscape of Human Immunodeficiency Virus-Positive Deceased Organ Donors in the United States",

abstract = "Background: Organ transplantation from donors with human immunodeficiency virus (HIV) to recipients with HIV (HIV D+/R+) presents risks of donor-derived infections. Understanding clinical, immunologic, and virologic characteristics of HIV-positive donors is critical for safety. Methods: We performed a prospective study of donors with HIV-positive and HIV false-positive (FP) test results within the HIV Organ Policy Equity (HOPE) Act in Action studies of HIV D+/R+ transplantation (ClinicalTrials.gov NCT02602262, NCT03500315, and NCT03734393). We compared clinical characteristics in HIV-positive versus FP donors. We measured CD4 T cells, HIV viral load (VL), drug resistance mutations (DRMs), coreceptor tropism, and serum antiretroviral therapy (ART) detection, using mass spectrometry in HIV-positive donors. Results: Between March 2016 and March 2020, 92 donors (58 HIV positive, 34 FP), representing 98.9% of all US HOPE donors during this period, donated 177 organs (131 kidneys and 46 livers). Each year the number of donors increased. The prevalence of hepatitis B (16% vs 0%), syphilis (16% vs 0%), and cytomegalovirus (CMV; 91% vs 58%) was higher in HIV-positive versus FP donors; the prevalences of hepatitis C viremia were similar (2% vs 6%). Most HIV-positive donors (71%) had a known HIV diagnosis, of whom 90% were prescribed ART and 68% had a VL <400 copies/mL. The median CD4 T-cell count (interquartile range) was 194/μL (77-331/μL), and the median CD4 T-cell percentage was 27.0% (16.8%-36.1%). Major HIV DRMs were detected in 42%, including nonnucleoside reverse-transcriptase inhibitors (33%), integrase strand transfer inhibitors (4%), and multiclass (13%). Serum ART was detected in 46% and matched ART by history. Conclusion: The use of HIV-positive donor organs is increasing. HIV DRMs are common, yet resistance that would compromise integrase strand transfer inhibitor-based regimens is rare, which is reassuring regarding safety.",

keywords = "HIV, drug resistance, organ donation, transplant",

author = "Werbel, {William A.} and Brown, {Diane M.} and Kusemiju, {Oyinkansola T.} and Doby, {Brianna L.} and Seaman, {Shanti M.} and Redd, {Andrew D.} and Yolanda Eby and Fernandez, {Reinaldo E.} and Desai, {Niraj M.} and Jernelle Miller and Bismut, {Gilad A.} and Kirby, {Charles S.} and Schmidt, {Haley A.} and Clarke, {William A.} and Michael Seisa and Petropoulos, {Christos J.} and Quinn, {Thomas C.} and Florman, {Sander S.} and Shirish Huprikar and Rana, {Meenakshi M.} and Friedman-Moraco, {Rachel J.} and Mehta, {Aneesh K.} and Stock, {Peter G.} and Price, {Jennifer C.} and Valentina Stosor and Mehta, {Shikha G.} and Gilbert, {Alexander J.} and Nahel Elias and Morris, {Michele I.} and Mehta, {Sapna A.} and Small, {Catherine B.} and Ghady Haidar and Maricar Malinis and Husson, {Jennifer S.} and Pereira, {Marcus R.} and Gaurav Gupta and Jonathan Hand and Varvara Kirchner and Avinash Agarwal and Saima Aslam and Blumberg, {Emily A.} and Wolfe, {Cameron R.} and Kevin Myer and {Patrick Wood}, R. and Nikole Neidlinger and Sara Strell and Marion Shuck and Harry Wilkins and Matthew Wadsworth and Motter, {Jennifer D.} and Jonah Odim and Segev, {Dorry L.} and Durand, {Christine M.} and Tobian, {Aaron A.R.} and Dominque Piquant and Katherine Link and Marion Hemmersbach-Miller and Thomas Pearson and Nicole Turgeon and Lyon, {G. Marshall} and William Kitchens and Jeryl Huckaby and Lasseter, {A. Francie} and Rivka Elbein and April Roberson and Elizabeth Ferry and Ethan Klock and Cochran, {Willa V.} and Michelle Morrison and Sarah Rasmussen and Juli Bollinger and Jeremy Sugarman and Smith, {Angela R.} and Margaret Thomas and Margaret Coakley and Joseph Timpone and Alyssa Stucke and Brandy Haydel and Rebecca Dieter and Klein, {Elizabeth J.} and Henry Neumann and Lorenzo Gallon and Leah Goudy and Michelle Callegari and Ilise Marrazzo and Towanda Jackson and Timothy Pruett and Mary Farnsworth and Locke, {Jayme E.} and Darnell Mompoint-Williams and Katherine Basinger and Kristin Mekeel and Phirum Nguyen and Joanne Kwan and Tab Srisengfa and Peter Chin-Hong and Rodney Rogers and Jacques Simkins and Carlos Munoz and Dunn, {Ty B} and Dierdre Sawinski and Fernanda Silveira and Kailey Hughes and Pakstis, {Diana Lynn} and Jamie Nagy and Mary Baldecchi and Thangamani Muthukumar and Eddie, {Melissa D.} and Katharine Robb and Elizabeth Salsgiver and Britta Witting and Azar, {Marwan M.} and Merceditas Villanueva and Richard Formica and Ricarda Tomlin",

year = "2022",

month = jun,

day = "1",

doi = "10.1093/cid/ciab743",

language = "English (US)",

volume = "74",

pages = "2010--2019",

journal = "Clinical Infectious Diseases",

issn = "1058-4838",

publisher = "Oxford University Press",

number = "11",

}

TY - JOUR

T1 - National Landscape of Human Immunodeficiency Virus-Positive Deceased Organ Donors in the United States

AU - Werbel, William A.

AU - Brown, Diane M.

AU - Kusemiju, Oyinkansola T.

AU - Doby, Brianna L.

AU - Seaman, Shanti M.

AU - Redd, Andrew D.

AU - Eby, Yolanda

AU - Fernandez, Reinaldo E.

AU - Desai, Niraj M.

AU - Miller, Jernelle

AU - Bismut, Gilad A.

AU - Kirby, Charles S.

AU - Schmidt, Haley A.

AU - Clarke, William A.

AU - Seisa, Michael

AU - Petropoulos, Christos J.

AU - Quinn, Thomas C.

AU - Florman, Sander S.

AU - Huprikar, Shirish

AU - Rana, Meenakshi M.

AU - Friedman-Moraco, Rachel J.

AU - Mehta, Aneesh K.

AU - Stock, Peter G.

AU - Price, Jennifer C.

AU - Stosor, Valentina

AU - Mehta, Shikha G.

AU - Gilbert, Alexander J.

AU - Elias, Nahel

AU - Morris, Michele I.

AU - Mehta, Sapna A.

AU - Small, Catherine B.

AU - Haidar, Ghady

AU - Malinis, Maricar

AU - Husson, Jennifer S.

AU - Pereira, Marcus R.

AU - Gupta, Gaurav

AU - Hand, Jonathan

AU - Kirchner, Varvara

AU - Agarwal, Avinash

AU - Aslam, Saima

AU - Blumberg, Emily A.

AU - Wolfe, Cameron R.

AU - Myer, Kevin

AU - Patrick Wood, R.

AU - Neidlinger, Nikole

AU - Strell, Sara

AU - Shuck, Marion

AU - Wilkins, Harry

AU - Wadsworth, Matthew

AU - Motter, Jennifer D.

AU - Odim, Jonah

AU - Segev, Dorry L.

AU - Durand, Christine M.

AU - Tobian, Aaron A.R.

AU - Piquant, Dominque

AU - Link, Katherine

AU - Hemmersbach-Miller, Marion

AU - Pearson, Thomas

AU - Turgeon, Nicole

AU - Lyon, G. Marshall

AU - Kitchens, William

AU - Huckaby, Jeryl

AU - Lasseter, A. Francie

AU - Elbein, Rivka

AU - Roberson, April

AU - Ferry, Elizabeth

AU - Klock, Ethan

AU - Cochran, Willa V.

AU - Morrison, Michelle

AU - Rasmussen, Sarah

AU - Bollinger, Juli

AU - Sugarman, Jeremy

AU - Smith, Angela R.

AU - Thomas, Margaret

AU - Coakley, Margaret

AU - Timpone, Joseph

AU - Stucke, Alyssa

AU - Haydel, Brandy

AU - Dieter, Rebecca

AU - Klein, Elizabeth J.

AU - Neumann, Henry

AU - Gallon, Lorenzo

AU - Goudy, Leah

AU - Callegari, Michelle

AU - Marrazzo, Ilise

AU - Jackson, Towanda

AU - Pruett, Timothy

AU - Farnsworth, Mary

AU - Locke, Jayme E.

AU - Mompoint-Williams, Darnell

AU - Basinger, Katherine

AU - Mekeel, Kristin

AU - Nguyen, Phirum

AU - Kwan, Joanne

AU - Srisengfa, Tab

AU - Chin-Hong, Peter

AU - Rogers, Rodney

AU - Simkins, Jacques

AU - Munoz, Carlos

AU - Dunn, Ty B

AU - Sawinski, Dierdre

AU - Silveira, Fernanda

AU - Hughes, Kailey

AU - Pakstis, Diana Lynn

AU - Nagy, Jamie

AU - Baldecchi, Mary

AU - Muthukumar, Thangamani

AU - Eddie, Melissa D.

AU - Robb, Katharine

AU - Salsgiver, Elizabeth

AU - Witting, Britta

AU - Azar, Marwan M.

AU - Villanueva, Merceditas

AU - Formica, Richard

AU - Tomlin, Ricarda

PY - 2022/6/1

Y1 - 2022/6/1

N2 - Background: Organ transplantation from donors with human immunodeficiency virus (HIV) to recipients with HIV (HIV D+/R+) presents risks of donor-derived infections. Understanding clinical, immunologic, and virologic characteristics of HIV-positive donors is critical for safety. Methods: We performed a prospective study of donors with HIV-positive and HIV false-positive (FP) test results within the HIV Organ Policy Equity (HOPE) Act in Action studies of HIV D+/R+ transplantation (ClinicalTrials.gov NCT02602262, NCT03500315, and NCT03734393). We compared clinical characteristics in HIV-positive versus FP donors. We measured CD4 T cells, HIV viral load (VL), drug resistance mutations (DRMs), coreceptor tropism, and serum antiretroviral therapy (ART) detection, using mass spectrometry in HIV-positive donors. Results: Between March 2016 and March 2020, 92 donors (58 HIV positive, 34 FP), representing 98.9% of all US HOPE donors during this period, donated 177 organs (131 kidneys and 46 livers). Each year the number of donors increased. The prevalence of hepatitis B (16% vs 0%), syphilis (16% vs 0%), and cytomegalovirus (CMV; 91% vs 58%) was higher in HIV-positive versus FP donors; the prevalences of hepatitis C viremia were similar (2% vs 6%). Most HIV-positive donors (71%) had a known HIV diagnosis, of whom 90% were prescribed ART and 68% had a VL <400 copies/mL. The median CD4 T-cell count (interquartile range) was 194/μL (77-331/μL), and the median CD4 T-cell percentage was 27.0% (16.8%-36.1%). Major HIV DRMs were detected in 42%, including nonnucleoside reverse-transcriptase inhibitors (33%), integrase strand transfer inhibitors (4%), and multiclass (13%). Serum ART was detected in 46% and matched ART by history. Conclusion: The use of HIV-positive donor organs is increasing. HIV DRMs are common, yet resistance that would compromise integrase strand transfer inhibitor-based regimens is rare, which is reassuring regarding safety.

AB - Background: Organ transplantation from donors with human immunodeficiency virus (HIV) to recipients with HIV (HIV D+/R+) presents risks of donor-derived infections. Understanding clinical, immunologic, and virologic characteristics of HIV-positive donors is critical for safety. Methods: We performed a prospective study of donors with HIV-positive and HIV false-positive (FP) test results within the HIV Organ Policy Equity (HOPE) Act in Action studies of HIV D+/R+ transplantation (ClinicalTrials.gov NCT02602262, NCT03500315, and NCT03734393). We compared clinical characteristics in HIV-positive versus FP donors. We measured CD4 T cells, HIV viral load (VL), drug resistance mutations (DRMs), coreceptor tropism, and serum antiretroviral therapy (ART) detection, using mass spectrometry in HIV-positive donors. Results: Between March 2016 and March 2020, 92 donors (58 HIV positive, 34 FP), representing 98.9% of all US HOPE donors during this period, donated 177 organs (131 kidneys and 46 livers). Each year the number of donors increased. The prevalence of hepatitis B (16% vs 0%), syphilis (16% vs 0%), and cytomegalovirus (CMV; 91% vs 58%) was higher in HIV-positive versus FP donors; the prevalences of hepatitis C viremia were similar (2% vs 6%). Most HIV-positive donors (71%) had a known HIV diagnosis, of whom 90% were prescribed ART and 68% had a VL <400 copies/mL. The median CD4 T-cell count (interquartile range) was 194/μL (77-331/μL), and the median CD4 T-cell percentage was 27.0% (16.8%-36.1%). Major HIV DRMs were detected in 42%, including nonnucleoside reverse-transcriptase inhibitors (33%), integrase strand transfer inhibitors (4%), and multiclass (13%). Serum ART was detected in 46% and matched ART by history. Conclusion: The use of HIV-positive donor organs is increasing. HIV DRMs are common, yet resistance that would compromise integrase strand transfer inhibitor-based regimens is rare, which is reassuring regarding safety.

KW - HIV

KW - drug resistance

KW - organ donation

KW - transplant

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UR - http://www.scopus.com/inward/citedby.url?scp=85131902581&partnerID=8YFLogxK

U2 - 10.1093/cid/ciab743

DO - 10.1093/cid/ciab743

M3 - Article

C2 - 34453519

AN - SCOPUS:85131902581

SN - 1058-4838

VL - 74

SP - 2010

EP - 2019

JO - Clinical Infectious Diseases

JF - Clinical Infectious Diseases

IS - 11

ER -

National Landscape of Human Immunodeficiency Virus-Positive Deceased Organ Donors in the United States

Abstract

Bibliographical note

Keywords

UN SDGs

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