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Sports: Boston: Clinic does not relies uncoat on waiting list for a new heart

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In the USA, a man does not get a donor heart, according to his family, because he does not vaccinate against Covid-19. In Germany, such a case would not be conceivable.

  Boston: Klinik setzt Ungeimpften nicht auf Warteliste für ein neues Herz © Colin Anderson / Sticksy United

A 31-year-old American, who urgently needed a donor heart, was painted by his clinic from the waiting list for a graft - among other things, because he is not vaccinated against Covid-19, as the British BBC Reports . The man lies according to the report at Brigham and Women's Hospital in Boston.

The clinic indicates in an statement that several officially recommended vaccinations are one of the prerequisites for someone to be set to your waiting list for a donor body. The vaccination against COVID-19 is one of them, as well as the annual flu protection vaccine and vaccination against hepatitis B. In addition, the patients are obliged to accept other "healthy behaviors" and to show that they also take the medication necessary after transplantation . According to the clinic, these rules should ensure the greatest chance of successful surgery and improve the survival probability after transplantation.

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Whether other reasons speak, on the other hand, to leave the man on the waiting list, the Clinic of the BBC did not join, after all, it is confidential medical data. The patient's father has made the case public. He says the vaccine violate the basic principles of his son, "he does not believe in them."

Who lives with a donor organ, must take medications that suppress the immune system so that the body does not stop the organ. These funds inevitably lead to the fact that the infectious defense is deteriorated. Therefore, those affected have a significantly higher risk, in the case of coronain fiction difficult to illuminate.

completely different situation in Germany

A case like this could not exist in Germany.

"No medical treatment in Germany is made dependent on whether one is vaccinated, also a transplant," says Christian Strassburg from the University Hospital Bonn, which is the president of the German transplantation company. That is not otherwise conceivable for ethical reasons.

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In this case, however, it is also medically not useful to presuppose vaccination, the expert. For the people who wait for a donor organ because of a serious organ loss have a limited immune response - that they build immune protection after vaccination, is by no means guaranteed.

"We still advise all those affected to vaccination," says Strasbourg. Antibody examinations can roughly estimate whether vaccine has struck. If not, more doses can be administered over time than the generally recommended number of three.

In addition, patients who do not build their own immune protection can be protected by a so-called passive vaccine with monoclonal antibodies. However, one of the approved means is no longer sufficient against the omikron variant .

Strasbourg says, it is extremely rare that patients waiting for a donor organ rejected the Covid-19 vaccine. "I'm more likely to be that you are sad that your immune system does not react to vaccination as hoped for." He stresses that the environment is important for the protection of this risk group: contact persons should be vaccinated.

COVID-19. In Belgium, the non-vaccinated can no longer benefit from .
transplant © Archives West-France a caregiver carrying a patient in a hospital. Several transplant centers announced that they will not practice transplant on people who have not been vaccinated before, report Thursday, January 27, 2022 the media in Belgium. Several Belgian transplant centers in Brussels and Liège suspended non-vaccinated people against the Covid-19 of their waiting lists for a graft, reports the daily South Info Thursday.

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