PRIMER TRASPLANTE BILATERAL DE ANTEBRAZOS Y MANOS
EN ESPAÑA

IGLESIAS DESTACO INICIATIVAS DE CUMBRE IBEROAMERICANA




MONTEVIDEO, 5 (ANSA) - El secretario general iberoamericano, Enrique Iglesias, destacó 
hoy la importancia de las iniciativas en materia de agua potable, educación, cultura y salud 
que se presentaron en las sesiones de trabajo de la XVI Cumbre Iberoamericana de Jefes 
de Estado y de Gobierno, que concluyó hoy en Montevideo.   
España propuso el sábado crear un fondo iberoamericano para la financiación de obras 
que permitan el acceso al agua potable y al saneamiento en los países de América Latina.   
Iglesias dijo antes de la clausura del encuentro que "si nosotros logramos construir realmente 
un programa con el apoyo de las organizaciones regionales y mundiales para atacar 
fundamentalmente el tema del agua potable, creo que habremos hecho una contribución 
importante a las decenas de millones de personas que en nuestros medios no tienen 
acceso" a ese recurso.   
Iglesias subrayó la relevancia de la creación de un espacio iberoamericano para el intercambio 
de jóvenes estudiantes y docentes, y agregó que un continente joven como América Latina 
"va a tener en esto un gran oportunidad" y "es una gran iniciativa que debemos priorizar". 
Por último, puso de relieve el acuerdo en materia de cooperación en el área de la salud, que 
abarcará la provisión de fondos para la lucha contra la tuberculosis, así como iniciativas para 
la donación y trasplante de órganos y la atención a temas de biotecnología y recursos renovables.

Ver artículo en formato .pdf 

VIII Conferencia Iberoamericana de Ministras y Ministros de Salud
Octubre de 2006


El Presidente de la República Oriental del Uruguay, Dr. Tabaré Vázquez inaugura la Conferencia

En la primer jornada de trabajo, los Ministros de Salud de Iberoamérica compartieron tres informes de avance sobre la creación de tres Redes: Enseñanza e Investigación, Medicamentos y Transplantes, con el fin de intercambiar experiencias. En materia de Transplantes se manifestó la necesidad de contar con una legislación especifica y con la solidaridad de la gente, imprescindible al momento de la donación, lo que se logra con una campaña de concientización.

INFORME PARA LA VIII CONFERENCIA IBEROAMERICANA DE MINISTRAS Y MINISTROS DE SALUD. 


RED/CONSEJO IBEROAMERICANO DE DONACIÓN Y TRASPLANTE

Ver informe en formato .pdf (1.75 MB)

FALLECIÓ EL DR. EDUARDO WILSON MARTÍNEZ VALDÉS 

Programa preliminar del II Congreso Paraguayo de Trasplante y del XIII Congreso Paraguayo de Cirugia

A realizarse entre el 18 y el 20 de setiembre de 2006 en el Hotel Yacht y Golf Club - Asunción Paraguay

Información:

http://www.spc.pla.net.py

Sede del congreso: http://www.hotelyacht.com.py

Programa del evento, en Power Point

Remito la versión en PDF de la revista TRANSPLANT NEWSLETTER volumen XI, publicación oficial de la Comisión de Trasplantes del Consejo de Europa, elaborada desde la ONT, y correspondiente al año 2006.

En ella se recogen los datos de donación y trasplantes de Europa y América correspondientes al pasado año. En unas semanas se distribuirá la versión impresa de la misma Recibe un cordial saludo y que pases unas buenas vacaciones.

Saludos
Rafael Matesanz

CONVOCATORIA MASTER ALIANZA 2007

Madrid 5 de Julio del 2007

Estimado/a amigo/a Se convoca oficialmente el MASTER ALIANZA en Donación y Trasplante de Órganos, Tejidos y Células 2007, organizado por la ONT.
Este MASTER se enmarca dentro del PROGRAMA ALIANZA liderado por la ONT y encaminado al desarrollo y potenciación de una red de coordinación de trasplantes en toda Latinoamérica.

La finalidad es lanzar un proyecto que beneficie a los profesionales dedicados a la coordinación de trasplantes en Latinoamérica, permitiéndoles conocer la realidad del modelo español.

Tendrá lugar durante los meses de FEBRERO Y MARZO DE 2007, y constará al menos de un Curso General de Coordinación, una estancia en la ORGANIZACIÓN NACIONAL DE TRASPLANTES, un Seminario de Entrevista Familiar y eventualmente otros cursos y actividades aún en fase de preparación, así como una estancia en un hospital español con programa de trasplantes bajo la supervisión y tutoría del coordinador hospitalario.

La beca está dirigida fundamentalmente a médicos que trabajen o vayan a trabajar en el desarrollo de programas de coordinación y organización de trasplantes, sobre todo en el terreno de la donación, en ámbitos nacionales, provinciales o locales, aunque también está abierta a otros perfiles de profesionales de la salud que trabajen en el campo de la donación y el trasplante.

Incluye la financiación de todas las actividades docentes, viajes dentro de España y una cantidad de 1.000 euros para ayuda de gastos de viaje desde país origen hasta España y estancia (que deberá estar debidamente justificada).

Si estás interesado en solicitarla o conoces quien pudiera estarlo, envíanos el boletín adjunto y el Curriculum Vitae a:

aluengo@msc.es

CC:

emartine@msc.es

Antes del 15 de Septiembre. Te mantendremos puntualmente informado de todo el proceso de convocatoria y adjudicación de becas. No dudes en contactar con nosotros para mayor información.

Un cordial saludo, Rafael Matesanz DIRECTOR O.N.T.

Convocatoria en formato .pdf

Boletín de inscripción en formato .pdf

III Reunión del Consejo Iberoamericano de Donación y Trasplante

Entre el 24 y 25 de octubre del corriente, se realizará en Montevideo la III Reunión del Consejo Iberoamericano de Donación y Trasplante.

2 World Day for Organ Donation and Transplantation

27 de October 2006 - Buenos Aires - Argentina

Argentina será sede de la celebración del segundo Día Mundial de la Donación y el Trasplante en octubre próximo, con el auspicio de la Organización Mundial de la Salud (OMS). La fecha instituida a escala internacional apunta a incrementar el conocimiento sobre los trasplantes en los distintos países. El análisis de la donación de órganos y tejidos desde una perspectiva global incluye la reflexión sobre el rol de los medios de comunicación, las organizaciones sociales y el sistema educativo. El primer Día Mundial tuvo lugar en Suiza el 14 de octubre pasado. La comitiva argentina encabezada por el Dr. Carlos Soratti, presidente del INCUCAI, recibió la Resolución WHA 57.18 de la OMS como mandato para albergar la conmemoración este año.

diamundial@incucai.gov.ar

Phone: (54 11) 4781 0099

Instituto Nacional de Donación y Trasplante (Uruguay)

A partir del 19 de mayo de 2006 el Instituto Nacional de Donación y Trasplante de Células Tejidos y Órganos (INDT), ha sido acreditado, por la Escuela de Graduados de la Facultad de Medicina del Uruguay, como institución organizadora de actividades de Educación Médica Continua.

Foro internacional en donacion y trasplantes de órganos

Direccion: Dr Matesanz

30 y 31 de marzo 2006.

Madrid

Temario.

Donacion y trasplates un problema global.
Donacion y trasplante en latinoamerica.
El trasplante y la OMS
Los nuvos y viejos problemas del trasplante.
Problemas Universales-soluciones universales.

Participan entre otros:

XV Cumbre Iberoamericana

Finalizó con una importante declaración sobre el tema donación y trasplante.

Ver declaración y fotos de la cumbre

Datos de la foto superior

Primera fila (de izquierda a derecha):
1.- Eduardo Rodríguez Veltzé, Presidente Constitucional de Bolivia
2.- Luiz Inácio Lula da Silva, Presidente de Brasil 
3.- Leonel Antonio Fernández Reina, Presidente de la República Dominicana 
4.- Martín Torrijos Espino, Presidente de Panamá 
5.- Abel Pacheco, Presidente de Costa Rica
6.- Tabaré Ramón Vázquez Rosas, Presidente de Uruguay 
7.- Juan Carlos I, Rey de España
8.- José Luis Rodríguez Zapatero, Presidente del Gobierno de España
9.- Enrique Iglesias, Secretario General Iberoamericano
10.- Alejandro Toledo, Presidente de Perú 
11.- Ricardo Maduro, Presidente de Honduras
12.- Vicente Fox Quesada, Presidente de México 
13.- Jorge Fernando Branco de Sampaio, Presidente de Portugal 

Segunda fila (de izquierda a derecha):
14.- Francisco Carrión Mena, Ministro de Relaciones Exteriores de Ecuador 
15.- Eduardo Stein Barillas, Vicepresidente de Guatemala 
16.- Albert Pintat Santolària, Jefe de Gobierno de Andorra 
17.- José Sócrates Carvalho Pinto de Sousa, Primer Ministro de Portugal 
18.-
19.- Nicanor Duarte Frutos, Presidente de Paraguay   
20.- Álvaro Uribe Vélez, Presidente de Colombia
21.- Ricardo Lagos Escobar, Presidente de Chile
22.- Néstor Carlos Kirchner, Presidente de Argentina 
23.- Ana Vilma de Escobar, Vicepresidenta de El Salvador 
24.- Felipe Pérez Roque, Ministro de Relaciones Exteriores de Cuba 
25.- Norman Caldera Cardenal, Ministro de Relaciones Exteriores de Nicaragua

VII CONFERENCIA IBEROAMERICANA DE MINISTRAS Y MINISTROS DE SALUD

Granada, Espaa 14 y 15 de septiembre de 2005

Fragmento de la declaracin de Granada relacionada con la Red Iberoamericana de Donacin y Trasplantes.

7. Nuestro apoyo a la Red Iberoamericana de Donacin y Trasplantes que ha sido presentada en esta Conferencia, pues constituye un ejemplo de organizacin de una red temtica institucional que puede ofrecer resultados positivos para los ciudadanos y conclusiones tiles que permitan impulsar otras redes.

8. Nuestro acuerdo para que la Organizacin Nacional de Trasplantes de Espaa se haga cargo de la coordinacin de la Red Iberoamericana de Donacin y Trasplantes, cuya misin y mandato se recogen como propuesta anexa a esta Declaracin.

Documentos

Declaracin de Granada, completa en formato .pdf

Propuesta de Constitucin, Funcionamiento y rganos de Direccin y Gestin del Foro/Consejo Iberoamericano de Donacin y Trasplantes en formato .pdf

Información de prensa

ABC en formato .pdf

Granada Hoy en formato .pdf

Diario Médico en formato .pdf

Rafael Matesanz ha sido nombrado miembro del Comité Asesor del Instituto de Medicina de Estados Unidos, junto con el belga Leo Roels, son los únicos componentes no estadounidenses del comité.

Licenciado en Medicina y Cirugía por la Universidad Complutense y doctor en Medicina por la Univesidad Autónoma de Madrid, fue jefe de Sección de Nefrología del Ramón y Cajal, de Madrid, de 1977 a 1989. Fundó la Organización Nacional de Trasplantes, por lo que recibió en 1999 el Premio Rey Jaime I. Además fue director de Primaria y Especializada del Insalud. Es presidente de la Comisión Nacional de Trasplantes y del Comité de Trasplantes del Consejo de Europa.

Recomendacion sobre el papel de los Coordinadores de Trasplantes que acaba de ser aprobada por el Comité de Ministros del Consejo de Europa. La base de esta recomendación fue elaborada por la delegación española hace un par de años y logicamente ha debido ir incorporando sugerencias (como por ejemplo el nombre) para hacerla compatible con la situación de otros países. Creo que en el futuro habrá que prestar una especial atención a este punto en America Latina.

Ministers’ Deputies
CM Documents

CM(2005)82 18 May 2005
——————————————

930 Meeting, 15 June 2005
6 Social Cohesion

——————————————

Draft Recommendation Rec(2005)…
of the Committee of Ministers to member states
on the role and training of professionals responsible
for organ donation (transplant “donor co-ordinators”)

The Committee of Ministers, under the terms of Article
15.b of the Statute of the Council of Europe,

Considering that the aim of the Council of Europe is
to achieve greater unity between its members and that
this aim may be pursued, inter alia, by the adoption
of common action in the health field;

Taking into account Resolution (78) 29 on the
harmonisation of legislation of member states relating
to removal, grafting and transplantation of human
substances, the final text of the 3rd Conference of
European Health Ministers (Paris, 16 and 17 November
1987); Articles 19 and 20 of the Convention on Human
Rights and Biomedicine, and Articles 3 and 4 of the
Additional Protocol to the Convention on Human Rights
and Biomedicine concerning Transplantation of Organs
and Tissues of Human Origin, and principles
established in the 1998 Council of Europe consensus
document entitled “Meeting the organ shortage”;

Considering that organ transplantation is a
well-established, life-saving, and effective
treatment: a successful organ transplant may be the
only treatment available for some forms of end stage
organ failure and is the most clinically effective and
cost-effective treatment for chronic renal failure;

Considering the universal shortage of organs for
transplantation;

Considering that the transplant process is complex,
involves various services and therefore requires
effective organisation and coordination of health care
professionals;

Bearing in mind that in many member states the
training and employment of health care professionals
responsible for detecting potential deceased organ
donors and organising the donation process has
increased the efficiency of the procurement of organs
and improved the functioning of local and national
transplant systems; and that such professionals can
also increase the rate of donation of tissues for
transplantation,

Recommends that the governments of member states take
the measures contained in the appendix to this
recommendation as regards the role and training of
professionals responsible for organ donation
(transplant “donor co-ordinators”).

Appendix

1. A professional responsible for the identification
of potential deceased organ and/or tissue donors
should be appointed in every hospital with an
intensive care unit. This professional should have
appropriate training and experience, be independent of
any transplant teams, and have clearly defined
responsibilities for the establishment, management and
audit of a hospital-based system for potential
deceased donor identification and organ/tissue
procurement. The person should also be responsible
for monitoring the donation and procurement process
and for identifying and implementing improvements. For
the purposes of this recommendation, the professional
will be termed a transplant “donor co-ordinator”.

2. Donor co-ordinators should be properly accountable
to senior management of the relevant health
institution and to any regional or national transplant
organisations. Donor co-ordinators may be complemented
by, or responsible to, other transplant co-ordinators
at regional or national level.

3. Donor co-ordinators, and any other transplant
co-ordinators should have a high standard of
professional training consistent with internationally
recognised standards, to ensure the highest possible
professional and ethical standards in organ donation
and procurement. Member states should establish formal
national or international accreditation for donor
coordination activities/donor co-ordinators.

Explanatory note

Scope and purpose

The main purpose of this recommendation is to help
member states to procure the maximum number of
high-quality safe organs for transplantation. There
is now good evidence from certain member states that
the appointment of health care professionals in
hospitals with an intensive care unit responsible for
identifying potential organ donors and managing the
donation process can significantly increase the rate
of organ (and also tissue) donation from deceased
donors.

The process of organ donation is complex and needs
effective management by trained, dedicated health care
professionals if usable organs are not to be lost.
Many countries have already benefited from the
creation of a network of such professionals
co-ordinated at national and/or regional level.
Ideally, all hospitals with an intensive care unit
should appoint such professionals, although if small,
hospitals could be grouped. Protocols should be
developed for each step of the donor identification
and organ procurement process and the professional
should be given appropriate authority, and be
responsible for managing and monitoring the whole
donation process within the hospital(s).

Definitions

“Transplant co-ordinator” The term transplant
co-ordinator is applied in different member states to
a number of roles in organ transplantation. The
European Transplant Co-ordinators’ Organisation (ETCO)
uses the term “transplant co-ordinator” for the role
described in this recommendation. However, this role
has been given different titles in different
countries, such as “transplant procurement manager,”
“donor detection person” and “donor liaison person”.
Also, in some member states the term “transplant
co-ordinator” is applied to health care professionals
acting in other transplant-related roles. This term
has also been applied to those professionals
responsible for managing and co-ordinating organ
retrieval teams and the allocation and transport of
organs to receiving units. “Recipient transplant
co-ordinators” are responsible for supporting
transplant recipients and “living donor co-ordinators”
help to prepare living organ donors and ensure their
follow-up.

To avoid confusion, the term transplant “donor
co-ordinator” is used in this recommendation although
member states may wish to replace this term with their
own title.

Roles and responsibilities of donor co-ordinators

The Council of Europe document “Meeting the Organ
Shortage” identifies a number of key responsibilities
for donor co-ordinators including:

a. the identification of all potential organ (and
tissue) donors;

b. ensuring that relatives or friends close to the
potential donor are only approached to discuss
donation by health professionals with appropriate
training and experience;

c. performing a potential donor audit to assess the
likely number of potential donors and to identify
reasons why potential donors do not become actual
donors;

d. having overall responsibility for the organ
donation/procurement process in an individual hospital
with an intensive care unit (or small group of
hospitals) and for implementing improvements
identified in the audit process.

Considering the complexities and sensitivities
surrounding organ donation/procurement, donor
co-ordinators must be trained to, and maintain, the
highest professional and ethical standards.

A. Aim of training

Donor co-ordinators should understand and be trained
in at least the following aspects of organ donation
and procurement:

1. Procedures central to the process of organ donation
and procurement:

a. Donor identification – Any patient dying in an
intensive care unit should be identified at the
earliest possible stage so that initial assessment of
his/her suitability as a potential organ donor can
commence immediately, and that the process of donor
screening and obtaining appropriate consent or
authorisation can begin;

b. Donor screening – This is essential to ensure the
safety of organs. Any potential donor must be
assessed to determine the risk of any serious
infectious or malignant disease which could be
transmitted to the recipient. Such risks must be
identified by screening which includes both a medical
history and clinical testing in accordance with
internationally recognised standards. Whenever
possible, screening should include a record of a full
social and medical history obtained by reference to
medical notes, and talking to clinical staff caring
for the patient prior to his or her death, if
necessary written by his or her general practitioner,
and by interviewing anyone close to the donor to
identify recent high risk behaviour. Such behaviour
may indicate a risk of the potential donor having a
serious transmissible disease at a stage too early to
be detected by serological testing;

c. Donor management – It is important to ensure the
quality of organs. Prior to death, it is important to
ensure that optimum treatment of potential donors is
maintained up to the point at which death is
determined. Once death has occurred, management of
the donor’s physiological state up to and during organ
retrieval makes a major difference to organ quality
and safety. Poor donor management may make organs
unusable;

d. Determination of death – Member states must have a
legally recognised procedure for establishing that
death has occurred while a potential donor is still on
mechanical ventilation. The procedure must be
performed by physicians independent of the transplant
team in accordance with the national requirements;

e. Obtaining consent/authorisation - Appropriate
consent or authorisation has to be obtained before
organs can be removed. Member states have different
legal requirements, but, whatever the system, it is
advisable that properly trained health professionals
discuss donation with anyone (relatives or friends)
close to the donor during the screening process. In
addition, the implications of donation including the
results of testing and the procedures used should be
explained;

f. Organ retrieval – Early notification and
organisation of the team(s) responsible for organ
procurement, particularly the coordination of the
surgical teams and procedures involving multi-organ
procurement, are critical to the safety and quality of
the organs obtained;

g. Organ preparation, preservation and packaging – It
is crucial to minimise the risk of damage to, or
deterioration of, organs during transportation and to
ensure that all the necessary donor information is
transported with the organ;

h. Organ transport – The time between removal and
subsequent transplantation is critical to organ
function. Organs should be allocated in accordance
with local and/or national allocation rules which will
often require the organ to be sent to another
hospital. Transport arrangements must be
well-organised and reliable, particularly when long
distances are involved. Professionals with appropriate
training and experience should manage the transport
system;

i. Donor information – Traceability of organs and
tissues is essential and organ/tissue recipients and
their clinical teams need accurate information about
the organ/tissue and any potential risks, in order to
make an informed decision about the suitability of the
organ/tissue for the proposed recipient. The donor
co-ordinator is normally responsible for the
collection and accurate recording of all the donor
information required;

j. Donor reconstruction – Those close to the donor
need to be reassured that the appearance of the donor
will be restored as far as possible. The donor
co-ordinator must ensure a high standard or
reconstruction following organ/tissue retrieval.

The donor co-ordinator may not be the professional
performing some or all of the above procedures. But he
or she must have the knowledge and experience to
advise other professionals involved if necessary and
to provide an oversight.

2. Other roles and responsibilities related to
effective donor detection and organ procurement
including:

a. the establishment of a proactive donor detection
program based on:

- the development of a hospital protocol for
identifying potential donors which includes events to
be recorded and the roles and responsibilities of all
professional hospital staff in donor identification;

- the provision of continuing education on organ
donation for hospital staff;

- the regular auditing of donation and procurement and
action to resolve problems identified.

b. the organisation of a quality control system for
the process of organ donation to assure the safety,
quality and transparency of all the procedures
performed;

c. monitoring of the whole donor identification and
procurement process;

d. evaluation of the size and characteristics of the
potential donor pool of the hospital/area, in order to
measure/monitor potential donor rates;

e. the promotion of organ donation from deceased
persons;

f. the provision of high-quality information on organ
donation and transplantation for both health
professionals and the general public;

g. participation in research on organ donation;

h. contribution to the training of future transplant
co-ordinators.

A similar set of roles and responsibilities can be
developed for the detection of potential
non-heartbeating organ donors and for deceased tissue
donors whether or not they are also organ donors.

B. Training of donor co-ordinators

Training courses for donor co-ordinators should be
designed to be flexible to adapt the role to fit the
local or national transplant system. In developing
training the following features should be considered:

a. The above description is not intended as a rigid
prescription for the training of all donor
co-ordinators. Roles and responsibilities may vary,
but donor co-ordinators should have a good
understanding of all the processes and procedures
involved in organ donation and procurement, and the
standing and experience to play a leading role.

b. Any variation in training should not, however, be a
matter of local discretion. It should be the
responsibility of the relevant national transplant
organisation or professional body responsible for
accrediting training and for conferring any
qualifications. This body should be advised by a
specialist advisory group, including transplant
professionals, who can adapt the roles and training to
the needs of the national transplant system.

c. Training should be predominantly practical and
based on in-service training, supplemented by
theoretical and/or practical courses, accredited by
national or international bodies.

d. When introducing training for donor co-ordinators,
there should be a recognised means of evaluating and
accrediting any co-ordinators with proven experience
in the field already holding a post.

e. Central to training is the development of methods
of evaluation which lead to qualification as a donor
co-ordinator. Previous experience may affect the
additional training required and so trainees should be
permitted to complete evaluations flexibly and not
necessarily complete a prescribed period of training.

f. National training requirements should, as far as
possible, be consistent with internationally
established accreditation mechanisms. This will
facilitate the exchange of organs and tissues by
increasing the confidence of other organ exchange
organisations. It will also allow free circulation of
professionals.

g. There should also be a system in place for periodic
evaluation of all donor co-ordinators and for ensuring
their continuing professional development.

The importance of international co-operation should be
recognised as a means of improving standards of
training. In addition, the sharing of experience will
help increase the safety and quality of organs and
reinforce the clinical and ethical standards by which
they are retrieved and transplanted.