[未成年人捐献造血干细胞:尊重法律、评估健康状况、提供信息和良好护理(SFGM-TC)]。

Marie Lejeune, Bertille Menard, Sophie Servais, Christelle Andrianne, Lucie Capelle, Ségolène De Maistre, Catherine Fabaron, Marie Flata Cornier, Marie-Pierre Goutagny, Maguy Pereira, Clea Tardy, Eric Turquet, Malek Benakli, Etienne Baudoux, Solène Evard, Catherine Faucher, Gwenaelle Herrero, Léonardo Magro, Claire Geurten
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摘要

从儿科捐献者处采集造血干细胞是一种常见的挽救生命的做法,在过去十年中,SFGM-TC 中心每年从未成年捐献者处进行移植的病例数量不断增加,就证明了这一点。尽管如此,在医学上使用来自健康和未成年捐献者的人体组织仍需要适当的法规和医疗管理。以下指南旨在强调,在使用健康儿童捐献者的干细胞时,必须考虑法律、医学和伦理方面的问题,并强调在评估 HLA 相容性时获得知情同意的重要性。在捐献前、一个月后和一年后,都需要进行医疗和心理综合评估,以确保儿童的身心健康。在全身麻醉的情况下进行骨髓采集仍是儿童的首选采集方法。只有不需要经中心静脉采集的儿童才可考虑外周血干细胞采集。我们旨在为捐献干细胞的健康儿童及其福祉提供指导,这些指导应随着医疗实践的发展而定期审查。
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[Haematopoietic stem cell donation from minor donor: Respecting laws, assessing fitness, delivering information and good care (SFGM-TC)].

Haematopoietic stem cell collection from paediatric donors is a common and life-saving practice, as evidenced by the fact that there is a growing annual number of cases of transplants from minor donors among SFGM-TC centers over the last decade. Still, medical use of human tissue from a healthy and underage donor requires proper regulations and medical management. The guidelines below aim at underlining the importance of pondering the legal, medical and ethical aspects of using stem cells from healthy paediatric donors and stress out the importance of obtaining informed consent at the time of assessing HLA compatibility. Combined medical and psychological assessments are required before the donation, as well as one month later and one year later to ensure of the child's physical and mental wellbeing. Bone marrow harvest under general anaesthetics remains the preferred method of collection for children. Peripheral blood stem cell collection should only be considered for children who will not require a central venous access for collection. We aim at offering guidelines centered on the healthy child donating stem cells and his/her wellbeing, and these should be regularly reviewed as medical practices evolve.

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