Lessons Learned From Implementation and Management of Skin Allograft Banking Programs in Low- and Middle-Income Countries: A Systematic Review.

摘要: Wound excision and temporary coverage with a biologic dressing can improve survival for patients large burns. Healthcare systems in low- middle-income countries (LMICs) rarely have access to allografts, which may contribute the limited of burns these settings. Therefore, we aimed describe lessons learned from implementation maintenance tissue banks LMICs guide system planning organization. PubMed, MEDLINE, CINAHL, World Health Organization Catalog were systematically searched database-specific language represent priori terms (eg, skin, allograft, bank) all as defined by Bank. Data regarding banking programs extracted described narrative synthesis. The search returned 3346 records, 33 reports 17 analyzed. Commonly reported barriers ideal or planned included high capital costs operational per graft, insufficient training opportunities, opt-in donation schemes, sociocultural stigma around transplantation. Many management world. availability skin allografts be improved through strategic investments governance regulatory structures, international cooperation initiatives, programs, standardized protocols, inclusive public awareness campaigns. Furthermore, capacity-building efforts that involve key stakeholders increase rates pledges, donations, transplantations. Some issues ubiquitously could addressed current future ensure allograft living income levels.