Smoking is considered a risk to the potential donor. Because smoking damages the lungs, it may put the donor at a higher risk of developing pneumonia after surgery. Potential donors should be honest with the transplant center about smoking habits to ensure that the donation and transplant are successful.
Different transplant centers have different policies regarding smoking and living donation. Living donors may be asked to quit smoking prior to the donation, and if the person is a heavy smoker, he or she might be asked to see a pulmonary doctor to check breathing.
Effects of donor intramuscular use, cigarette smoking and alcohol dependence on kidney transplant outcomes
Background: The shortage of organ donors for kidney transplants has made the expansion of the kidney donor pool a clinically significant issue. Previous studies suggest that kidneys from donors with a history of intravenous (IV) drug, cigarette, and/or alcohol use are considered to be a risky choice. However, these kidneys could potentially be used and expand the kidney supply pool if no evidence shows their association with adverse transplant outcomes.
Conclusions: Assuming that adequate testing for potential infections is performed, there is no evidence to support avoiding the kidneys from donors with IV drug use or alcohol dependency in transplantation. Utilizing these kidneys would clearly expand the potential pool of donor organs.
