Updated U.S. Public Health Service Guideline for testing of transplant candidates aged <12 years for infection with HIV, hepatitis B virus, and hepatitis C virus - United States, 2022.

What is already known about this topic? HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) transmission can occur through solid organ transplantation. What is added by this report? A 2020 U.S. Public Health Service recommendation to test transplant candidates for HIV, HBV, and HCV during the transplant hospital admission could result in potentially harmful blood loss in pediatric transplant candidates. Children aged <13 years are among those at lowest risk for new HIV infections, and incidence of acute HBV and HCV infection in U.S. residents aged <20 years is extremely low. What are the implications for public health practice? Children aged <12 years who have received postnatal infectious disease testing are exempt from repeat pretransplant HIV, HBV, and HCV testing during hospital admission for transplant surgery.