Incidence, Distribution, and Outcome of Episodes of Infection in 100 Orthotopic Liver Transplantations

Payá, Carlos V.; Hermans, Paul E.; Washington, John A.; Smith, Thomas F.; Anhalt, John P.; Wiesner, Russell H.; Krom, Ruud A.F.

doi:10.1016/s0025-6196(12)65561-x

Cited by 225 publications

(112 citation statements)

References 11 publications

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“…Otherwise, cholangitis (23 YO), septicemia (19 %), and pneumonia (15 %) were the predominant bacterial infections. These findings are in agreement with those of other studies showing incidences of 3 %-lo %, 15 Y0-35 %, and 7 %-I5 %, respectively [4,8,10,15,17,25,26,37,38].…”

Section: Discussionsupporting

confidence: 93%

Stool cultures obtained before liver transplantation are useful for choice of perioperative antibiotic prophylaxis

Barkholt

Andersson

Ericzon

et al. 1997

Transplant International

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Stool cultures obtained before liver transplantation are useful for choice of perioperative anti biotic prophylaxisAbstract Bacterial infections, especially cholangitis, are still common complications after liver transplantation (LTx). During recent years, multiresistant enterococci have become a nosocomial problem in transplant units. The present prospective study on 26 patients, including 24 patients with chronic liver disease, demonstrated that enterococci were the predominant micro-organism involved in post-LTx bacterial infections. They were cultured in the feces and in other sites of 10 out of 13 (77 %) patients who underwent extensive examinations. Ampicillin-resistant Enterococcus faecium strains were isolated in urine or feces of 2 of the 13 patients prior to LTx. Similarly, resistance to ampicillin and gentamicin, the empirically used antibiotics for patients with fever of unknown origin, was found in E. faecium strains in 3 and 2 patients, respectively. Moreover, multiresistant E. faecium and E. faecalis strains were demonstrated in 46 % of the patients in the postoperative period (3 months). However, no vancomycin-resistant enterococci were isolated. The use of antibiotics within 4 months prior to LTx significantly increased the risk of developing ampicillin-resistant bacteria at the time of LTx and of infections with bacteria of enteric origin after LTx ( P = 0.03 and 0.01, respectively). We conclude that stool and urine cultures performed prior to LTX may be useful for selecting prophylactic antibiotic regimens.

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Section: Discussionsupporting

confidence: 93%

Stool cultures obtained before liver transplantation are useful for choice of perioperative antibiotic prophylaxis

Barkholt

Andersson

Ericzon

et al. 1997

Transplant International

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show abstract

“…1 CMV infection is defined as isolation and/or detection of the virus from any tissue or body fluids or serological conversion to CMV in a patient who was seronegative before OLT.…”

Section: Clinical Spectrum Of CMV Infection After Oltmentioning

confidence: 99%

Management of cytomegalovirus infection after liver transplantation

Sampathkumar

Payá

2000

Liver Transpl

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“…Se acepta la indicacidn en ciertos casos muy bien seleccionados de hepatoblastomas, a pesar que los resultados son inferiores a los que se obtienen en afecciones no neopldsicas 20 -21 . En el unico caso en esta situaci6n de esta serie no se Iogr6 controlar efectivamente el tumor 22 ' 24 .…”

Section: Comentariounclassified

Trasplante hepático en niños

O²,

M³

et al. 1996

Rev. chil. pediatr.

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Incidence, Distribution, and Outcome of Episodes of Infection in 100 Orthotopic Liver Transplantations

Cited by 225 publications

References 11 publications

Stool cultures obtained before liver transplantation are useful for choice of perioperative antibiotic prophylaxis

Stool cultures obtained before liver transplantation are useful for choice of perioperative antibiotic prophylaxis

Management of cytomegalovirus infection after liver transplantation

Trasplante hepático en niños

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