2019
DOI: 10.1111/tid.13219
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Intra‐abdominal infections among adult intestinal and multivisceral transplant recipients in the 2‐year post‐operative period

Abstract: Background Intestinal and multivisceral transplantations are treatment options for patients with intestinal failure. Transplantation is often complicated by abdominal and/or bloodstream infections in the post‐operative period. Methods A retrospective chart review of all adults who underwent intestinal or multivisceral transplantation at our institution from 2003 to 2015 was performed. Data were collected for 2 years post transplant. Results A total of 106 intestinal or multivisceral transplants were performed … Show more

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Cited by 4 publications
(8 citation statements)
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References 18 publications
(49 reference statements)
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“…The source of these isolates was as follows: majority of isolates obtained from blood 84.5% (n = 39), urine (n = 21), 15.5% from surgical wound specimens (n=3), 3 cerebrospinal fluid (n=2), abscess (n=2), 2 bronchoalveolar lavage (n=1), 1 catheter tube (n=2), 2 and transtracheal fluid samples (n=1), respectively.…”
Section: Resultsmentioning
confidence: 99%
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“…The source of these isolates was as follows: majority of isolates obtained from blood 84.5% (n = 39), urine (n = 21), 15.5% from surgical wound specimens (n=3), 3 cerebrospinal fluid (n=2), abscess (n=2), 2 bronchoalveolar lavage (n=1), 1 catheter tube (n=2), 2 and transtracheal fluid samples (n=1), respectively.…”
Section: Resultsmentioning
confidence: 99%
“…Long period of hospitalization in the intensive care, transplant, hematology, or oncology units, receiving hemodialysis, contact with patients diagnosed with VRE, enteral feeding, corticosteroid use, administration of antineoplastic treatment, sucralfate use, and the history of the use of antibiotic (vancomycin, second-or third-generation cephalosporins, metronidazole, clindamycin, imipenem, ticarcillin-clavulanic acid) were reported as the risk factors. [1][2][3][4][5] Allogenic bone marrow transplant, neutropenia, use of central venous line, and hypoalbuminemia were described as the independent risk factors in the development of the VRE bacteremia in the multi-variant analyses. [6][7][8][9] Although seven different resistance genotypes ( pear to be more deadly and more costly than infections caused by vancomycin-susceptible strains, epidemiological data concerning occurrence and spread of these microorganisms have to be compiled, and VRE isolates have to be epidemiologically investigated.…”
Section: Introductionmentioning
confidence: 99%
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“…8 Similar to liver transplant recipients, patients who undergo intestinal or multivisceral transplantation have complex abdominal surgeries and are at risk for intra-abdominal infections. 7 However, intestinal and multivisceral transplant recipients are unique in that they often have poor venous access requiring prolonged central venous catheters or develop post-transplant delayed graft function, intestinal obstructions, or other indications that require continued parenteral nutrition in the early post-transplant period. 5 Additionally, intestinal allografts have large amounts of lymphoid tissue and a high bacterial load, and immunosuppression must be balanced between the risk of both rejection and infection.…”
Section: Backg Rou N Dmentioning
confidence: 99%