Infection within 2 weeks before liver transplantation closely related to prognosis of posttransplant

来源 :国际肝胆胰疾病杂志(英文版) | 被引量 : 0次 | 上传用户:amies
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Background: Infections still represent the main factors influencing morbidity and mortality following liver transplantation. This study aimed to evaluate the incidence and risk factors for infection and survival after liver transplantation.Methods: We retrospectively examined medical records in 210 liver recipients who underwent liver trans- plantation between April 2015 and October 2017 in our hospital. Clinical manifestations and results of pathogen detection test were used to define infection. We analyzed the prevalence, risk factors and prog- nosis of patients with infection. Results: The median follow-up was 214 days; the incidence of infection after liver transplantation was 46.7% ( n = 98) which included pneumonia (43.4%), biliary tract infection (21.9%), peritonitis (21.4%) and bloodstream infection (7.6%). Among the pathogens in pneumonia, the most frequently isolated was Acinetobacter baumanii (23.5%) and Klebsiella pneumoniae (21.2%). Model for end-stage liver disease (MELD) score (OR = 1.083, 95% CI: 1.045–1.123; P < 0.001), biliary complication (OR = 4.725, 95% CI: 1.119–19.947; P = 0.035) and duration of drainage tube (OR = 1.040, 95% CI: 1.007–1.074; P = 0.017) were inde- pendent risk factors for posttransplant infection. All-cause mortality was 11.0% ( n = 23). The prognostic factors for postoperative infection in liver recipients were prior-transplant infection, especially pneumo- nia within 2 weeks before transplantation. Kaplan-Meier curves of survival showed that recipients within 2 weeks prior infection had a significantly lower cumulative survival rate compared with those without infection (65.2% vs. 90.0%; hazard ratio: 4.480; P < 0.001). Conclusions: Infection, especially pneumonia within 2 weeks before transplantation, complication with impaired renal function and MELD score after 7 days of transplantation was an independent prognostic factor for postoperative infection in liver transplant recipients.
其他文献
人才是我国经济社会发展的第一资源,人才强国已成为我国的一项基本战略.人才培养是一个系统工程、长线事业和战略问题,是需要长期高度重视的关键问题之一.成才是人才培养的客
目的 探讨口腔感觉运动训练对威尔逊病(Wilsons disease,WD)吞咽功能障碍的治疗效果.方法 2017年3月至2019年6月住院治疗的WD吞咽困难患者49例,随机分为两组,其中实验组25例,
本文阐述了沈丘县有线电视数字化的整体转换实施方案,从指导思想、目标任务、实施方式、实施步骤、实施办法、工作要求等几个方面详实、细致地逐一作了介绍,对县级有线数字化
Background: The downstaging of hepatocellular carcinoma (HCC) has been confirmed to benefit liver transplantation (LT) patients whose tumors are beyond the tran
企业介绍:精益集团始创于1978年,现拥有精益、蓝光、光照、飞达、创诚五个公司,有微型轴、智能门窗两大产业,是专业生产用于航天卫星、汽车、家电、电动工具、IT等行业微型轴
随着社会生产的发展,人类对环境的影响日趋剧烈.与此同时,森林的生态环境调节功能也越来越受到重视,林业不但是一个物质资料生产部门,同时也是生态公益功能生产部门.但是,在
Background: Hypatremic donors was regarded as the expanded criteria donors in liver transplantation. The study was to investigate the effects of donor hypatremi
即使你没有“高贵”的“出身”,但和别人站在同一条起跑线上时,也许它并不影响你最后第一个到达终点。因为决定你成功的,是你在整个竞争过程中的发挥,是你在这种发挥中展现出
Background: Post-liver transplantation (LT) hepatocellular carcinoma (HCC) recurrence still occurs in ap- proximately 20% of patients and drastically affects the
针对大功率中波广播在广播传输发射系统中起着不可取代的作用。文本详细介绍了中波发射天馈线的结构组成和指标参数,简明扼要提出了中波天馈线在维护中常见的故障,并提出了处