[Follow-up of the transplantation of contaminated kidneys].

K Lucius, H Oesterwitz, V Strobelt
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Abstract

102 kidney transplantation were performed in 1987 in the Kidney Transplant Center at Berlin. The course of 22 contaminated grafts (22%) was analyzed. The main bacteria were staphylococcus aureus and pseudomonas aeruginosa. In 6 out of 22 contaminated transplants (27%) a delayed wound healing did occur. In 2 cases the infection was the cause of graft removal and 2 patients died due to septical complications of the contaminated graft. Therefore, the contaminated kidney is a potential risk for graft and patient survival and strong asepsis and effective perioperative antibiotic prophylaxis is necessary.

[污染肾移植的随访]。
1987年在柏林肾移植中心进行了102例肾移植手术。分析22例(22%)污染移植物的生长过程。主要细菌为金黄色葡萄球菌和铜绿假单胞菌。22例受污染移植中有6例(27%)确实发生了伤口愈合延迟。2例因感染导致移植物切除,2例因污染移植物的败血症并发症死亡。因此,受污染的肾脏是移植和患者生存的潜在风险,强无菌和有效的围手术期抗生素预防是必要的。
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