Epidemiology and Management of Infections in Liver Transplant Recipients.

IF 1.4 4区 医学 Q4 INFECTIOUS DISEASES
Surgical infections Pub Date : 2024-05-01 Epub Date: 2024-05-03 DOI:10.1089/sur.2023.346
Waseem Amjad, Syed Hamaad Rahman, Thomas D Schiano, Syed-Mohammed Jafri
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引用次数: 0

Abstract

Background: Improvements in liver transplant (LT) outcomes are attributed to advances in surgical techniques, use of potent immunosuppressants, and rigorous pre-LT testing. Despite these improvements, post-LT infections remain the most common complication in this population. Bacteria constitute the most common infectious agents, while fungal and viral infections are also frequently encountered. Multi-drug-resistant bacterial infections develop because of polymicrobial overuse and prolonged hospital stays. Immediate post-LT infections are commonly caused by viruses. Conclusions: Appropriate vaccination, screening of both donor and recipients before LT and antiviral prophylaxis in high-risk individuals are recommended. Antimicrobial drug resistance is common in high-risk LT and associated with poor outcomes; epidemiology and management of these cases is discussed. Additionally, we also discuss the effect of coronavirus disease 2019 (COVID-19) infection and monkeypox in the LT population.

肝移植受者感染的流行病学和管理。
背景:肝移植(LT)疗效的改善归功于外科技术的进步、强效免疫抑制剂的使用以及严格的 LT 前检测。尽管取得了这些进步,肝移植术后感染仍是这一人群中最常见的并发症。细菌是最常见的感染病原体,真菌和病毒感染也经常发生。由于过度使用多种微生物和住院时间过长,出现了多重耐药细菌感染。LT 术后即刻感染通常由病毒引起。结论建议进行适当的疫苗接种,在进行 LT 前对供体和受体进行筛查,并对高危人群进行抗病毒预防。抗菌药物耐药性在高风险的 LT 中很常见,并与不良预后有关;本文讨论了这些病例的流行病学和管理。此外,我们还讨论了冠状病毒病 2019(COVID-19)感染和猴痘对 LT 患者的影响。
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来源期刊
Surgical infections
Surgical infections INFECTIOUS DISEASES-SURGERY
CiteScore
3.80
自引率
5.00%
发文量
127
审稿时长
6-12 weeks
期刊介绍: Surgical Infections provides comprehensive and authoritative information on the biology, prevention, and management of post-operative infections. Original articles cover the latest advancements, new therapeutic management strategies, and translational research that is being applied to improve clinical outcomes and successfully treat post-operative infections. Surgical Infections coverage includes: -Peritonitis and intra-abdominal infections- Surgical site infections- Pneumonia and other nosocomial infections- Cellular and humoral immunity- Biology of the host response- Organ dysfunction syndromes- Antibiotic use- Resistant and opportunistic pathogens- Epidemiology and prevention- The operating room environment- Diagnostic studies
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