肝移植后多药耐药性细菌感染:患病率,影响和危险因素
Rosa Martin-Mateos1, Laura Martínez-Arenas2, Ángela Carvalho-Gomes3
1Servicio de Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, Madrid. Universidad de Alcalá, Madrid, España; Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España; Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Instituto Salud Carlos III, Madrid, España.
Journal of hepatology
|March 1, 2024
概括
肝移植后,多种耐药性细菌感染很常见,患者的死亡率显著增加. 之前的ICU住院,之前的MDRB感染和输血是关键的危险因素.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 传染性疾病 传染性疾病
- 移植手术 移植手术
背景情况:
- 耐多药细菌 (MDRB) 构成了日益严重的全球医疗保健挑战.
- 肝移植 (LT) 接受者容易感染,影响结果.
研究的目的:
- 分析肝移植后MDRB感染的发生率,负担和风险因素.
- 在LT后90天内确定MDRB感染的预测因素.
主要方法:
- 成年LT患者的回顾性多中心队列研究 (2017年1月至2020年1月).
- 对LT前疾病,手术因素和术后停留的分析.
- 多变量逻辑回归用于识别MDRB感染的独立预测因素.
主要成果:
- 在1045个LT病例中,有21.7%的人患有MDRB感染 (348次).
- 菌,大肠杆菌和Pseudomonas aeruginosa是最常见的MDRB. 这些是最常见的MDRB.
- 预测因素包括先前的ICU入院,先前的MDRB感染,以及输血的包装红细胞单位.
结论:
- 在LT后,MDRB感染很普遍,预后明显恶化.
- 菌 (Enterococcus faecium) 是最常见的MDRB分离物.
- 对于处于风险的LT患者,需要新的MDRB预防和治疗策略.
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