Display options
Share it on

Ann Surg Treat Res. 2018 Mar;94(3):154-158. doi: 10.4174/astr.2018.94.3.154. Epub 2018 Feb 28.

Bacterial infection monitoring in the early period after liver transplantation.

Annals of surgical treatment and research

Ji Soo Lee, Seung Hwan Lee, Kyeong Sik Kim, Eun Mi Gil, Gyu-Seoung Choi, Jong Man Kim, Kyong Ran Peck, Choon Hyuck David Kwon, Jae-Won Joh, Suk-Koo Lee

Affiliations

  1. Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  2. Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine,Seoul, Korea.
  3. Critical Care Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  4. Division of Infectious Diseases, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

PMID: 29520350 PMCID: PMC5842088 DOI: 10.4174/astr.2018.94.3.154

Abstract

PURPOSE: Infection remains the main cause of morbidity and mortality in liver transplantation (LT) recipients; however infection is notoriously difficult to diagnose because its usual signs and symptoms of infection may be masked or absent. This study comprises an analysis of bacterial infections in the early period after LT.

METHODS: This is a study of 129 adults who underwent LT from January 2013 to December 2013, and it includes patients who were followed daily from the day of transplantation to 1-week posttransplantation using bacteriological cultures of blood, urine, sputum, and drained ascites.

RESULTS: The following factors were significantly different between the positive and negative culture groups: living donor LT

CONCLUSION: Since the full effect of immunosuppression is not yet present during the first month after LT, we suggest that the number of bacterial culture test could be reduced such that they are performed every other day depending on patient's situation.

Keywords: Culture techniques; Infection; Liver transplantation

Conflict of interest statement

CONFLICTS OF INTEREST: No potential conflict of interest relevant to this article was reported.

References

  1. Transplant Proc. 2014 Apr;46(3):828-31 - PubMed
  2. Transpl Infect Dis. 1999 Mar;1(1):21-8 - PubMed
  3. Med Sci Monit. 2009 Dec;15(12):CR628-37 - PubMed
  4. Hepatogastroenterology. 1992 Aug;39(4):362-5 - PubMed
  5. Transpl Int. 1993 Mar;6(2):77-84 - PubMed
  6. PLoS One. 2015 May 05;10 (5):e0123554 - PubMed
  7. N Engl J Med. 1998 Jun 11;338(24):1741-51 - PubMed
  8. Surg Clin North Am. 1994 Oct;74(5):1223-45 - PubMed
  9. N Engl J Med. 2007 Dec 20;357(25):2601-14 - PubMed
  10. Liver Transpl. 2006 Mar;12(3):440-7 - PubMed
  11. Transplant Proc. 2003 Sep;35(6):2298-303 - PubMed

Publication Types