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논문 기본 정보

자료유형
학술저널
저자정보
Ji Soo Lee (Sungkyunkwan University School of Medicine) Seung Hwan Lee (Kyung Hee University School of Medicine) Kyeong Sik Kim (Sungkyunkwan University School of Medicine) Eun Mi Gil (Sungkyunkwan University School of Medicine) Gyu-Seoung Choi (Sungkyunkwan University School of Medicine) Jong Man Kim (Sungkyunkwan University School of Medicine) Kyong Ran Peck (Sungkyunkwan University School of Medicine) Choon Hyuck David Kwon (Sungkyunkwan University School of Medicine) Jae-Won Joh (Sungkyunkwan University School of Medicine) Suk-Koo Lee (Sungkyunkwan University School of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.94 No.3
발행연도
2018.3
수록면
154 - 158 (5page)

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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 vs. deceased donor LT (odds ratio [OR], 3.269; P = 0.003), model for end-stage liver disease score (OR, 4.364; P < 0.001), and Child-Pugh classification (P = 0.007). Neither positive culture nor negative culture was associated with infection within 4 weeks of surgery (P = 0.03), and most events were due to surgical complications (75%).
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.

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UCI(KEPA) : I410-ECN-0101-2018-514-001804919