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Titolo:
Postoperative infectious complications in paediatric liver transplantation: a study of 48 transplants
Autore:
Bouchut, JC; Stamm, D; Boillot, O; Lepape, A; Floret, D;
Indirizzi:
Hop Edouard Herriot, Serv Reanimat Pediat, Paediat Intens Care Unit, F-69437 Lyon 03, France Hop Edouard Herriot Lyon France 03 ns Care Unit, F-69437 Lyon 03, France Hop Edouard Herriot, Dept Anaesthesiol, F-69437 Lyon, France Hop Edouard Herriot Lyon France F-69437 aesthesiol, F-69437 Lyon, France Hop Edouard Herriot, Dept Surg, F-69437 Lyon 03, France Hop Edouard Herriot Lyon France 03 t, Dept Surg, F-69437 Lyon 03, France
Titolo Testata:
PAEDIATRIC ANAESTHESIA
fascicolo: 1, volume: 11, anno: 2001,
pagine: 93 - 98
SICI:
1155-5645(200101)11:1<93:PICIPL>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
BILIARY ATRESIA; SELECTIVE DECONTAMINATION; RISK-FACTORS; RECIPIENTS; CHILDREN; AGE; BABIES; IMPACT;
Keywords:
liver transplantation; children; infection; postoperative; paediatric intensive care unit;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
30
Recensione:
Indirizzi per estratti:
Indirizzo: Bouchut, JC Hop Edouard Herriot, Serv Reanimat Pediat, Paediat Intens CareUnit, F-69437 Lyon 03, France Hop Edouard Herriot Lyon France 03 , F-69437 Lyon 03, France
Citazione:
J.C. Bouchut et al., "Postoperative infectious complications in paediatric liver transplantation: a study of 48 transplants", PAEDIATR AN, 11(1), 2001, pp. 93-98

Abstract

We studied, retrospectively, postoperative infectious complications following paediatric liver transplantation at a single university centre. The objectives were to characterize the epidemiology of infection and to determinethe associated risk factors during the early postoperative period, either the first postoperative month or the entire duration of paediatric intensive care unit (PICU) stay. Forty-eight liver transplants were performed on 46patients. Sixty-three infections occurred in 32 patients who underwent 34 liver transplantations (1.36 infection/ patient); 47 were bacterial, 6 fungal and 10 viral. The most common sites of infection were bloodstream (36.5%) and abdomen (30%). Gram-positive bacteria (78%) predominated over gram-negative bacteria (22%). Initial analysis revealed infection risk factors to be age < 1 year, body weight < 10 kg, extrahepatic biliary atresia, intraoperative transfusion > 160 ml.kg(-1), mechanical ventilation > 8 days and PICU stay > 19 days. After stratified analysis, the main risk factor for infection was low body weight of the recipient.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/09/20 alle ore 01:11:28