Patterns of infection after pediatric liver transplantation

D. L. George, P. M. Arnow, Amy S. Fox, J. R. Thistlethwaite, J. C. Emond, C. E. Broelsch, P. F. Whitington

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Objective. - To characterize the patterns of infection that occur after orthotopic liver transplantation in children. Design. - Inception cohort, retrospective. Setting. - Referral center for liver transplantation, university hospital. Patients. - Thirty-six consecutive children who underwent orthotopic liver transplantation and who survived for at least 48 hours after transplantation. Interventions. - None. Measurements and Results. - Twenty-six (72%) of the children had at least one infection, and infection caused four deaths. More infections occurred when prophylactic antilymphocyte antibodies were given than when they were not given (2.9 vs 1.0 infections per transplant). The risk of infection was greatest during the first 2 weeks after orthotopic liver transplantation. Most infections were caused by bacteria (52 cases), followed by viruses (16 cases) and fungi (11 cases). Bacteria were the most common pathogens during all periods, except the third and fourth weeks, when viruses predominated. The most common primary sites of bacterial infection were abdomen (15 cases), bloodstream (15 cases), and surgical wound (10 cases); the most frequent isolates were aerobic gram- negative bacilli (48% of isolates) and enterococci (19%). Cytomegalovirus was the most common viral pathogen (seven cases), and Candida albicans caused all fungal infections. Fungal infections were significantly associated with systemic antibiotic therapy and abdominal complications. Conclusions. - Characteristic patterns of infection occur after pediatric orthotopic liver transplantation, and knowledge of these patterns is likely to result in improved care for transplant recipients.

Original languageEnglish (US)
Pages (from-to)924-929
Number of pages6
JournalAmerican Journal of Diseases of Children
Volume146
Issue number8
StatePublished - 1992

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Liver Transplantation
Pediatrics
Infection
Mycoses
Viruses
Bacteria
Antilymphocyte Serum
Enterococcus
Candida albicans
Cytomegalovirus
Bacterial Infections
Abdomen
Bacillus
Fungi
Referral and Consultation
Transplantation
Anti-Bacterial Agents
Transplants

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

George, D. L., Arnow, P. M., Fox, A. S., Thistlethwaite, J. R., Emond, J. C., Broelsch, C. E., & Whitington, P. F. (1992). Patterns of infection after pediatric liver transplantation. American Journal of Diseases of Children, 146(8), 924-929.

Patterns of infection after pediatric liver transplantation. / George, D. L.; Arnow, P. M.; Fox, Amy S.; Thistlethwaite, J. R.; Emond, J. C.; Broelsch, C. E.; Whitington, P. F.

In: American Journal of Diseases of Children, Vol. 146, No. 8, 1992, p. 924-929.

Research output: Contribution to journalArticle

George, DL, Arnow, PM, Fox, AS, Thistlethwaite, JR, Emond, JC, Broelsch, CE & Whitington, PF 1992, 'Patterns of infection after pediatric liver transplantation', American Journal of Diseases of Children, vol. 146, no. 8, pp. 924-929.
George DL, Arnow PM, Fox AS, Thistlethwaite JR, Emond JC, Broelsch CE et al. Patterns of infection after pediatric liver transplantation. American Journal of Diseases of Children. 1992;146(8):924-929.
George, D. L. ; Arnow, P. M. ; Fox, Amy S. ; Thistlethwaite, J. R. ; Emond, J. C. ; Broelsch, C. E. ; Whitington, P. F. / Patterns of infection after pediatric liver transplantation. In: American Journal of Diseases of Children. 1992 ; Vol. 146, No. 8. pp. 924-929.
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AU - Broelsch, C. E.

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