Severe post-renal transplantation infection: its etiology and clinical charact eristics
10.3321/j.issn:0258-879X.2001.01.020
- VernacularTitle:肾移植后严重感染的病原学特征及临床诊治特点
- Author:
Ji-Zhong REN
1
;
Zhi-Lian MIN
;
You-Hua ZHU
;
Jun QI
;
LI-Ming WANG
;
Ya-Wei WANG
;
Jun-Hua ZHENG
;
Mei-Sheng ZHOU
;
Dan-Feng XU
;
Zhen DONG
Author Information
1. 第二军医大学附属长征医院
- From:
Academic Journal of Second Military Medical University
2001;22(1):68-70
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To probe into the etiology of the sever e post-renal transplantation infection and its diagnosis and t reatment. Methods: A retrospective analysis was made on the seve re infected cases among 1 504 renal transplantation cases. Results: (1)The infected rate in the whole group was 23.74%,and 14.01% of the infecti on cases was severely involved. (2) About 86% of the severe infection occurred within 6 months after operation and as high as 82% of the patients were successf ully rescued by various etiological treatment. (3) The main etiological causes according to their frequency and type were: Bacteria(Mycobacterium tub erculosis, Pseudomonas, Aureus staphylococcus, Bacillus cloacae, etc.); Fungus (Candida albians, Candida tropicals, Penicillum patulum). Cytomegalo virus also often appeared. Conclusion: (1) Infection is one of t h e common complications after renal transplantation and severe infection is an im portant cause of death. (2) Correct diagnosis and combined therapy in time may improve its success rate. (3) Characterized germ spectrum exists in severe post -renal transplantation infection and its role is of great importance to clinica l management.
