Volume 10 Issue 4
Jul.  2019
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Article Navigation >  ORGAN TRANSPLANTATION  > 2019  >  10(4): 429-433
Tan Yibin, Jin Xuelan, Li Yuan, et al. Epidemiology of nosocomial infection in recipients after renal transplantation: a single-center analysis[J]. ORGAN TRANSPLANTATION, 2019, 10(4): 429-433. doi: 10.3969/j.issn.1674-7445.2019.04.013
Citation: Tan Yibin, Jin Xuelan, Li Yuan, et al. Epidemiology of nosocomial infection in recipients after renal transplantation: a single-center analysis[J]. ORGAN TRANSPLANTATION, 2019, 10(4): 429-433. doi: 10.3969/j.issn.1674-7445.2019.04.013
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Epidemiology of nosocomial infection in recipients after renal transplantation: a single-center analysis

doi: 10.3969/j.issn.1674-7445.2019.04.013

  • Nosocomial Infection Management Office, Zhongnan Hospital of Wuhan University, Wuhan 430071, China

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  • Corresponding author: Wang Yanfeng, Email:yanfengwang@whu.edu.cn
  • Received Date: 2019-04-08
    Available Online: 2021-01-19
  • Publish Date: 2019-07-15
    Abstract
  •   Objective  To investigate the epidemiological characteristics of renal transplantation recipients, effective prevention and control measures.  Methods  A total of 456 renal transplant recipients were monitored from January 2014 to December 2017. Postoperative infection including baseline data, infection site and infectious pathogen type was analyzed.  Results  Among 456 renal transplant recipients, 78 cases (17.1%) developed nosocomial infection. Postoperative infection time was 9(3-21) d. Infection sites mainly included the lower respiratory tract, urinary system and blood infection. Infection pathogens consisted of Staphylococci (n=13), Enterococcus faecium (n=6), fungi (n=6), Stenotrophomonas maltophilia (n=4), Acinetobacter baumannii (n=4), Pseudomonas aeruginosa (n=4), Staphylococcus epidermidis (n=4), Klebsiella pneumoniae (n=1), Escherichia coli (n=1) and other negative bacteria (n=9). Among them, 11 cases (14%) were infected with multi-drug resistant bacteria, and 4 cases died.  Conclusions  In renal transplant recipients, the incidence of nosocomial infection is relatively high, with early postoperative onset, common multiple drug-resistant bacterial infection and high mortality. Preoperative preparations should be fully implemented, postoperative lower respiratory tract infection should be actively prevented and prevention and treatment measures for multidrug-resistant bacteria should be standardized.

     

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