Quirós-Tejeira Rubén E, Ament Marvin E, McDiarmid Sue V, Gonzalez Mary, Chong Roberto, Vargas Jorge H, Martín Martín G
Department of Pediatrics, Division of Gastroenterology and Nutrition, UCLA Medical Center, 10833 Le Conte Avenue, 12-383 MDCC, Los Angeles, CA 90095-1752, USA.
Transpl Int. 2002 Oct;15(9-10):502-7. doi: 10.1007/s00147-002-0466-1. Epub 2002 Sep 19.
The aim of this study was to analyze the incidence and risk factors of bacteremia after a febrile episode in uncomplicated pediatric recipients more than 2 months after liver transplantation, which has not previously been studied. This cross-sectional study was conducted over a 4-year period. Patients with known risk factors for sepsis at the time of admission were excluded from the study. Seventy-one patients were hospitalized on 128 occasions, with bacteremia occurring in the case of 11 admissions (8.6%). No laboratory tests were predictive of bacteremia. The bacteremic group most frequently presented with ill appearance ( P<0.001), lethargy ( P<0.01), decreased physical activity, and a history of early-onset bacteremia after transplantation and segmental graft ( P<0.05). This study identified a significant incidence of bacteremia in uncomplicated patients many months after liver transplantation.
