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实体器官移植中传染病预防的综述

Review of Infectious Disease Prophylaxis in Solid Organ Transplantation.

作者信息

Personett Heather A, Laub Melissa R

机构信息

Department of Pharmacy, Mayo Clinic Hospital, Rochester, Minnesota.

出版信息

Crit Care Nurs Q. 2017 Oct/Dec;40(4):383-398. doi: 10.1097/CNQ.0000000000000175.

Abstract

As immunosuppressive therapy has evolved over the years, rejection rates in solid organ transplant have declined, but infections remain a significant cause of morbidity and mortality in this population. Prophylaxis against bacterial, viral, and fungal infections is often used to prevent infection from common pathogens during high-risk periods. As an integral part of the multidisciplinary medical team, it is important that nurses caring for transplant recipients be familiar with methods to detect and prevent infectious diseases in this population. This article presents a review of risk factors for and prevalence of common infectious pathogens, as well as important considerations regarding prophylactic medications in solid organ transplant recipients.

摘要

随着这些年来免疫抑制疗法的发展,实体器官移植中的排斥率有所下降,但感染仍然是该人群发病和死亡的一个重要原因。针对细菌、病毒和真菌感染的预防措施常用于在高危时期预防常见病原体的感染。作为多学科医疗团队的重要组成部分,护理移植受者的护士熟悉检测和预防该人群传染病的方法非常重要。本文综述了实体器官移植受者常见感染病原体的危险因素和流行情况,以及预防性用药的重要注意事项。

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