Stoufi E D, Sonis S T, Shklar G
Oral Surg Oral Med Oral Pathol. 1986 Nov;62(5):524-8. doi: 10.1016/0030-4220(86)90314-2.
The present study was undertaken to evaluate the overall significance of the mouth and contiguous structures as sites of late opportunistic infection in renal transplant recipients, to define the flora of such infections, and to determine factors that place patients at risk of infection. Of 323 patients who underwent renal transplants, 57% developed infection at least 1 month postoperatively. Sex, donor source, or age did not influence the risk of infection. Of the posttransplant infections, 30.6% occurred in the head and neck, 21.9% in the respiratory tract, 23.7% in the urinary tract, and 10% at sites of trauma. Of head and neck infections, 16.4% were bacterial, 20.5% were viral, and 21.9% were fungal. In the remainder a definitive causative organism could not be identified. These results emphasize that the head and neck area is a major site of late opportunistic infection in renal transplant recipients.
本研究旨在评估口腔及相邻结构作为肾移植受者晚期机会性感染部位的总体重要性，确定此类感染的菌群，并确定使患者易发生感染的因素。在323例接受肾移植的患者中，57%在术后至少1个月发生感染。性别、供体来源或年龄均不影响感染风险。在移植后感染中，30.6%发生在头颈部，21.9%发生在呼吸道，23.7%发生在泌尿道，10%发生在创伤部位。头颈部感染中，16.4%为细菌感染，20.5%为病毒感染，21.9%为真菌感染。其余病例无法确定明确的致病微生物。这些结果强调，头颈部是肾移植受者晚期机会性感染的主要部位。
