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来自耐万古霉素供体的肾脏移植

Transplantation of a kidney from a donor with vancomycin-resistant .

作者信息

Lim Ji Hye, Kim Chan Jung, Oh Ju Hwan, Cho A Young, Chang Mi Ok, Kim Young Suk, Lee Kwang Young, Sun In O

机构信息

Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.

Division of Infection, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.

出版信息

Korean J Transplant. 2020 Jun 30;34(2):114-116. doi: 10.4285/kjt.2020.34.2.114.

Abstract

The colonization of vancomycin-resistant before and after solid organ transplantation is associated with an increased risk of its infection. The prevalence of these bacterial colonies in renal transplant recipients are as high as that in intensive care unit patients. However, it is unclear whether donors with vancomycin-resistant colonization can be considered in renal transplantation. Herein, we report a case wherein a kidney was transplanted from a deceased donor with vancomycin-resistant colonies in urine and rectal swab. After transplant, the recipient had no vancomycin-resistant infection and maintained relatively good renal function.

摘要

实体器官移植前后耐万古霉素菌的定植与感染风险增加相关。这些细菌菌落在肾移植受者中的流行率与重症监护病房患者一样高。然而,耐万古霉素菌定植的供体是否可用于肾移植尚不清楚。在此,我们报告一例病例,该例中一个肾脏移植自一名尿液和直肠拭子中存在耐万古霉素菌菌落的脑死亡供体。移植后,受者未发生耐万古霉素菌感染,肾功能维持相对良好。

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Transplantation of a kidney from a donor with vancomycin-resistant .来自耐万古霉素供体的肾脏移植
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本文引用的文献

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Impact of Enterococcal Bacteremia in Liver Transplant Recipients.肠球菌血症对肝移植受者的影响。
Transplant Proc. 2019 Oct;51(8):2766-2770. doi: 10.1016/j.transproceed.2019.02.064. Epub 2019 Sep 4.
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Management of urinary tract infections from multidrug-resistant organisms.多重耐药菌引起的尿路感染的管理。
Infect Dis Clin North Am. 2014 Mar;28(1):49-59. doi: 10.1016/j.idc.2013.10.002. Epub 2013 Dec 8.

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