Cabelof D C
School of Nursing, St Francis Medical Center, Pittsburgh, PA 15201.
J Am Diet Assoc. 1994 Oct;94(10):1140-4. doi: 10.1016/0002-8223(94)91134-7.
Patients who have had an orthotopic liver transplantation (OLT) experience impaired immune function resulting from the disease process and the therapeutic use of immunosuppressive and antibacterial drugs. Immunoimpairment increases the risk of foodborne illness from bacteria, viruses, fungi, and parasites. This article describes the organisms known to cause clinically important infections and their food sources, the distinctive clinical consequences of the infection in patients who have had an OLT, and methods of preventing foodborne illness in these patients and others. Dietitians are the health care providers typically responsible for teaching OLT patients and their caregivers about safe food handling and appropriate food choices.
接受原位肝移植（OLT）的患者会因疾病进程以及免疫抑制和抗菌药物的治疗用途而出现免疫功能受损。免疫功能受损会增加由细菌、病毒、真菌和寄生虫引起食源性疾病的风险。本文介绍了已知会导致具有临床重要性感染的病原体及其食物来源、OLT患者感染后的独特临床后果，以及预防这些患者和其他人群食源性疾病的方法。营养师通常是负责教导OLT患者及其护理人员安全处理食物和做出适当食物选择的医疗保健提供者。
