Single mutidrug resistant enterobacteriacae donor-derived infection in four solid organ transplant recipients: a case report

Bibliographic Details
Title: Single mutidrug resistant enterobacteriacae donor-derived infection in four solid organ transplant recipients: a case report
Authors: Eva Kieslichova, Marek Protus, Dana Nemcova, Eva Uchytilova
Source: BMC Surgery, Vol 19, Iss 1, Pp 1-8 (2019)
Publisher Information: BMC, 2019.
Publication Year: 2019
Collection: LCC:Surgery
Subject Terms: Donor-derived infection, Multi-drug resistant bacteria, Early posttransplant infection, Surgery, RD1-811
More Details: Abstract Background Bacteraemia of the donor is not considered to be contraindication of organ procurement. On the other hand, infection of solid organ transplant recipients remains to be a major cause of their morbidity and mortality. When using organs from bacteraemic donors, individual risks need to be assessed and the appropriate antibiotic treatment applied. Case presentation In this case series we report several serious donor–derived infectious complications in four out of five recipients of different organs from one single donor in the early posttransplant period. Donor-transmitted multi-drug resistant strains of Escherichia coli and Klebsiella pneumonia was confirmed by both serologic and molecular testing. Conclusions To prevent donor-derived infections, careful microbiological screening followed by targeted antibiotic treatment is essential. Although such complications can never by completely prevented, a high index for potential bacterial infection in organ donors and transplant recipients should be routinely employed.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1471-2482
Relation: http://link.springer.com/article/10.1186/s12893-019-0574-9; https://doaj.org/toc/1471-2482
DOI: 10.1186/s12893-019-0574-9
Access URL: https://doaj.org/article/0522c1805a40413182987d6224aa31fd
Accession Number: edsdoj.0522c1805a40413182987d6224aa31fd
Database: Directory of Open Access Journals
More Details
ISSN:14712482
DOI:10.1186/s12893-019-0574-9
Published in:BMC Surgery
Language:English