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Management of fungal colonization and infection after living donor liver transplantation
http://hdl.handle.net/10069/25443
http://hdl.handle.net/10069/25443e2c8bc26-4737-42ba-b9aa-a00fbc23876b
名前 / ファイル | ライセンス | アクション |
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HepGas57_852.pdf (93.2 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2011-08-01 | |||||
タイトル | ||||||
タイトル | Management of fungal colonization and infection after living donor liver transplantation | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Fungal infection | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Living donor liver transplantation | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Yamanouchi, Kosho
× Yamanouchi, Kosho× Eguchi, Susumu× Takatsuki, Mitsuhisa× Hidaka, Masaaki× Kamohara, Yukio× Miyazaki, Kensuke× Hamasaki, Koji× Tajima, Yoshitsugu× Kanematsu, Takashi |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background/Aims: Control of infection is important in liver transplant patients under immunosuppressive conditions. In particular, invasive fungal infection is often fatal if diagnosis and therapy are delayed. The aim of this study was to analyze the incidence of fungal colonization and infection after living donor liver transplantation (LDLT). Methodology: Retrospective analysis was performed with 60 consecutive adult recipients of LDLT. Results: Fungi were isolated from specimens of 16 (26.7%) patients after LDLT. All the fungi were Candida species. One patient for whom Candida species were isolated in ascites and blood was complicated with systemic methicillin-resistant Staphylococcus aureus and cytomegalovirus infection. In the univariate analysis, fungal carriage before surgery (p=0.01) was associated with fungal isolation after LDLT. In the multivariate analysis, fungal carriage was found to be an independent predictor of fungal isolation (odds ratio: 15.7, p=0.03). Of the 60 recipients, 16 (26.7%) showed serum levels of β-D glucan above 60pg/ml after surgery. Among these, 4 died and were all complicated with severe bacterial infection. Conclusion: Preoperative fungal carriage was associated with fungal isolation after LDLT. If fungal infection was suspected after LDLT, along with treatment against fungi, control of complicated infections with other pathogens to be simultaneously considered. | |||||
書誌情報 |
Hepato-Gastroenterology 巻 57, 号 101, p. 852-857, 発行日 2010-07 |
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出版者 | ||||||
出版者 | Thieme | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 01726390 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00213244 | |||||
権利 | ||||||
権利情報 | © H.G.E. Update Medical Publishing S.A. | |||||
著者版フラグ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Hepato-Gastroenterology, 57(101), pp.852-857; 2010 |