Surgical site infection in liver transplant recipients: impact of the type of perioperative prophylaxis.

Abstract:

:Surgical site infection (SSI) is an important cause of morbidity after orthotopic liver transplantation (OLT). Perioperative antibiotic prophylaxis is one of the main modifiable risk factors. We prospectively investigated the epidemiology, risk factors, and prognosis of SSI in a cohort of 167 OLT. Two different schedules of antibiotic SSI prophylaxis were compared. Fifty-six episodes of SSI were included (0.34 episodes/patient). The SSI incidence among patients who received cefazolin and amoxicillin-clavulanate did not differ. Bacteria caused all episodes. The most common pathogen was Escherichia coli (21.25%), among which 47% were extended-spectrum beta-lactamase producers. The only risk factor for SSI was antibiotic therapy before OLT. Patients with SSI had a longer hospital and intensive care unit stay (P<0.05), but survival did not differ. In conclusion, SSI has a high incidence despite antibiotic perioperative prophylaxis; therefore, an integral perspective of SSI and a multifactorial approach other than antimicrobial prophylaxis are needed to prevent it.

journal_name

Transplantation

journal_title

Transplantation

authors

García Prado ME,Matia EC,Ciuro FP,Díez-Canedo JS,Sousa Martín JM,Porras López FM,de la Casa AC,Cisneros Herreros JM

doi

10.1097/TP.0b013e3181735407

subject

Has Abstract

pub_date

2008-06-27 00:00:00

pages

1849-54

issue

12

eissn

0041-1337

issn

1534-6080

pii

00007890-200806270-00025

journal_volume

85

pub_type

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