ArticleWorld journal of gastroenterology2017
Donor-derived infections among Chinese donation after cardiac death liver recipients.
Article in World journal of gastroenterology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 23 citations in OpenAlex.
- Progress of machine perfusion in managing donor-derived infections in liver transplantation.Translational gastroenterology and hepatology · 2026Review
- Post-liver transplantation bacterial infection: current status, prevention and treatment.Frontiers in cellular and infection microbiology · 2025Review
- Development and validation of a model for early survival prediction following liver transplantation based on donor and recipient characteristics.Annals of medicine · 2024Article
- Multidrug-resistant organism bloodstream infections in solid organ transplant recipients and impact on mortality: a systematic review.JAC-antimicrobial resistance · 2024Review
- Establishment of a risk prediction model for multidrug-resistant bacteria in deceased organ donors: a retrospective cohort study in China.Frontiers in cellular and infection microbiology · 2023Article
- The utilization of nanopore targeted sequencing proves to be advantageous in the identification of infections present in deceased donors.Frontiers in microbiology · 2023Article
- Expert consensus on perioperative management of liver transplantation in adults with acute-on-chronic liver failure.Liver research (Beijing, China) · 2021Article
- Predictors of Mortality During Initial Liver Transplant Hospitalization and Investigation of Causes of Death.Annals of transplantation · 2020Article
- Review
- Liver Transplantation from Voluntary Organ Donor System in China: A Comparison between DBD and DCD Liver Transplants.Gastroenterology research and practice · 2019Article
- Tigecycline-induced acute pancreatitis in a renal transplant patient: a case report and literature review.BMC infectious diseases · 2018Review
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo investigate blood cultures of deceased donors and report the confirmed transmission of bacterial infection from donors to liver recipients.
methodsWe retrospectively studied the results of blood cultures among our donation after cardiac death (DCD) donors and calculated the donor-derived bacterial infection rates among liver recipients. Study participants underwent liver transplantation between January 1, 2010 and February 1, 2017. The study involved a total of 67 recipients of liver grafts from 67 DCD donors. We extracted the data of donors' and patients' characteristics, culture results and clinical outcomes, especially the post-transplant complications in liver recipients, from electronic medical records. We analyzed the characteristics of the donors and the corresponding liver recipients with emphasis put on donor-derived infections.
resultsHead trauma was the most common origin of death among our 67 DCD donors (46.3%). Blood taken prior to the procurement operation was cultured for 53 of the donors, with 17 episodes of bloodstream infections developing from 13 donors. The predominant organism isolated from the blood of donors was Gram-positive bacteria (70.6%). Only three (4.5%) of 67 liver recipients developed confirmed donor-derived bacterial infections, with two isolates of multidrug-resistant Klebsiella pneumoniae and one isolate of multidrug-resistant Enterobacter aerogenes. The liver recipients with donor-derived infections showed relation to higher crude mortality and graft loss rates (33.3% each) within 3 mo post transplantation, as compared to those without donor-derived infections (9.4% and 4.7%, respectively). All three liver recipients received appropriate antimicrobial therapy.
conclusionLiver recipients have high occurrence of donor-derived infections. The liver recipients with donor-derived multidrug-resistant Enterobacteriaceae infections can have good outcome if appropriate antimicrobial therapy is given.
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