Evidence map›Paper›PMID 31413604›Full record

ArticleInfection and drug resistance2019

Impact of pre-transplant infection management on the outcome of living-donor liver transplantation in Egypt.

Ahmed Mohamed Saleh, Essam Ali Hassan, Ahmed Ali Gomaa, Tamer Mahmoud El Baz, Mohamed El-Abgeegy, Mohamed Ismail Seleem, Yousry Esam-Eldin Abo-Amer, Heba Fadl Elsergany, Eman Ibrahim El-Desoki Mahmoud, Sherief Abd-Elsalam

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Article in Infection and drug resistance, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Ahmed Mohamed SalehTropical Medicine Department, Fayoum University, Al Fayyum, Egypt.
Essam Ali HassanTropical Medicine Department, Fayoum University, Al Fayyum, Egypt.
Ahmed Ali GomaaTropical Medicine Department, Fayoum University, Al Fayyum, Egypt.
Tamer Mahmoud El BazEndemic Medicine Department, Cairo University, Giza, Egypt.
Mohamed El-AbgeegyLiver Transplantation Team, National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt.
Mohamed Ismail SeleemLiver Transplantation Team, National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt.
Yousry Esam-Eldin Abo-AmerHepatology, Gastroenterology, and Infectious Diseases Department, Mahala Hepatology Teaching Hospital, Gharbia, Egypt.
Heba Fadl ElserganyLiver Transplantation Team, National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt.
Eman Ibrahim El-Desoki MahmoudLiver Transplantation Team, National Hepatology and Tropical Medicine Research Institute, Cairo, Egypt.
Sherief Abd-ElsalamTropical Medicine Department, Tanta University, Tanta, Egypt.ORCID 0000-0003-4366-2218

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimLiver transplantation (LT) has emerged as an established therapeutic option for patients with chronic liver disease. Patients with end-stage liver disease are at high risk of infection with multidrug-resistant organisms, which may affect the outcome of LT. The aim of this study was to evaluate the impact of pre-transplant infection on the outcome of living-donor LT.

methodsProspective follow-up was done for 50 patients with chronic liver disease who had had LT performed from September 2013 to December 2017. We divided patients into group 1 (patients who had had infection within 3 months before transplantation with adequate treatment [n=20]), and group 2 (patients without infection [n=30]). Both groups were followed for 4 months post-operatively.

resultsPatients with high Model for End-Stage Liver Disease scores were more susceptible to infection pre- and post-operatively, and chest infection was the most common infection pre-transplant. There were no significant statistical differences regarding hospital and ICU stay and post-operative course between the groups, but the mortality rate was higher in group 1 (40%) than in group 2 (23.3%), and the causes of mortality in the group 1 were mainly due to medical causes (infections and sepsis, 75%) versus 28.6% in group 2.

conclusionLiver-cell failure and concomitant infection 3 months before LT with adequate treatment had no significant statistical differences regarding hospital, ICU stay, or medical complications, but post-operative infection and mortality rate were more frequent in group 1 and the causes of mortality were mainly medical.

Indexed as

chronic liver diseasecirrhosishepatitis C virusliver transplantationoutcomesteatosis

Identifiers

PMID31413604
PMCPMC6661986

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