Late-onset bacteremia in uncomplicated pediatric liver-transplant recipients after a febrile episode

Rubén E. Quirós-Tejeira, Marvin E. Ament, Sue V. McDiarmid, Mary Gonzalez, Roberto Chong, Jorge H. Vargas, Martín G. Martín

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

The aim of this study was to analyze the incidence and risk factors of bacteremia after a febrile episode in uncomplicated pediatric recipients more than 2 months after liver transplantation, which has not previously been studied. This cross-sectional study was conducted over a 4-year period. Patients with known risk factors for sepsis at the time of admission were excluded from the study. Seventy-one patients were hospitalized on 128 occasions, with bacteremia occurring in the case of 11 admissions (8.6%). No laboratory tests were predictive of bacteremia. The bacteremic group most frequently presented with ill appearance (P < 0.001), lethargy (P < 0.01), decreased physical activity, and a history of early-onset bacteremia after transplantation and segmental graft (P < 0.05). This study identified a significant incidence of bacteremia in uncomplicated patients many months after liver transplantation.

Original languageEnglish (US)
Pages (from-to)502-507
Number of pages6
JournalTransplant International
Volume15
Issue number9-10
DOIs
StatePublished - 2002
Externally publishedYes

Keywords

  • Biliary strictures
  • Immunosuppression
  • Segmental graft

ASJC Scopus subject areas

  • Transplantation

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