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Impact of the duration of posttransplant renal replacement therapy on bacterial infections in liver transplant recipients
Author(s) -
Sun HsinYun,
Cacciarelli Thomas V.,
Wagener Marilyn M.,
Singh Nina
Publication year - 2011
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.22373
Subject(s) - medicine , renal replacement therapy , liver transplantation , bacteremia , hazard ratio , incidence (geometry) , confidence interval , transplantation , gastroenterology , antibiotics , microbiology and biotechnology , physics , optics , biology
Whether the duration of renal replacement therapy (RRT) after liver transplantation influences the rate and types of bacterial infections is not known. In this study, 47 of 299 consecutive liver transplant recipients (16%) required posttransplant RRT. The incidence of bacterial infections was higher in the RRT group versus the non‐RRT group (8.84 versus 1.38 per 1000 patient days, P < 0.001). In the RRT group, 49% of the patients (23/47) required long‐term RRT (≥30 days), and 51% (24/47) required short‐term RRT (<30 days). Long‐term RRT (hazard ratio = 2.27, 95% confidence interval = 1.16‐4.47, P = 0.017) was a significant predictor of infections. Bacteremia and intra‐abdominal infections were the most common sources of infections, and Enterobacteriaceae and enterococci were the predominant pathogens in both groups. The mortality rate for patients requiring RRT was higher than the rate for patients not requiring RRT ( P < 0.001), but the mortality rates of the short‐term RRT group and the long‐term RRT group did not significantly differ ( P = 0.654). In conclusion, although both short‐term RRT and long‐term RRT confer a higher risk of bacterial infections, only long‐term RRT is a statistically significant predictor of these infections. Liver Transpl 17:1212–1217, 2011. © 2011 AASLD.