异体原位肝移植术后早期鲍曼不动杆菌血症一例及文献复习  

Early postoperative Acinetobacter baumannii bacteremia after liver transplantation:a case report and literature review

作　　者：王书鹏 段军 Shupeng Wang;Jun Duan(Department of Intensive Care Unit,China-Japan Friendship Hospital,Beijing 100029,China)

机构地区：[1]北京中日友好医院重症医学科,北京100029

出　　处：《中华重症医学电子杂志》2024年第2期196-199,共4页Chinese Journal Of Critical Care & Intensive Care Medicine(Electronic Edition)

摘　　要：肝移植是终末期肝病的唯一治愈手段,但术后感染严重影响患者的预后,在目前院内感染率居高不下,且以多重耐药菌为主要病原体的情况下,供体来源感染应该得到重视。本文报告1例肝移植术后耐碳青霉烯鲍曼不动杆菌血症的诊治,通过文献复习,分析肝移植早期感染的特点,包括供体的感染筛查及处理,受体感染的预防以及鲍曼不动杆菌血症的抗感染策略。Liver transplantation is final curement for end-stage liver disease.However,postoperative infection seriously deteriorates prognosis in liver transplantation patients.With current high nosocomial infection rates and mainly multidrug-resistant bacteria as pathogen,attention should also be paid to donor-derived infections.This article reports a case of carbapenem-resistant Acinetobacter baumannii bacteremia in liver transplantation patient and analyzes characteristics of early postoperative infections after liver transplantation through literature review,which including donor infection screening and management,prevention of recipient infection,and anti-microbial strategies for Acinetobacter baumannii bacteremia.

关 键 词：肝移植 鲍曼不动杆菌 菌血症 

分 类 号：R657.3[医药卫生—外科学]