https://scholars.lib.ntu.edu.tw/handle/123456789/535272
標題: | Impact of rifaximin use for hepatic encephalopathy on the risk of early post-transplant infections in liver transplant recipients | 作者: | HSIN-YUN SUN Wagener M. Cacciarelli T.V. Singh N. |
公開日期: | 2012 | 卷: | 26 | 期: | 6 | 起(迄)頁: | 849-852 | 來源出版物: | Clinical Transplantation | 摘要: | Background: Whether the use of rifaximin for hepatic encephalopathy during liver transplant candidacy has an impact on post-transplant infections is not known. Methods: We compared the frequency and spectrum of infections within 90 d post-transplant in liver transplant recipients who did and did not receive rifaximin for hepatic encephalopathy during transplant candidacy. Results: Of 110 consecutive liver transplant recipients, 30 (27%) received rifaximin. Rifaximin users were more severely ill based on higher Model for End-Stage Liver Disease (MELD) score (p = 0.005). When controlled for MELD (stratified by MELD < 30, MELD ? 30), the risk of infections was significantly lower in rifaximin vs. no rifaximin recipients (OR = 0.269, 95% CI 0.078-0.0.934, p = 0.026). Rifaximin use was not associated with a higher risk of multidrug resistant bacterial infections (OR = 1.8, 95% CI 0.42-8.35, p = 0.40). The probability of post-transplant survival at 90 d did not differ for patients with or without rifaximin use (0.90 for both groups, p = 0.56). Conclusions: Rifaximin appeared to have a protective effect against early post-transplant infections in more severely ill liver transplant recipients. Rifaximin use did not select for multidrug resistant bacteria in these patients. ? 2012 John Wiley & Sons A/S. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84870683317&doi=10.1111%2fj.1399-0012.2012.01619.x&partnerID=40&md5=2cfc674eb7e2930229465c7fd29f7eec https://scholars.lib.ntu.edu.tw/handle/123456789/535272 |
ISSN: | 0902-0063 | DOI: | 10.1111/j.1399-0012.2012.01619.x | SDG/關鍵字: | amphotericin B; corticosteroid; cotrimoxazole; methylprednisolone; micafungin; rifaximin; tacrolimus; adult; article; bacteremia; bacterial infection; drug efficacy; female; graft recipient; graft rejection; hepatic encephalopathy; human; immunosuppressive treatment; infection complication; infection risk; liver failure; liver graft; low drug dose; major clinical study; male; multidrug resistance; mycosis; pneumocystosis; postoperative infection; priority journal; renal replacement therapy; risk assessment; survival rate; Aged; Anti-Infective Agents; End Stage Liver Disease; Female; Follow-Up Studies; Graft Rejection; Hepatic Encephalopathy; Humans; Infection; Liver Transplantation; Male; Middle Aged; Postoperative Complications; Prognosis; Rifamycins; Risk Factors; Survival Rate |
顯示於: | 醫學系 |
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