Cargando…
Candida Contamination in Kidney and Liver Organ Preservation Solution: Does It Matter?
Introduction: Fungal infections remain a major challenge affecting outcomes after kidney (KT) and liver transplantation (LT). Methods: In this retrospective single center study, the incidence of Candida contamination in renal and hepatic graft preservation solution (PS) was evaluated. In addition, C...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8125956/ https://www.ncbi.nlm.nih.gov/pubmed/34065096 http://dx.doi.org/10.3390/jcm10092022 |
_version_ | 1783693650328289280 |
---|---|
author | Stern, Sabrina Bezinover, Dmitri Rath, Peter-M. Paul, Andreas Saner, Fuat H. |
author_facet | Stern, Sabrina Bezinover, Dmitri Rath, Peter-M. Paul, Andreas Saner, Fuat H. |
author_sort | Stern, Sabrina |
collection | PubMed |
description | Introduction: Fungal infections remain a major challenge affecting outcomes after kidney (KT) and liver transplantation (LT). Methods: In this retrospective single center study, the incidence of Candida contamination in renal and hepatic graft preservation solution (PS) was evaluated. In addition, Candida associated infections in recipients and related complications were analyzed. Results: Overall, the PS of 1248 hepatic and 1273 renal grafts were evaluated. The incidence of fungal contamination in the PS of hepatic and renal grafts was 1.2% and 0.86%, respectively. Additionally, the hepatic PS of one patient who underwent a combined liver–kidney transplant had Candida contamination. Candida albicans was the most common organism (70.4%) and 65.4% of the patients received antifungal treatment. Candida-associated complications in the recipients was 19%. Complications in LT patients included Candida peritonitis and Candida sepsis. Two KT recipients with contaminated PS developed a mycotic aneurysm at the anastomotic site resulting in severe bleeding. The 1-year mortality in patients with PS contamination for LT and KT recipients was 33% and 18%, respectively. Although the incidence of fungal contamination of PS was low, contaminated PS was associated with a high mortality. Conclusion: The results of the study suggest that PS should be evaluated for fungal growth. |
format | Online Article Text |
id | pubmed-8125956 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-81259562021-05-17 Candida Contamination in Kidney and Liver Organ Preservation Solution: Does It Matter? Stern, Sabrina Bezinover, Dmitri Rath, Peter-M. Paul, Andreas Saner, Fuat H. J Clin Med Article Introduction: Fungal infections remain a major challenge affecting outcomes after kidney (KT) and liver transplantation (LT). Methods: In this retrospective single center study, the incidence of Candida contamination in renal and hepatic graft preservation solution (PS) was evaluated. In addition, Candida associated infections in recipients and related complications were analyzed. Results: Overall, the PS of 1248 hepatic and 1273 renal grafts were evaluated. The incidence of fungal contamination in the PS of hepatic and renal grafts was 1.2% and 0.86%, respectively. Additionally, the hepatic PS of one patient who underwent a combined liver–kidney transplant had Candida contamination. Candida albicans was the most common organism (70.4%) and 65.4% of the patients received antifungal treatment. Candida-associated complications in the recipients was 19%. Complications in LT patients included Candida peritonitis and Candida sepsis. Two KT recipients with contaminated PS developed a mycotic aneurysm at the anastomotic site resulting in severe bleeding. The 1-year mortality in patients with PS contamination for LT and KT recipients was 33% and 18%, respectively. Although the incidence of fungal contamination of PS was low, contaminated PS was associated with a high mortality. Conclusion: The results of the study suggest that PS should be evaluated for fungal growth. MDPI 2021-05-09 /pmc/articles/PMC8125956/ /pubmed/34065096 http://dx.doi.org/10.3390/jcm10092022 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Stern, Sabrina Bezinover, Dmitri Rath, Peter-M. Paul, Andreas Saner, Fuat H. Candida Contamination in Kidney and Liver Organ Preservation Solution: Does It Matter? |
title | Candida Contamination in Kidney and Liver Organ Preservation Solution: Does It Matter? |
title_full | Candida Contamination in Kidney and Liver Organ Preservation Solution: Does It Matter? |
title_fullStr | Candida Contamination in Kidney and Liver Organ Preservation Solution: Does It Matter? |
title_full_unstemmed | Candida Contamination in Kidney and Liver Organ Preservation Solution: Does It Matter? |
title_short | Candida Contamination in Kidney and Liver Organ Preservation Solution: Does It Matter? |
title_sort | candida contamination in kidney and liver organ preservation solution: does it matter? |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8125956/ https://www.ncbi.nlm.nih.gov/pubmed/34065096 http://dx.doi.org/10.3390/jcm10092022 |
work_keys_str_mv | AT sternsabrina candidacontaminationinkidneyandliverorganpreservationsolutiondoesitmatter AT bezinoverdmitri candidacontaminationinkidneyandliverorganpreservationsolutiondoesitmatter AT rathpeterm candidacontaminationinkidneyandliverorganpreservationsolutiondoesitmatter AT paulandreas candidacontaminationinkidneyandliverorganpreservationsolutiondoesitmatter AT sanerfuath candidacontaminationinkidneyandliverorganpreservationsolutiondoesitmatter |