Algorithm of Clinical Protocol Lowering the Risk of Systemic Mycosis Infections in Allografts Recipients
Abstract The aim of the study was to describe a diagnostic protocol to lower the risk of a mycotic invasive infection among allotransplant recipients and to suggest the use of preoperative prophylaxis and/or empiric therapy. We chose a group of 268 allograft recipients with transient or constant yea...
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| Veröffentlicht in: | Transplantation proceedings 2009-10, Vol.41 (8), p.3264-3266 |
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| creator | Swoboda-Kopec, E Netsvyetayeva, I Paczek, L Dabkowska, M Kwiatkowski, A Jaworska-Zaremba, M Mierzwinska-Nastalska, E Sikora, M Blachnio, S Mlynarczyk, G Fiedor, P |
| description | Abstract The aim of the study was to describe a diagnostic protocol to lower the risk of a mycotic invasive infection among allotransplant recipients and to suggest the use of preoperative prophylaxis and/or empiric therapy. We chose a group of 268 allograft recipients with transient or constant yeast colonization or confirmed yeast infection. Among 7744 clinical samples, 475 were positive for fungi. We used conventional fungal laboratory diagnosis, enzymatic activity tests, serologic tests, molecular diagnosis of samples from sterile body sites, and histopathologic examinations. The following clinical samples were examined: blood samples; swabs from mouth lesions, throat, and rectum; and sputum, urine, and fecal samples from kidney transplant recipients and simultaneous pancreas–kidney transplantation recipients who are highly predisposed to mycotic infections. We established microbiologic criteria of a systemic mycosis and principles to distinguish colonization from infection. |
| doi_str_mv | 10.1016/j.transproceed.2009.07.074 |
| format | Article |
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We chose a group of 268 allograft recipients with transient or constant yeast colonization or confirmed yeast infection. Among 7744 clinical samples, 475 were positive for fungi. We used conventional fungal laboratory diagnosis, enzymatic activity tests, serologic tests, molecular diagnosis of samples from sterile body sites, and histopathologic examinations. The following clinical samples were examined: blood samples; swabs from mouth lesions, throat, and rectum; and sputum, urine, and fecal samples from kidney transplant recipients and simultaneous pancreas–kidney transplantation recipients who are highly predisposed to mycotic infections. We established microbiologic criteria of a systemic mycosis and principles to distinguish colonization from infection.</description><identifier>ISSN: 0041-1345</identifier><identifier>EISSN: 1873-2623</identifier><identifier>DOI: 10.1016/j.transproceed.2009.07.074</identifier><identifier>PMID: 19857727</identifier><identifier>CODEN: TRPPA8</identifier><language>eng</language><publisher>Amsterdam: Elsevier Inc</publisher><subject>Algorithms ; Biological and medical sciences ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; Humans ; Kidney Transplantation - adverse effects ; Medical sciences ; Mycoses - blood ; Mycoses - diagnosis ; Mycoses - epidemiology ; Mycoses - prevention & control ; Pancreas Transplantation - adverse effects ; Shock, Septic - microbiology ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tissue, organ and graft immunology ; Transplantation, Homologous - adverse effects</subject><ispartof>Transplantation proceedings, 2009-10, Vol.41 (8), p.3264-3266</ispartof><rights>Elsevier Inc.</rights><rights>2009 Elsevier Inc.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c407t-306ce585717d5d435a0c386b1904f987ec661c0288940d35c921d61b4c07610c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.transproceed.2009.07.074$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,3550,23930,23931,25140,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22076051$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19857727$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Swoboda-Kopec, E</creatorcontrib><creatorcontrib>Netsvyetayeva, I</creatorcontrib><creatorcontrib>Paczek, L</creatorcontrib><creatorcontrib>Dabkowska, M</creatorcontrib><creatorcontrib>Kwiatkowski, A</creatorcontrib><creatorcontrib>Jaworska-Zaremba, M</creatorcontrib><creatorcontrib>Mierzwinska-Nastalska, E</creatorcontrib><creatorcontrib>Sikora, M</creatorcontrib><creatorcontrib>Blachnio, S</creatorcontrib><creatorcontrib>Mlynarczyk, G</creatorcontrib><creatorcontrib>Fiedor, P</creatorcontrib><title>Algorithm of Clinical Protocol Lowering the Risk of Systemic Mycosis Infections in Allografts Recipients</title><title>Transplantation proceedings</title><addtitle>Transplant Proc</addtitle><description>Abstract The aim of the study was to describe a diagnostic protocol to lower the risk of a mycotic invasive infection among allotransplant recipients and to suggest the use of preoperative prophylaxis and/or empiric therapy. We chose a group of 268 allograft recipients with transient or constant yeast colonization or confirmed yeast infection. Among 7744 clinical samples, 475 were positive for fungi. We used conventional fungal laboratory diagnosis, enzymatic activity tests, serologic tests, molecular diagnosis of samples from sterile body sites, and histopathologic examinations. The following clinical samples were examined: blood samples; swabs from mouth lesions, throat, and rectum; and sputum, urine, and fecal samples from kidney transplant recipients and simultaneous pancreas–kidney transplantation recipients who are highly predisposed to mycotic infections. We established microbiologic criteria of a systemic mycosis and principles to distinguish colonization from infection.</description><subject>Algorithms</subject><subject>Biological and medical sciences</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Humans</subject><subject>Kidney Transplantation - adverse effects</subject><subject>Medical sciences</subject><subject>Mycoses - blood</subject><subject>Mycoses - diagnosis</subject><subject>Mycoses - epidemiology</subject><subject>Mycoses - prevention & control</subject><subject>Pancreas Transplantation - adverse effects</subject><subject>Shock, Septic - microbiology</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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| subjects | Algorithms Biological and medical sciences Fundamental and applied biological sciences. Psychology Fundamental immunology Humans Kidney Transplantation - adverse effects Medical sciences Mycoses - blood Mycoses - diagnosis Mycoses - epidemiology Mycoses - prevention & control Pancreas Transplantation - adverse effects Shock, Septic - microbiology Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tissue, organ and graft immunology Transplantation, Homologous - adverse effects |
| title | Algorithm of Clinical Protocol Lowering the Risk of Systemic Mycosis Infections in Allografts Recipients |
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