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Grewal HS, Highland KB, McCurry K, Akindipe O, Budev M, Mehta AC. Bacterial meningitis as a cause of death in lung transplant donors: Early outcomes in recipients. Clin Transplant 2018; 32:e13307. [DOI: 10.1111/ctr.13307] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/31/2018] [Indexed: 11/26/2022]
Affiliation(s)
| | | | - Kenneth McCurry
- Heart and Vascular Institute; Cleveland Clinic; Cleveland OH USA
| | | | - Marie Budev
- Respiratory Institute; Cleveland Clinic; Cleveland OH USA
| | - Atul C. Mehta
- Respiratory Institute; Cleveland Clinic; Cleveland OH USA
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Abstract
Assessment, prevention, and treatment of bacterial infection in donors are critically important to the welfare of grafts and recipients after transplantation. Transmission of bacterial, viral, fungal, and protozoan infections from a donor to recipient(s) has been documented to have serious or fatal consequences. This article reviews issues of bacterial infection only. The organ procurement coordinator, supported by guidelines developed and prospectively modified by the organ procurement organization, must assess the donor for the presence and severity of bacterial tissue invasion and administer appropriate antimicrobial agents during donor care. Continuation of infection control measures, obtaining serial or surveillance samples for culture, review of antibiotic sensitivity data, initiation of empiric treatment, and modification of medications or their dosing are components of this important responsibility during donor care.
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Affiliation(s)
- David J. Powner
- University of Texas Health Science Center at Houston (DJP), Memorial Hermann Texas Medical Center Hospital (TAA), Houston, Texas
| | - Teresa A. Allison
- University of Texas Health Science Center at Houston (DJP), Memorial Hermann Texas Medical Center Hospital (TAA), Houston, Texas
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Powner DJ. Brain Death: Compliance, Consequences and Care of the Adult Donor. Intensive Care Med 2007. [DOI: 10.1007/978-0-387-49518-7_89] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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