肾移植术后感染分析及药物治疗

Analysis of postoperative infection and its drug treatment of kidney transplantation

目的为肾移植术后感染的治疗并预防提供参考。方法对我院2003～2005年治疗的63例肾移植术后发生14例(15次)感染的病历作临床资料调查和分析。结果感染率为23.81%,死亡率为0%;肺部感染为12例,占感染比例的80%;尿路感染为3例,占20%;感染出现的时间从2个月到12年不等;混合病原体感染1例,细菌感染4例,病毒感染7例,不明病原体感染3例。结论为提高肾移植患者的存活期。

Objective To provide information and methods on treating and preventing the postoperative infection of kidney transplantation. Methods The medical records of 14 patients who suffered from postoperative infection among 63 cases of kidney transplantation from 2003 to 2008 were investigated and analyzed. Results The infection rate was 23.81%, the mortality rate was 0%. Pulmonary infection was 12 cases, accounting for 80%; urinary tract infection 3 cases; infected period from 2 months to 12 years. Mixed pathogens infection was 1 case, bacteria infection 4 cases, virus infection 7 cases, unknown pathogens 3 cases. Conclusion In order to improve the survival periods of renal transplantation patients, the patient must strictly comply the doctor＇s orders, take immunosuppressive drugs, and actively prevent infections.