| Infections and severe sepsis in solid-organ transplant patients admitted from a university-based ED. | |
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MedLine Citation:
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PMID: 15666255 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The objective was to provide a descriptive analysis of infectious processes in transplant patients admitted from the emergency department (ED). A database of all adult transplant patients at a university medical center was cross-referenced with a computerized record of all ED visits over an 18-month period. ED charts, inpatient records, and microbiology data were retrospectively reviewed. Final diagnoses and outcomes were analyzed. There were 352 ED visits by transplant patients (kidney 66%, kidney/pancreas 15%, liver 13%, lung 3%, heart 3%). Infections were the most common indications for admission (77/217, 35%). Urinary tract infection and pneumonia were the most common infections. Nine of 77 patients (11.7%) with documented infections developed severe sepsis, which was the most common reason for ICU utilization. Thirty-five percent of transplant patients admitted from the ED had acute infections, and 11.7% of these patients had severe sepsis. The emergency physician must have a high index of suspicion for infections when evaluating organ transplant recipients. |
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Authors:
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Stephen Trzeciak; Randall Sharer; Derek Piper; Therese Chan; Chad Kessler; R Phillip Dellinger; Kenneth J Pursell |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The American journal of emergency medicine Volume: 22 ISSN: 0735-6757 ISO Abbreviation: Am J Emerg Med Publication Date: 2004 Nov |
Date Detail:
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Created Date: 2005-01-24 Completed Date: 2005-03-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309942 Medline TA: Am J Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 530-3 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, University of Illinois at Chicago, Chicago, IL, USA. TRZECIAK-STEPHEN@cooperhealth.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Bacterial Infections / epidemiology* Emergency Service, Hospital / statistics & numerical data* Female Heart Transplantation / statistics & numerical data Hospital Mortality Hospitals, Teaching Hospitals, Urban Humans Incidence Intensive Care / statistics & numerical data Kidney Transplantation / statistics & numerical data Liver Transplantation / statistics & numerical data Lung Transplantation / statistics & numerical data Male Middle Aged Pancreas Transplantation / statistics & numerical data Patient Admission / statistics & numerical data Pneumonia, Bacterial / epidemiology Postoperative Complications / epidemiology* Retrospective Studies Sepsis / epidemiology* Transplants / statistics & numerical data* Urinary Tract Infections / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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