Assessment of pathogens and risk factors associated with bloodstream infection in the year after pediatric liver transplantation

doi:10.3748/wjg.v28.i11.1159

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Study

World J Gastroenterol. Mar 21, 2022; 28(11): 1159-1171
Published online Mar 21, 2022. doi: 10.3748/wjg.v28.i11.1159

Assessment of pathogens and risk factors associated with bloodstream infection in the year after pediatric liver transplantation

Yeong Eun Kim, Ho Jung Choi, Hye-Jin Lee, Hyun Ju Oh, Mi Kyoung Ahn, Seak Hee Oh, Jung-Man Namgoong, Dae Yeon Kim, Won Kyoung Jhang, Seong Jong Park, Dong-Hwan Jung, Deok Bog Moon, Gi-Won Song, Gil-Chun Park, Tae-Yong Ha, Chul-Soo Ahn, Ki-Hun Kim, Shin Hwang, Sung Gyu Lee, Kyung Mo Kim

Yeong Eun Kim, Ho Jung Choi, Hye-Jin Lee, Hyun Ju Oh, Mi Kyoung Ahn, Seak Hee Oh, Won Kyoung Jhang, Seong Jong Park, Kyung Mo Kim, Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul 05505, South Korea

Jung-Man Namgoong, Dae Yeon Kim, Division of Pediatric Surgery, Department of Surgery, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul 05505, South Korea

Dong-Hwan Jung, Deok Bog Moon, Gi-Won Song, Gil-Chun Park, Tae-Yong Ha, Chul-Soo Ahn, Ki-Hun Kim, Shin Hwang, Sung Gyu Lee, Division of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, South Korea

Author contributions: Oh SH, Namgoong JM, and Kim KM designed the study; Kim YE and Oh SH wrote the manuscript and interpreted the data; Kim YE, Choi HJ, Lee HJ, Oh HJ, and Ahn MK collected patient data; Jhang WK and Park SJ were responsible for patient care and data collection during the intensive care unit stay; Namgoong JM, Kim DY, Jung DH, Moon DB, Song GW, Park GC, Ha TY, Ahn CS, Kim KH, Hwang S, and Lee SG participated in surgery and contributed to the treatment of complications related to surgery and the development of surgical technology; all authors have read and approve the final manuscript.

Supported by Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI); Ministry of Health & Welfare, Republic of Korea, No. HR21C0198.

Institutional review board statement: This study was approved by the Institutional Review Board of the Asan Medical Center, No. S2021-1917-0001.

Informed consent statement: Patients were not required to give informed consent to the study because this retrospective analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.

Conflict-of-interest statement: There are no conflicts of interest to report.

Data sharing statement: No additional data are available.

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Seak Hee Oh, MD, PhD, Associate Professor, Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-Gu, Seoul 05505, South Korea. seakhee.oh@amc.seoul.kr

Received: September 15, 2021
Peer-review started: September 15, 2021
First decision: November 7, 2021
Revised: November 20, 2021
Accepted: February 23, 2022
Article in press: February 23, 2022
Published online: March 21, 2022
Processing time: 182 Days and 14.4 Hours

Core Tip

Core Tip: Although bloodstream infection (BSI) is the most significant risk event after liver transplantation (LT) in children, few studies have indicated associated clinical profile and risks. In this study, BSI was frequently observed in the year after pediatric LT and common pathogens were analyzed. Young age, growth failure, use of liver support system, and long hospital stay were independent risk factors of BSI.