[Bacteriological relationship between organ donor and recipient. A survey apropos of 100 brain dead patients].

C Voltz, F Jacob, J F Perrier, P Strub, J Mariot
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Abstract

The aim of the study was to evaluate the relationship between germs found in samples systematically taken in the organ donors and germs found in the corresponding recipients in the 8 post-operative days. The 100 brain-dead patients received oxacillin (2g every 4 hours) when the bacteriological samples were taken. 41% of the donors were germ carriers. The germs were mainly located in the respiratory track (Staphylococcus aureus meti-S (34%) and Hemophilus (29%)). Among the 86 patients harvested, 40 donors were germ carriers and gave 132 organs, 46 donors were not germ carrier and gave 151 organs. The comparison between these two groups showed no difference. Assessment of infection occurring in organ recipient in the 8 post-operative days (germ, location, evolution) showed no difference, whether organs were removed from germ carrier donors or no. Comparison between the germs found in germ carrier donors and those found in recipients with sepsis showed a similitude in three cases (2.2%). In the other cases, there is no relationship between the germs found in the donors and post-operative sepsis in the recipient.

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器官供体与受体之间的细菌学关系。一项针对100名脑死亡病人的调查。
本研究的目的是评估术后8天系统采集的器官供体样本中发现的细菌与相应受者中发现的细菌之间的关系。100例脑死亡患者在采集细菌学样本时给予氧苄西林(每4小时2g)。41%的献血者是细菌携带者。细菌主要分布在呼吸道(金黄色葡萄球菌(34%)和嗜血杆菌(29%))。在采集的86例患者中,携带细菌者40例,捐献了132个器官;非携带细菌者46例,捐献了151个器官。两组比较无差异。术后8天脏器受者的感染评估(细菌、部位、进化)无差异,无论脏器是否从携带细菌的供者身上切除。在细菌携带者供体和脓毒症受者体内发现的细菌之间的比较显示,有3例(2.2%)相似。在其他病例中,供体中发现的细菌与受者术后败血症之间没有关系。
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