[Bacterial infections in 100 patients submitted to heart transplantation].
OBJECTIVE
To evaluate clinical findings and etiology of bacterial infections diagnosed in 100 consecutive heart transplantations.


METHODS
One hundred consecutive heart transplant patients were studied. Follow-up after heart transplantation varied from 3 to 90 (mean 25.38 +/- SD 25.97) months. Etiology of bacterial infection was established using the Centers for Disease Control criteria.


RESULTS
Bacterial infection was the most common cause of infection after heart transplantation; diagnosis was difficult. Infection sites were skin, mucous, membranes, soft tissue, surgical scar, pericardial and pleural spaces, soft tissue around heart pacing devices, urinary tract; bacteremias and endocarditis were also found. All bacterial agents recovered were fully identified.


CONCLUSIONS
Bacterial infections are the most common infections in the first month after heart transplantation. They are important and also common after the treatment of the rejection episodes. Rapid diagnosis and adequate treatment are essential to prevent morbidity and death.
Everson Uip
D
D
Divisão de Moléstias Infecciosas e Parasitárias, Hospital das Clínicas-FMUSP.
Amalo Neto
V
V
Varejão Strabelli
T M
TM
Alcides Bocchi
E
E
Fiorelli
A
A
Stolf
N
N
Bellotti
G G
GG
Pileggi
F
F
Jatene
A D
AD
D000293:Adolescent; D000328:Adult; D000368:Aged; D001424:Bacterial Infections / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011446:Prospective Studies
Infecções bacterianas em 100 pacientes submetidos a transplante cardíaco.