title: Late-onset bacteremia in uncomplicated pediatric liver-transplant recipients after a febrile episode.
abstract: The aim of this study was to analyze the incidence and risk factors of bacteremia after a febrile episode in uncomplicated pediatric recipients more than 2 months after liver transplantation, which has not previously been studied. This cross-sectional study was conducted over a 4-year period. Patients with known risk factors for sepsis at the time of admission were excluded from the study. Seventy-one patients were hospitalized on 128 occasions, with bacteremia occurring in the case of 11 admissions (8.6%). No laboratory tests were predictive of bacteremia. The bacteremic group most frequently presented with ill appearance ( P<0.001), lethargy ( P<0.01), decreased physical activity, and a history of early-onset bacteremia after transplantation and segmental graft ( P<0.05). This study identified a significant incidence of bacteremia in uncomplicated patients many months after liver transplantation.
authors.affiliation: Department of Pediatrics, Division of Gastroenterology and Nutrition, UCLA Medical Center, 10833 Le Conte Avenue, 12-383 MDCC, Los Angeles, CA 90095-1752, USA.
authors.forename: Rubén E
authors.initials: RE
authors.lastname: Quirós-Tejeira
authors.forename: Marvin E
authors.initials: ME
authors.lastname: Ament
authors.forename: Sue V
authors.initials: SV
authors.lastname: McDiarmid
authors.forename: Mary
authors.initials: M
authors.lastname: Gonzalez
authors.forename: Roberto
authors.initials: R
authors.lastname: Chong
authors.forename: Jorge H
authors.initials: JH
authors.lastname: Vargas
authors.forename: Martín G
authors.initials: MG
authors.lastname: Martín
mesh_terms: D016470:Bacteremia / Q000453:epidemiology* / Q000503:physiopathology; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D005334:Fever / Q000209:etiology*; D005500:Follow-Up Studies; D006801:Humans; D016031:Liver Transplantation / Q000502:physiology*; D008297:Male; D008487:Medical History Taking; D018579:Patient Selection; D011183:Postoperative Complications / Q000382:microbiology* / Q000503:physiopathology; D044469:Racial Groups; D013997:Time Factors; D014777:Virus Diseases / Q000453:epidemiology