title: Should multivisceral transplantation be considered in patients colonized with multidrug-resistant Pseudomonas aeruginosa?
abstract: This report describes two subsequent liver-small bowel-pancreas-kidney (multivisceral) transplantations in a child colonized with multidrug-resistant Pseudomonas aeruginosa. We discuss the dilemma concerning the transplantation of patients colonized with multidrug-resistant Pseudomonas spp., its potential consequences, and the peri and postoperative management of these patients.
authors: Transplant Infectious Diseases Program, Infectious Diseases Division, University of Nebraska Medical Center, Omaha, Nebraska NE 68198-5400, USA. dflorescu@unmc.edu
authors: Diana F
authors: DF
authors: Florescu
authors: Wendy
authors: W
authors: Grant
authors: Jean F
authors: JF
authors: Botha
authors: Paul
authors: P
authors: Fey
authors: Andre C
authors: AC
authors: Kalil
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology* / Q000627:therapeutic use; D000935:Antifungal Agents / Q000494:pharmacology / Q000627:therapeutic use; D002675:Child, Preschool; D019468:Disease Management; D024901:Drug Resistance, Multiple, Bacterial; D005260:Female; D015725:Fluconazole / Q000494:pharmacology / Q000627:therapeutic use; D006801:Humans; D007421:Intestine, Small / Q000637:transplantation; D016030:Kidney Transplantation; D016031:Liver Transplantation; D016377:Organ Transplantation / Q000379:methods; D016035:Pancreas Transplantation; D010397:Penicillanic Acid / Q000031:analogs & derivatives / Q000494:pharmacology / Q000627:therapeutic use; D010878:Piperacillin / Q000494:pharmacology / Q000627:therapeutic use; D000077725:Piperacillin, Tazobactam Drug Combination; D011552:Pseudomonas Infections / Q000188:drug therapy* / Q000382:microbiology; D011550:Pseudomonas aeruginosa / Q000187:drug effects* / Q000254:growth & development / Q000472:pathogenicity
chemical_list: D000900:Anti-Bacterial Agents; D000935:Antifungal Agents; D000077725:Piperacillin, Tazobactam Drug Combination; D010397:Penicillanic Acid; D015725:Fluconazole; D010878:Piperacillin