Organ transplantation from a donor colonized with a multidrug‐resistant organism: a case report

Authors:
Publisher website
Google Scholar
Abstract
The number of intensive care unit patients with infections caused by multidrug‐resistant organisms is increasing in most developed countries. We report the case of a deceased multiorgan donor, who was an asymptomatic carrier of carbapenem‐resistant Klebsiella pneumoniae (CR‐KP) in the respiratory tract, a condition that was not diagnosed before organ harvesting and transplantation. The outcome of the 2 kidney recipients, the liver recipient, and 1 of the lung recipients was uneventful; in particular, no evidence of infection transmission or adverse graft outcomes was noted. The other lung recipient had a complicated postoperative course and, 4 weeks post transplantation, he developed a bacteremic pneumonia with CR‐KP from which he subsequently died. These results suggest that, in well defined conditions, organs from donors who are CR‐KP positive may be considered for transplantation.

This publication has 14 references indexed in Scilit: