Multidrug-Resistant Organisms in Solid Organ Transplantation

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Infectious Diseases in Solid-Organ Transplant Recipients

Abstract

Despite advances in the field of solid organ transplantation (SOT), multidrug-resistant (MDR) bacterial infections are responsible for significant morbidity and mortality worldwide. The most common MDR Gram-positive bacteria include methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE). Therapeutic options exist for both MRSA and VRE infections, and MRSA infections appear to be declining. However, infections with MDR Gram-negative bacteria, specifically with Enterobacteriaceae, Pseudomonas, and Acinetobacter, continue to pose a significant threat to SOT recipients. Increasing attention should be focused on prevention and optimal management of infections with these organisms. Although several new therapeutic options exist, the importance of source control, infection prevention, and antimicrobial stewardship should always be emphasized.

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Correspondence to Shirish Huprikar .

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Rana, M.M., Grossi, P., Huprikar, S. (2019). Multidrug-Resistant Organisms in Solid Organ Transplantation. In: Manuel, O., Ison, M. (eds) Infectious Diseases in Solid-Organ Transplant Recipients. Springer, Cham. https://doi.org/10.1007/978-3-030-15394-6_11

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