单位:[1]Department of Liver Transplantation Center, Beijing Friendship Hospital, Capital Medical University, Beijing, China临床科室国家中心普外分中心普外四科(肝脏移植外科)首都医科大学附属北京友谊医院[2]National Clinical Research Centre for Digestive Diseases, Beijing Friendship Hospital, Capital Medical University, Beijing, China, 首都医科大学附属北京友谊医院[3]Department of Intensive Care Unit, Beijing Friendship Hospital, Capital Medical University, Beijing, China临床科室急危重症及感染医学中心重症医学科首都医科大学附属北京友谊医院
Objectives: Invasive fungal infection (IFI) remains an important cause of mortality in liver transplantation (LT). The objective of this meta-analysis was to identify the risk factors for IFI after LT.</p> Methods: We searched for relevant studies published up to June 2020 from PubMed, Web of Science, Embase, and the Cochrane Library. Odds ratios (ORs) and their corresponding 95% CIs were used to identify significant differences in the risk factors. Heterogeneity between studies was evaluated by the I-2 test, and potential publication bias was assessed with Egger's test. The quality of included studies was evaluated with the Newcastle-Ottawa Scale (NOS).</p> Results: A total of 14 studies enrolling 4,284 recipients were included in the meta-analysis. Reoperation (OR = 2.18, 95% CI: 1.61-2.94), posttransplantation dialysis (OR = 2.03, 95% CI: 1.52-2.72), bacterial infection (OR = 1.81, 95% CI: 1.33-2.46), live donor (OR = 1.78, 95% CI: 1.20-2.63), retransplantation (OR = 2.45, 95% CI: 1.54-3.89), and fungal colonization (OR = 2.60, 95% CI: 1.99-3.42) were associated with the risk factors of IFI after LT.</p> Conclusions: Despite some risk factors that have been identified as significant factors for IFI post-LT, which may inform prevention recommendations, rigorous and well-designed studies with adequate sample sizes should be conducted to solve the limitations of this study.</p>
基金:
Beijing Municipal Science & Technology CommissionBeijing Municipal Science & Technology Commission [Z181100001718220]
第一作者单位:[1]Department of Liver Transplantation Center, Beijing Friendship Hospital, Capital Medical University, Beijing, China[2]National Clinical Research Centre for Digestive Diseases, Beijing Friendship Hospital, Capital Medical University, Beijing, China,
通讯作者:
通讯机构:[1]Department of Liver Transplantation Center, Beijing Friendship Hospital, Capital Medical University, Beijing, China[2]National Clinical Research Centre for Digestive Diseases, Beijing Friendship Hospital, Capital Medical University, Beijing, China, [3]Department of Intensive Care Unit, Beijing Friendship Hospital, Capital Medical University, Beijing, China
推荐引用方式(GB/T 7714):
Liu Min,Zhu Zhijun,Sun Liying.Risk Factors of Invasive Fungal Infection in Recipients After Liver Transplantation: A Systematic Review and Meta-Analysis[J].FRONTIERS in MEDICINE.2021,8:doi:10.3389/fmed.2021.687028.
APA:
Liu Min,Zhu Zhijun&Sun Liying.(2021).Risk Factors of Invasive Fungal Infection in Recipients After Liver Transplantation: A Systematic Review and Meta-Analysis.FRONTIERS in MEDICINE,8,
MLA:
Liu Min,et al."Risk Factors of Invasive Fungal Infection in Recipients After Liver Transplantation: A Systematic Review and Meta-Analysis".FRONTIERS in MEDICINE 8.(2021)