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Risk Factors of Invasive Fungal Infection in Recipients After Liver Transplantation: A Systematic Review and Meta-Analysis

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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, [3]Department of Intensive Care Unit, Beijing Friendship Hospital, Capital Medical University, Beijing, China
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关键词: invasive fungal infection liver transplantation risk factors meta-analysis end-stage liver diseases

摘要:
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>

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出版当年[2020]版:
大类 | 3 区 医学
小类 | 3 区 医学:内科
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 医学:内科
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出版当年[2019]版:
Q1 MEDICINE, GENERAL & INTERNAL
最新[2023]版:
Q1 MEDICINE, GENERAL & INTERNAL

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2019版] 出版当年五年平均[2015-2019] 出版前一年[2018版] 出版后一年[2020版]

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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,
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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
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