Epidemiology and outcomes of medically attended and microbiologically confirmed bacterial foodborne infections in solid organ transplant recipients.

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Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_1437EFD0493F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Epidemiology and outcomes of medically attended and microbiologically confirmed bacterial foodborne infections in solid organ transplant recipients.
Journal
American journal of transplantation
Author(s)
van den Bogaart L., Lang B.M., Neofytos D., Egli A., Walti L.N., Boggian K., Garzoni C., Berger C., Pascual M., van Delden C., Mueller N.J., Manuel O., Mombelli M.
Working group(s)
Swiss Transplant Cohort Study
ISSN
1600-6143 (Electronic)
ISSN-L
1600-6135
Publication state
Published
Issued date
01/2022
Peer-reviewed
Oui
Volume
22
Number
1
Pages
199-209
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Food-safety measures are recommended to solid organ transplant (SOT) recipients. However, the burden of foodborne infections in SOT recipients has not been established. We describe the epidemiology and outcomes of bacterial foodborne infections in a nationwide cohort including 4405 SOT recipients in Switzerland between 2008 and 2018. Participants were prospectively followed for a median of 4.2 years with systematic collection of data on infections, and patient and graft-related outcomes. We identified 151 episodes of microbiologically confirmed bacterial foodborne infections occurring in median 1.6 years (IQR 0.58-3.40) after transplantation (131 [88%] Campylobacter spp. and 15 [10%] non-typhoidal Salmonella). The cumulative incidence of bacterial foodborne infections was 4% (95% CI 3.4-4.8). Standardized incidence rates were 7.4 (95% CI 6.2-8.7) and 4.6 (95% CI 2.6-7.5) for Campylobacter and Salmonella infections, respectively. Invasive infection was more common with Salmonella (33.3% [5/15]) compared to Campylobacter (3.2% [4/125]; p = .001). Hospital and ICU admission rates were 47.7% (69/145) and 4.1% (6/145), respectively. A composite endpoint of acute rejection, graft loss, or death occurred within 30 days in 3.3% (5/151) of cases. In conclusion, in our cohort bacterial foodborne infections were late post-transplant infections and were associated with significant morbidity, supporting the need for implementation of food-safety recommendations.
Keywords
Bacterial Infections/epidemiology, Bacterial Infections/etiology, Humans, Incidence, Organ Transplantation/adverse effects, Prospective Studies, Transplant Recipients, clinical research/practice, complication: infectious, epidemiology, infection and infectious agents - bacterial, infectious disease, patient safety
Pubmed
Web of science
Open Access
Yes
Create date
21/09/2021 11:47
Last modification date
23/11/2022 8:08
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