الفهرس 
Introduction and Aim of workOnly 14 pages are availabe for public view
 |  | from | 233 |  |  |
| | | from | 233 | | |
Abstract
Backgrounds Infections continue to be a major problem, representing one of the leading causes of morbidity and mortality among liver transplant recipients. Objective. To detect the frequency of different bacterial and fungal pathogen causing nosocomial infections in liver transplant recipients LTX and patients in surgical intensive care unit SICU in Gastroenterology Center in Mansoura University . Patients and Methods. The current study conducted in the period from August 2007 to November 2009, the first group included 45 LTX. routine surveillance cultures, were performed, and in patients with suspected bacterial or fungal infection cultures were performed. Results. Nosocomial infections occurred in 42% of liver transplant recipients. Surgical site infection was the commonest type of infection which represents 58% of the total bacterial infections. Multiple drug resistant bacteria represented in (67 %) of isolates. The commonest bacterial pathogens were Klebsiella pneumoniae and Staphylococcus aureus which represents 23.8% for each. Pretransplant ascites, low serum albumin, postoperative hospital stay and steroid intake were significantly associated with nosocomial infections among liver transplant recipients. Nosocomial infections in SICU occurred in (12 %). Gram-negative bacilli are common cause of nosocomial infection.