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07 October 2025 : Original article  

Risk Factors for Multidrug-Resistant Bacterial Infections After Liver Transplantation

Qiusi Hao BCEF 1, Hong Wang CDF 1, Qikun Zhang CDEF 1, Fengjuan Guo CEF 1, Xinxing Liu CE 1, Lili Zhang ACEF 2*

DOI: 10.12659/AOT.949047

Ann Transplant 2025; 30:e949047

Table 2 Comparison of clinical and laboratory characteristics between the 2 groups.

ItemMDRB infection group(n=50) (n (%) or χ̄±s)Non-MDRB infection group(n=300) (n (%) or χ̄±s)Univariate logistics regression
t or χ2 or ZP-value
Serum creatinine (μmol/L) in pre-operation78.34±8.2481.62±7.911.4710.176
Co-infection6 (12.00)59 (19.67)1.6660.197
Hemoglobin concentration (g/L)126±11.93131±13.841.2110.302
MELD score ≥2518 (36.00)85 (28.33)1.2130.271
Child-Pugh classification52.996<0.001
 A class4 (8.00)155 (51.67)
 B class15 (30.00)93 (31.00)
 C class31 (62.00)52 (17.33)
Operation time ≥8 h26 (52.00)146 (48.67)0.1910.662
Anhepatic phase ≥60 min19 (38.00)189 (63.00)2.7520.097
Blood loss ≥2 L21 (42.00)121 (40.33)0.0490.824
Blood transfusion ≥8 U14 (28.00)87 (29.00)0.0210.885
Tracheal intubation after surgery ≥48 h28 (56.00)93 (31.00)11.8420.001
Length of stay in the ICU ≥72 h29 (58.00)108 (36.00)8.7080.003
Hospitalization time ≥30 days31 (62.00)127 (42.33)6.6940.010
Reoperation31 (62.00)125 (41.67)7.1720.007
Biliary complications26 (52.00)132 (44.00)1.1080.293
Tac blood concentration peak point (ng/mL) during the first postoperative phase15.64±5.3510.63±4.567.5470.001
MELD – model for end-stage liver disease; Tac – tacrolimus; MDRB – multidrug-resistant organism. The test statistic for Child-Pugh classification was and the rest were or χ.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358