Background: Bacteraemia of the donor is not considered to be contraindication of organ procurement. On the\nother hand, infection of solid organ transplant recipients remains to be a major cause of their morbidity and\nmortality. When using organs from bacteraemic donors, individual risks need to be assessed and the appropriate\nantibiotic treatment applied.\nCase presentation: In this case series we report several serious donorâ??derived infectious complications in four out\nof five recipients of different organs from one single donor in the early posttransplant period. Donor-transmitted\nmulti-drug resistant strains of Escherichia coli and Klebsiella pneumonia was confirmed by both serologic and\nmolecular testing.\nConclusions: To prevent donor-derived infections, careful microbiological screening followed by targeted antibiotic\ntreatment is essential. Although such complications can never by completely prevented, a high index for potential\nbacterial infection in organ donors and transplant recipients should be routinely employed.
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