Objective: To investigate the distribution and drug resistance of pathogens in infected organ donors from donation after the citizen death (
DCD). Methods: Clinical data of 217
DCD donors from January 2013 to June 2017 were retrospectively analyzed.The phlegm, urine, blood and drainage fluid from all of the donors were routinely cultured.The
infection rate of the donors, the composition ratio of pathogens and the distribution of specimen sources were observed and the drug resistance was analyzed. Results: Of all the 217 donors, 128 were infected and the
infection rate was 59%.A total of 218 pathogens were isolated from these infected donors, including 55.5% (121/218) of gram-negative pathogens, 33.5% (73/218) of gram-positive pathogens followed by 11.0% (24/218) of fungi.The pathogenic specimens were mainly derived from sputum samples (72.5%), followed by urine (15.6%). The mainly two gram-negative pathogens were Klebsiella
pneumonia and Acinetobacter baumannii.Klebsiella
pneumonia exhibited varying degree of resistance to commonly used
antibiotics, whereas susceptible to
imipenem and
meropenem.Acine-tobacterbaumannii was highly resistant to most of the
antibiotics, and the drug resistance rate of
imipenem and
meropenem was over 60%, displaying a tendency of multi-drug resistance.Staphylococcus aureus, as the mainly gram-positive pathogen, was generally resistant to
penicillin and
clindamycin, but still sensitive to tovancomycin,
teicoplanin and
linezolid. Conclusions:
DCD donors have a high
infection rate, and respiratory
infection is most common. Gram-negative pathogens are the primary pathogens causing
infection in
DCD donors.Klebsiella
pneumonia maintain susceptible to
imipenem and
meropenem, while Acinetobacter baumannii reveals a tendency of multi-drug resistance.Gram-positive pathogens are still sensitive to
vancomycin,
teicoplanin and
linezolid.