884 Fever in Pediatic Liver Transplant Recipients: What Do You Do?

Abstract

Background: Fever in the pediatric after a liver transplant indicates a variety of things. There is no doubt this is an impo rtant and frequent occurrence. In our experience, it takes place more frequently in younger children at the time of the transplant and even more within the first year of the transplant. The immunosuppressive therapy has been massively used in this timeframe. Family members receive education to immediately report to the Center of reference these symptoms.

Goals: To create a team and nursing protocol for an appropriate approach when children after liver transplant report fever to identify the etiology and set the right therapy- to prevent mayor complication and assure a best quality of life for the patient Interventions: The paediatric patient contact us reporting fever for more than 24 hours undergoes a number of blood tests and consults, after a global and thorough nursing assessment at the time of admission at the hospital. After the general assessment following the indication of the protocol. The process ends with a meeting with all the clinical team members.

Outcomes: We identify how to treat them, to guarantee to the patient the best level of care based on the needs of the children. Up until now we have established this approach for 40 children: 32 of them required a hospital admission. 34 had an infection as etiology of the fever symptom and 6 a rejection. The etiology diagnosis took place within the 72 hours, this guarantees a timely, specific therapy.

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