Nosocomial infections in renal transplant patients: risk factors and treatment implications associated with urinary tract and surgical site infections

Dantas, Sônia Regina Pérez Evangelista; Kuboyama, Rogerio Hakio; Mazzali, Marilda; Moretti, M.L.

doi:10.1016/j.jhin.2005.10.018

Cited by 105 publications

(118 citation statements)

References 16 publications

Supporting

Mentioning

101

Contrasting

Unclassified

Order By: Relevance

“…2,7,14 Studies have reported UTI rates of 35% to 79% after transplant. 2,7,12,[14][15][16][17] Urinary tract infections are the cause of infectious complications and hospital admissions and 70% of deaths associated with sepsis (48%) and pneumonia (22%). 18 During the past 25 years, however, infection-related deaths have been decreasing.…”

Section: Discussionmentioning

confidence: 99%

Untitled

Yabanoğlu

Alışkan²,

Çalışkan³

et al. 2015

Exp Clin Transplant

View full text Add to dashboard Cite

Objectives: This study aimed to compare renal transplant recipients with and without infection with respect to demographic and clinical characteristics as well as risk factors; to determine the incidence of posttransplant infections; and to study the antibiotic resistance patterns of bacterial species identified as the causative organisms in posttransplant infections. Materials and Methods: This study included a total of 136 patients undergoing renal transplant in a 4-year period. The patients were categorized into 2 groups. The 2 groups were compared with each other with respect to general clinical and demographic variables and the number and frequency of infectious attacks within a 1-year follow-up, infection type, and antibiotic resistance patterns. Results: Ninety-two (67.6%) of the subjects were male and 44 (32.4%) were female. A total of 57 (41.9%) patients developed 128 infectious attacks. Urinary tract infections were the most common infections (42.1%). There was a significant correlation between a clinically relevant urinary culture proliferation and postoperative infection rate (P = .002). There was a significant correlation between antimicrobial resistance and the number of infectious attacks (P = .023). There was a significant correlation between the proliferation of Extended Spectrum Beta Lactamase-positive Enterobactericeae species and the number of infectious attacks (P = .000). Conclusions: Presence of a clinically relevant proliferation in the preoperative urinary culture, which was identified as a risk factor for infection, increased the number of infectious attacks. Moreover, Extended Spectrum Beta Lactamasepositive Enterobactericeae species increased the number of infections. These 2 principle results should be taken into account in patient management.

show abstract

Section: Discussionmentioning

confidence: 99%

Untitled

Yabanoğlu

Alışkan²,

Çalışkan³

et al. 2015

Exp Clin Transplant

View full text Add to dashboard Cite

show abstract

“…The purpose of the present study was to evaluate potential benefits and complications associated with early removal of invasive bladder catheters in the immediate posttransplant period after living donor renal transplantation. Almost 60% of bacteremias in renal transplant patients are reported to originate in the urinary tract, while catheters are the major source of nosocomial infections and sepsis (1,2). Although some studies (3,4) address duration of bladder catheterization, there does not seem to be a general consensus.…”

mentioning

confidence: 99%

Living donor renal transplant recipients tolerate early removal of bladder catheters

et al. 2009

View full text Add to dashboard Cite

“…[18][19][20] Most relevant literature results have identified high BMI, DM, acute cellular rejection, reoperation, DGF, sirolimus use, grafts from deceased donors, female recipient, prolonged CIT, and urinary fistula as potential risk factors associated with posttransplant SII in kidney transplant recipients. 8,[20][21][22][23] Our data analyses revealed several interesting results. First, we found that patients with SII had higher mean BMI and that a BMI > 30 kg/m 2 could be a risk factor for SII development.…”

Section: Discussionmentioning

confidence: 71%

“…4,23 Surgical incision infections caused by Staphylococcus species suggest that endogenous skin flora are the infecting inoculum. 6 However, contamination cannot be excluded in some patients, as SII can be attributed to coagulase-negative staphylococci.…”

Section: Discussionmentioning

confidence: 99%

Untitled

Moris

Davakis²,

Kakavia³

et al. 2017

Exp Clin Transplant

View full text Add to dashboard Cite

Objectives: Surgical incision infections, along with urinary tract infections, are among the most common infective complications after kidney transplant. The aim of this retrospective study is to evaluate the incidence and predisposing factors of surgical incision infection development in renal transplant recipients. Further evaluation of these findings in a prospective study is needed to avoid potential bias.

show abstract

Nosocomial infections in renal transplant patients: risk factors and treatment implications associated with urinary tract and surgical site infections

Cited by 105 publications

References 16 publications

Untitled

Untitled

Living donor renal transplant recipients tolerate early removal of bladder catheters

Untitled

Contact Info

Product

Resources

About