Risks and Benefits of Early Catheter Removal After Renal Transplantation

Güler, Sanem; Çimen, Sertaç; Hurton, Scott; Molinari, Michele

doi:10.1016/j.transproceed.2015.10.032

Cited by 17 publications

(19 citation statements)

References 18 publications

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“…Renal transplantation is the only curative treatment for patients with end‐stage renal disease. In many institutions, a Foley catheter is left in situ for 4–10 days after transplantation to prevent excessive tension on the newly created ureterovesical anastomosis . Living donor renal transplantation often causes polyuria immediately after surgery .…”

Section: Discussionmentioning

confidence: 99%

Suprapubic cystostomy during renal transplantation in a patient with a urethral stricture after hypospadias surgery: A case report

et al. 2019

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Introduction Renal transplantation often causes polyuria, and a Foley catheter is typically placed after transplantation. A urethral stricture often makes it difficult to insert a normal diameter urethral catheter. Case presentation We report on the case of a 16‐year‐old adolescent male with a history of hypospadias surgery who underwent a cystostomy during renal transplantation. A cystostomy was placed during transplantation because of stricture of the pendulous urethra. Urine leakage into the retroperitoneum occurred after cystostomy catheter removal. An 8‐Fr urethral catheter was placed, and urine was aspirated to prevent drainage failure. Voiding cystourethrography performed after 2 weeks showed that there was no leakage. After that, the patient had no trouble with urination. Conclusion A cystostomy may be one strategy for renal transplantation patients with a urethral stricture. Urine leak can occur because of the delay in wound healing caused by immunosuppressive therapy. Therefore, cystostomy management strategies should be considered carefully.

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Section: Discussionmentioning

confidence: 99%

Suprapubic cystostomy during renal transplantation in a patient with a urethral stricture after hypospadias surgery: A case report

et al. 2019

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“…UTIs are the most common infections after a kidney transplant, likely owing to anatomic disruption of the urinary tract during surgery, presence of ureteral catheters during the first weeks posttransplant, and preexistent urinary tract abnormalities. 1,15,19 Risk factors for BSI in kidney transplant recipients include ABO incompatibility, previous CMV infection, pretransplant dialysis, acute rejection, urologic disease, presence of a ureteral stent, and high posttransplant serum creatinine levels. Gram-negative bacteria identified as the main pathogens responsible for BSI in this group are E coli, Pseudomonas aeruginosa, Klebsiella spp, Enterobacter spp, and A baumanii.…”

Section: Infections and Type Of Transplant Kidney Transplantmentioning

confidence: 99%

“…Gram-positive bacteria identified as the main pathogens responsible for BSI in this group are coagulase-negative staphylococci, Enterococcus spp, and S aureus. 1,15,16,19 The incidence of candidemia after renal transplantation is low with most common spp identified as C albicans, C parapsilosis, and C glabrata. 16 Kidney transplant recipients are at significant risk for developing infection by MDR pathogens (VRE, MRSA, extended-spectrum betalactamase-producing Klebsiella pneumoniae, carbapenem-resistant A baumannii, carbapenem-resistant P aeruginosa, and extended-spectrum betalactamase-producing Enterobacter spp).…”

Section: Infections and Type Of Transplant Kidney Transplantmentioning

confidence: 99%

“…1,16 Risk factors for nosocomial UTI include age, female gender, duration of bladder catheterization, use of ureteral stents, delayed graft function, immunosuppression regimen, glomerulonephritis, and simultaneous double renal transplant. 1,19 Renal transplant recipients with UTIs are more likely experience a failed transplanted allograft than recipients who do not develop UTIs; therefore, preventive infection control strategies are essential. 1 Early postoperative UTIs are thought to be largely preventable with early catheter removal and implementation of infection evidence-based infection control practices.…”

Section: Urinary Tract Infection In Kidney Transplantationmentioning

confidence: 99%

“…1 Early postoperative UTIs are thought to be largely preventable with early catheter removal and implementation of infection evidence-based infection control practices. 19 The most commonly seen UTIs include E coli, K pneumoniae, and enterococcus spp. UTI treatment includes Trimethoprim-sulfamethoxazole prophylaxis and early urinary catheter removal to reduce risk of UTIs.…”

Section: Urinary Tract Infection In Kidney Transplantationmentioning

confidence: 99%

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Infections in the Intensive Care Unit

Winterbottom

Jenkins

2017

Critical Care Nursing Clinics of North America

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Solid organ transplantation has become a well-established standard of care for end-organ failure, and the nurse in the intensive care unit may be exposed to these patients at any stage in the care continuum of pretransplant or posttransplant care. Knowledge of risk factors, timing, and treatments for infections may help to enhance clinical practices and optimize patient safety and clinical outcomes.

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