Significance of Pretransplant Urinary Tract Infection in Short-Term Renal Allograft Function and Survival

Rizvi, Syed Jamal; Chauhan, Rohit; Gupta, Rahul; Modi, Pranjal

doi:10.1016/j.transproceed.2008.03.075

Cited by 13 publications

(5 citation statements)

References 4 publications

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“…In general, some variables such as low-dose medication, increasing the mobility of patients after surgery and removal of the catheter can be effective in reducing the severity of UTI after kidney transplant. In multivariate analysis, UTI was not known as an effective factor on the survival rate of patients that was consistent with the study of Rizvi et al (17) and Kosmadaki et al (18). In other studies UTI has been reported as a factor affecting the survival rate of patients (14,15) and female gender was a strong risk factor in developing UTI that our results confirmed it (19)(20)(21).…”

Section: Discussionsupporting

confidence: 91%

The effect of urinary tract infection on patient and graft survival rate in a group of kidney transplanted patients

Ghelichi-Ghojogh¹,

Salarilak²,

Afshari³

et al. 2018

J Renal Inj Prev

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Makhdoomi K. The effect of urinary tract infection on patient and graft survival rate in a group of kidney transplanted patients. Introduction: Urinary tract infection (UTI) is one of the most common infection following kidney transplant surgery.Objectives: This study was aimed to evaluate the effect of UTI after transplant on patients and graft survival rate. Patients and Methods: This study was cross-sectional and the data collected retrospectively. Kaplan-Meier method was used to calculate the survival rate of patients and log-rank test was applied to compare the survival curves. Cox regression model was applied for modeling the factors affecting survival rate. The data were analyzed using SPSS version 19. The level of significance considered less than 0.05. Results: The mean duration of follow-up in infected and non-infected patients following kidney transplantation surgery were 53.78±24.5 months and 67±40.8 months, respectively. Ten-year survival rate in infected by UTI and in non-infected by UTI were 78±0.03% and 89±0.02%, respectively. Also, 10-year graft survival rate in infected patients and in noninfected patients were 71±0.03% and 88±0.02%, respectively. Log-rank test showed a significant difference between infected and non-infected patients regarding graft survival rate (P < 0.001). Conclusion:The results showed that the survival rate of patients was different in infected and non-infected patients. This finding indicated the importance of follow-up in patients with infection following kidney transplant surgery.

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Section: Discussionsupporting

confidence: 91%

The effect of urinary tract infection on patient and graft survival rate in a group of kidney transplanted patients

Ghelichi-Ghojogh¹,

Salarilak²,

Afshari³

et al. 2018

J Renal Inj Prev

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“…A UTI before transplant reportedly constitutes a major risk factor for UTI at posttransplant (P < .05). 23 …”

Section: Discussionmentioning

confidence: 99%

Untitled

Yabanoğlu

Alışkan²,

Çalışkan³

et al. 2015

Exp Clin Transplant

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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.

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“…[20] UTI prevalence was lower in our center; the predominant causative agent was E. coli in this search; it is compatible with various others studies from worldwide. [6212223242526] Over half of infection episodes occurred during 3 months posttransplantation when an immunosuppression strategy was intensive in cited period.…”

Section: Discussionmentioning

confidence: 99%

“…[56] Kidney transplant recipients are more sensitive to infections caused by many risk factors. They include immunosuppression, concomitant states such as urinary reflux disease, diabetes, and renal calculi.…”

Section: Introductionmentioning

confidence: 99%

Urinary tract infections in kidney transplant recipients 1^st year after transplantation

et al. 2017

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Background:One of the main causes of adverse complications following kidney transplantation is urinary tract infection (UTI). This study was done to define the incidence rate, clinical profiles, causative microorganisms, and UTI risk factors among kidney transplant recipients in Mashhad city.Materials and Methods:In this retrospective study, we perused medical files of 247 kidney recipients who underwent transplant surgery at Mashhad University Montaserie Hospital, during 2012–2014. All patients were followed for UTI during the 1st year after surgery.Results:75 episodes of UTI developed by 152 pathogens in 56 (22.7%) of patients during 1-year follow-up. 26.6% of total UTIs were diagnosed within the 1st month after transplantation. The most frequently isolated uropathogens were Escherichia coli (55.3%, n = 84). The high rate of candiduria (8.5%) was observed, too.Conclusion:UTI is known as one of the hospitalization reasons in kidney transplantation recipients. Defining appropriate antibiotic prophylaxis against bacterial and fungal agents and early removal of urethral catheter are suggested to decrease posttransplantation complications.

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Significance of Pretransplant Urinary Tract Infection in Short-Term Renal Allograft Function and Survival

Cited by 13 publications

References 4 publications

The effect of urinary tract infection on patient and graft survival rate in a group of kidney transplanted patients

The effect of urinary tract infection on patient and graft survival rate in a group of kidney transplanted patients

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Urinary tract infections in kidney transplant recipients 1^st year after transplantation

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Significance of Pretransplant Urinary Tract Infection in Short-Term Renal Allograft Function and Survival

Cited by 13 publications

References 4 publications

The effect of urinary tract infection on patient and graft survival rate in a group of kidney transplanted patients

The effect of urinary tract infection on patient and graft survival rate in a group of kidney transplanted patients

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Urinary tract infections in kidney transplant recipients 1st year after transplantation

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Urinary tract infections in kidney transplant recipients 1^st year after transplantation