Urinary Tract Infections in Renal Transplant Recipients

Gołębiewska, Justyna; Dębska-Ślizień, Alicja; Komarnicka, Jolanta; Samet, Alfred; Rutkowski, Bolesław

doi:10.1016/j.transproceed.2011.07.010

Cited by 65 publications

(56 citation statements)

References 36 publications

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“…Forced variables in the multivariate model were gender, age, and clinical classification (colonization or UTI), since age and gender are factors that are typically associated with the presence of bacteria in the urine [5,13,18]. Given that the results of studies comparing enterococcal bacteriuria with bacteriuria involving other pathogens have already been reported without any distinction between urinary colonization and infection [5][6][7][8], we thought it advisable to adjust our model so as to avoid confusion in this regard.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, urinary tract colonizations by enterococci, devoid of urinary tract symptoms or signs, are even more common. It would appear that an underlying pathological condition of the urinary tract, kidney transplant [6,7], urinary catheter [2,3] or recent use of antibiotics [8] increases the risk of enterococcal UTI or colonization. However, few studies have been published on this subject and no consensus has been reached, particularly regarding a definition of a threshold in terms of colony count [9].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A comparison of monomicrobial versus polymicrobial Enterococcus faecalis bacteriuria in a French University Hospital

Fourcade

Canini

Lavigne

et al. 2015

Eur J Clin Microbiol Infect Dis

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Enterococci are of considerable relevance in the hospital setting. Their most common location is the urinary tract, where they may be responsible for both colonization and infections. They are often associated with the presence of other microorganisms. The aim was to compare monomicrobial and polymicrobial Enterococcus faecalis bacteriuria. A retrospective study was performed on the demographic, clinical, and laboratory data of 299 patients who had presented with E. faecalis bacteriuria in 2012 at a University Hospital. The bacteriuria was polymicrobial in 46.1 % of cases and in 36.4 % of cases was responsible for a urinary tract infection. Infections appeared to be more prevalent in the polymicrobial than the monomicrobial group (42 % vs 32 %, p = 0.06). Half of the patients who presented with urinary tract colonization received antibiotic treatment (54/ out of 10). A multivariate analysis adjusted for age (adjusted odds ratio [AOR] = 1.02 per year, p = 0.006), gender (AOR = 2.2, p = 0.007), and clinical classification (colonization or infection, AOR = 1.6, p = 0.091), showed that diabetes mellitus (AOR = 2.0, p = 0.04), hospital length of stay exceeding 28 days (AOR = 2.0, p = 0.03), and presence of a urinary catheter (AOR = 2.4, p = 0.001) were all factors associated with polymicrobial E. faecalis bacteriuria. A reduction in the length of hospital stay and the use of urinary catheters would appear to be required to decrease the incidence of urinary tract colonization and infections by polymicrobial E. faecalis. Improper use of antibiotics to treat urinary tract colonization remains a major concern.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A comparison of monomicrobial versus polymicrobial Enterococcus faecalis bacteriuria in a French University Hospital

Fourcade

Canini

Lavigne

et al. 2015

Eur J Clin Microbiol Infect Dis

View full text Add to dashboard Cite

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“…It has also been found that all patients with vesicoureteral strictures had recurrent UTI [31]. UTI in RTR can have significant negative effects on the allograft kidney and can even lead to allograft failure [32].…”

Section: Discussionmentioning

confidence: 99%

Extended-Spectrum-Beta-Lactamase Producing Bacteria Related Urinary Tract Infection in Renal Transplant Recipients and Effect On Allograft Function.

et al. 2014

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Background: Urinary tract infection (UTI) is a well-recognized early complication in renal transplant recipients (RTR) and can have significant bearing on their outcome. The recent rise in incidence of extended spectrum beta lactamase (ESBL) producing bacteria causing UTI among RTR poses new and significant challenges in terms of management and outcome. Our aim is to analyze the effect of ESBL producing bacteria causing UTI in these patients and its impact on allograft function.

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“…UTI has many risk factors including gender kind, age, catheter, cadaver donor, re-transplantation, diabetic state and reflux (15). From above-mentioned risk factors, female gender is very important for prone to UTI (16), and most of UTIs in renal recipients occur in the first month of posttransplant (17)(18)(19)(20). Rubin and Tolkoff-Rubin disclosed that more than 80% of kidney recipients experienced UTI during first year of post-transplant (21).…”

Section: Discussionmentioning

confidence: 99%

Does early removal of Foley’s catheter have any influence on infection of recipient post renal transplantation? Is it safe? A randomized clinical trial

Zomorrodi¹,

Kakei²,

Bagheri³

et al. 2018

J Nephropathol

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Background: Kidney transplant is a fair option for treatment of a chronic renal failure. Although the outcome and results of kidney transplant are good, it may be associated with some complications. One of the important complications is urinary infection. Objectives: The aim of this study was to investigate the role of early removal of the catheter in renal transplant patients on the reduction of urinary tract infections. Patients and Methods:This study was conducted as a clinical trial. Around 88 transplanted patients were enrolled and randomly divided into two groups. In the first group, the patients were taken 3 days after the transplant, and in the second group, patients were removed 7 days after the Foley catcher transplant. Urine culture was performed on two occasions. Then, the patients' data were analyzed using SPSS version 20. Results: After examination of urine and analyzing the results with t test, it showed that infection of urine in the time of removal of urethral catheter was lower than 7 days after removing urethral catheter (P < 0.05). In patients in whom catheter of urethral had been removed 3 days after the operation, approximately urinary tract infection (UTI) was 50% less than those in whom urethral catheter was removed 7 days after the operation. Conclusions: Early removal of catheter has fundamental effects on UTI after kidney transplant and it seems that early removal of urethral catheter may be safe and reasonable in renal transplant of the recipient patient.

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Urinary Tract Infections in Renal Transplant Recipients

Cited by 65 publications

References 36 publications

A comparison of monomicrobial versus polymicrobial Enterococcus faecalis bacteriuria in a French University Hospital

A comparison of monomicrobial versus polymicrobial Enterococcus faecalis bacteriuria in a French University Hospital

Extended-Spectrum-Beta-Lactamase Producing Bacteria Related Urinary Tract Infection in Renal Transplant Recipients and Effect On Allograft Function.

Does early removal of Foley’s catheter have any influence on infection of recipient post renal transplantation? Is it safe? A randomized clinical trial

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