High Incidence of Bacteriuria in Early Post-Kidney Transplantation; Results From a Randomized Controlled Study

详细信息	查看全文 | 推荐本文 |

• 作者：W. Parapiboon^a ; ^c ; ^{gnot1234@hotmail.com} ; A. Ingsathit^a ; S. Jirasiritham^b ; V. Sumethkul^a
• 刊名：Transplantation Proceedings
• 出版年：2012
• 期刊代码：252_00411345
• 类别：med
• 出版时间：April, 2012
• 卷：44
• 期：3
• 页码：734-736
• 文件大小：371 K

摘要

Since the incidence of bacteriuria in kidney transplant recipients varyes according to the study, we examined it among our cases. Our post hoc analysis of data from a single-center, parallel, randomized, controlled, open label study included 90 patients who underwent kidney transplantation at our hospital from April 2010 to January 2011. Patients were randomized to early ureteric stent removal at 8 days versus routine ureteric stent removal at 15 days after kidney transplantation. We identified the incidence of and causative organism for bacteriuria in the early posttransplant period.

Seventy-Four patients (58%living donors) participated in this study. The overall incidence of bacteriuria was 56.7%during the first month after kidney transplantation. In patients who had bacteriuria, 48%showed symptomatic urinary tract infection, 40%asymptomatic bacteriuria and 12%urosepsis. The most common organism was Escherichia coli (40%) follow by Klebsiella pneumoniae (19%). The incidence of an ESBL producing organism was 34%. The incidence of bacteriuria was high during the early post-kidney transplant period, requiring increased awareness and surveillance.