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Influence of Double-J Catheters on Urinary Infections After Kidney Transplantation.

Abstract：

BACKGROUND:One of the most important problem in kidney transplantation is risk of the urinary anastomosis stricture. In uncertain cases the use of a double-J (or JJ) catheter is a standard solution. In case of urinary leak or fistula after the reanastomosis operation, transuretheral JJ implantation is used. A number of patients after JJ use present urinary infection. METHODS:Between 2012 and 2014, 283 kidney transplantations were performed in our center. In 77 cases (27.2%), a JJ was used at the time of operation, in 10 other cases (3.5%) during postoperative period. RESULTS:Urinary infection was observed in 95 patients (33.6%), with Proteus, Klebsiella, Enterobacter, Escherichia, Enterococcus, Pseudomonas, Morganella, and Staphylococcus cultures. In the group of patients without JJ catheters, infections were found in 27.6% of cases and in group with JJ, in 47.1% (46.8% in intraoperative use of catheters and 50% in postoperative curse). CONCLUSIONS:The analysis shows that use of JJ catheters gives urinary infections almost twice more frequent (47.1% vs 27.6%; P = .001) with no difference if the implantation took place during or after the operation.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Jonas M,Jóźwik A,Kawecki D,Durlik M,Pączek L,Młynarczyk G,Chmura A

doi

10.1016/j.transproceed.2016.03.003

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

1630-2

issue

5

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(16)00382-1

journal_volume

48

pub_type

杂志文章

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