High incidence of bacteriuria in early post-kidney transplantation; results from a randomized controlled study.

Abstract:

: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.

journal_name

Transplant Proc

authors

Parapiboon W,Ingsathit A,Jirasiritham S,Sumethkul V

doi

10.1016/j.transproceed.2012.03.033

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

734-6

issue

3

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(12)00253-9

journal_volume

44

pub_type

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