Simultaneous pancreas-kidney transplantation: infectious complications and microbiological aspects.

Abstract:

OBJECTIVE:The purpose of this study was to describe the clinical and microbiological characteristics of the infectious complications among simultaneous pancreas-kidney transplantations (SPKT). MATERIALS AND METHODS:Among the first 45 SPKT the mean age was 34 years (range, 21 to 49) and the mean duration of follow-up 13 months (range, 2 to 27 months). RESULTS:Twenty-three patients (51%) presented at least one to three episodes (1.7 mean) of infectious complications that needed hospitalization. The etiology of the infections included 71% bacterial (44% gram-negative rods and 27% gram-positive cocci), 16% viral (12% from CMV and 4% from Herpes sp) and 13% fungal (8% by Candida sp and 4% by others fungus). Wound and urinary infections were most frequent, occurring in 22% and 28% of the patients, respectively. All patients who were submitted to vesical drainage developed infections in contrast a rate of only 44% among patients undergoing enteric drainage. CONCLUSION:Infectious complications are the main cause of morbidity and mortality following simultaneous pancreas-kidney transplantation, especially with vesical drainage. The use of enteric drainage combined with administration of broad spectrum prophylactic antibiotics is recommended.

journal_name

Transplant Proc

authors

Linhares MM,Gonzalez AM,Triviño T,Barbosa MM,Schraibman V,Melaragno C,Moura RM,Silva MH,Sá JR,Aguiar WF,Rangel EB,Serra CB,Succi T,Pestana JO

doi

10.1016/j.transproceed.2004.03.114

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

980-1

issue

4

eissn

0041-1345

issn

1873-2623

pii

S0041134504003860

journal_volume

36

pub_type

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