Intra-abdominal infections after simultaneous pancreas – kidney transplantation

Ziaja, Jacek; Król, Robert; Chudek, Jerzy; Pawlicki, Jacek; Kolonko, Aureliusz; Heitzman, Marek; Bożek-Pająk, Dominika; Kowalik, Adrian; Wilk, Jarosław; Sekta, Sylwia; Wiȩcek, Andrzej; Cierpka, Lech

doi:10.12659/aot.881993

Cited by 15 publications

(6 citation statements)

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“…Risk factors associated with SSI in PT in previous studies have been delineated: reoperation, prolonged operative time, prolonged ischemic time (>4 hours), enteric drainage (rather than bladder drainage), posttransplant fistula, hand-sewn anastomoses (rather than stapled anastomoses), blood transfusions; donor age >55 years; acute tubular necrosis in the allograft, and graft rejection. 5,9,20,21 As demonstrated in previous reports, surgical technique other than cold ischemic time may also have played a more significant role predisposing PT recipients to SSI in our study. Since 1997, enteric drainage has been used in all recipients.…”

Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 99%

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Risk factors for surgical site infection after kidney and pancreas transplantation

Natori

AlBahrani

Alabdulla

et al. 2018

Infect. Control Hosp. Epidemiol.

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Organ/space SSIs remain a serious and common complication after SPK and PAK. Prolonged cold ischemic time and SPK transplant were the risk factors predictive of SSIs. Appropriate perioperative prophylaxis in high-risk patients targeting the potential pathogens producing SSIs in kidney and/or pancreas transplant recipients and a reduction in cold ischemia may prove beneficial in reducing these SSIs.

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Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Risk factors for surgical site infection after kidney and pancreas transplantation

Natori

AlBahrani

Alabdulla

et al. 2018

Infect. Control Hosp. Epidemiol.

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“…However, pancreas transplants are associated with a high incidence of surgical complications, leading to significantly greater technical failure (TF) and graft loss rates than seen with other solid organ transplants. TF has been reported in 7–22% of recipients , with the most common causes being thrombosis, intra‐abdominal infections, leaks, bleeding and allograft pancreatitis.…”

Section: Introductionmentioning

confidence: 99%

A Composite Risk Model for Predicting Technical Failure in Pancreas Transplantation

Finger

Radosevich

Dunn

et al. 2013

American Journal of Transplantation

104

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Technical failure (TF) continues to have a significant impact on the success of pancreas transplantation. We assessed risk factors for TF in 1,115 pancreas transplants performed at a single center between 1998–2011. The relationships of donor and recipient factors, surgical approach, allo-sensitization and matching, and immunosuppressive agents were correlated with risk of TF. In a multivariable model, donor BMI ≥30, donor Cr ≥2.5, donor age >50, and preservation time >20 hours were associated with TF. Bladder drainage of exocrine secretions was protective. We incorporated these factors in a Composite Risk Model and tested its ability to predict TF in comparison to existing models (pDRI). In the Composite Risk Model, the presence of one risk factor did not significantly increase risk of TF, but two or more risk factors in combination were predictive. The analysis also identifies many factors that were not predictive of TF, including previous transplants, immunosuppressive agent selection, and almost all recipient demographic parameters. While the model suggests that two or more risk factors predict TF, strategies to reduce preservation time may mitigate some of this risk.

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“…[8][9][10] EP usually accompanies urinary tract obstruction most commonly caused by calculi. 11 The combination of diabetes and urinary obstruction is associated with mortality in up to 71% of cases. 12 Though less common, there have been anecdotal case reports mentioning EPN in immune-competent nondiabetic patients without the setting of urinary tract obstruction.…”

Section: Relevant Clinical Issuesmentioning

confidence: 99%

Acute Renal Infection in Adult, Part 2: Emphysematous Urinary Tract Infection—What the Radiologist Needs to Know

Hazarika

Venkataramanan

Das

et al. 2020

Journal of Gastrointestinal and Abdominal Radiology

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Renal emphysema, as described by Kelly and MacCallum in 1898, refers to the spontaneous generation of gas within the renal parenchyma and surrounding tissues. Since its initial description, it has become apparent that the spectrum of radiologically visible renal and perirenal gas includes three distinct clinical entities: (1) emphysematous pyelonephritis, a necrotizing infection associated with gas formation in the renal parenchyma, (2) emphysematous pyelitis, in which gas is confined to the renal pelvis and calyces, and (3) gas-forming perinephric abscess. In this article, we will review gas-forming infections of the urinary system in terms of radiological features, clinical manifestations, predisposing factors, and appropriate management guidelines. AbstractKeywords ► emphysematous cystitis ► emphysematous pyelonephritis ► urinary infection

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Intra-abdominal infections after simultaneous pancreas – kidney transplantation

Cited by 15 publications

References 0 publications

Risk factors for surgical site infection after kidney and pancreas transplantation

Risk factors for surgical site infection after kidney and pancreas transplantation

A Composite Risk Model for Predicting Technical Failure in Pancreas Transplantation

Acute Renal Infection in Adult, Part 2: Emphysematous Urinary Tract Infection—What the Radiologist Needs to Know

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