1992
DOI: 10.1016/s0022-5347(17)37444-x
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Risk Factors for Nosocomial Urinary Tract and Postoperative Wound Infections in Renal Transplant Patients: A Matched-Pair Case-Control Study

Abstract: A matched-pair case-control study was done on 4 groups of renal transplant patients who acquired nosocomial infections: 1) urinary tract infection, 2) postoperative wound infection, 3) urinary tract plus postoperative wound infection and 4) the entire group of patients. For urinary tract infection patients a prolonged period of hemodialysis before hospitalization was considered a risk factor. Renal transplantation with an HLA-1 (identical) donor graft was a characteristic related to the control group. High lev… Show more

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Cited by 31 publications
(17 citation statements)
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“…Reoperation is reportedly a major risk factor for SIIs, most likely because of the contamination due to repeated handling of the surgical site. 25 On the contrary, our results did not confirm that female sex and sirolimus use could lead to increased frequency of SII, 26 since in our series none of the patients in the SII group received sirolimus and men far outnumbered women.…”
Section: Discussioncontrasting
confidence: 86%
“…Reoperation is reportedly a major risk factor for SIIs, most likely because of the contamination due to repeated handling of the surgical site. 25 On the contrary, our results did not confirm that female sex and sirolimus use could lead to increased frequency of SII, 26 since in our series none of the patients in the SII group received sirolimus and men far outnumbered women.…”
Section: Discussioncontrasting
confidence: 86%
“…However immunosuppression creates an inseparable connection between infection and rejection, a fact that is very important for the transplantation teams, demonstrating that immunosuppression protocols should be flexible and not just focused on the graft, but the immunological, socioeconomic, geographic conditions and in the presence of comorbidities of renal allograft recipients. It is indisputable that the rate of infection is associated with the total increase of doses, the number of drugs used and the use of monoclonal antibodies in repeated episodes of rejection [3].Concerning the prevalence and types of the most common infections in the first six months of postoperative are classic and already well-studied [4]. The major focus of the transplant is currently facing emerging and endemic infections coming affecting the patients receiving renal transplantation.…”
mentioning
confidence: 99%
“…The major focus of the transplant is currently facing emerging and endemic infections coming affecting the patients receiving renal transplantation. Infections still unknown, there are few studies in the literature which complicates the diagnosis and therefore treatment, endangering patients and renal grafts [4].In this large group of emerging agents, quoted infections caused by polyomavirus BK, which has been identified with high frequency and due to its histological characteristics to affect the renal graft mimics episode of acute rejection and is one of the factors responsible for chronic rejection renal graft. Still among viral infections, let us not forget the human parvovirus B19 causing aplastic anaemia and microangiopatics phenomena in renal graft [5].…”
mentioning
confidence: 99%
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