Urinary tract infection in renal transplant recipient: A clinical comprehensive review

Meena, Priti; Bhargava, Vinant; Rana, DevinderSingh; Bhalla, AnilKumar

doi:10.4103/1319-2442.335441

Cited by 11 publications

(9 citation statements)

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“…Similar to our study, the majority of microorganisms causing UTI in renal transplant recipients are gram-negative bacteria (70%), mainly E.coli and Klebsiella pneumoniae, Enterococcus faecium and Pseudomonas aeruginosa [2,[17][18][19]. Multidrug-resistant urinary pathogens are increasing all over the world.…”

Section: Resultssupporting

confidence: 81%

“…UTI occurs in 25% of kidney transplant recipients within one year of transplant and accounts for 45% of infectious complications. Asymptomatic bacteriuria (ASB), uncomplicated UTI, and complicated UTI comprise 44%, 32%, and 24% of cases, respectively [2]. Many factors, such as older age, female gender, comorbidities, type and duration of immunosuppression, foreign material in the urinary system, transplant kidneys affected by ischaemia-reperfusion injury, non-functioning native kidneys, and abnormal lower urinary tracts, cause UTI in renal transplant patients [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

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Renal transplant sonrası iki yıllık izlemde gelişen üriner sistem enfeksiyonlarının değerlendirilmesi: Tek merkez deneyimi

et al. 2022

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Introduction:After renal transplantation, urinary tract infection (UTI) is observed in 23-75% of cases. In this study, we aimed to investigate the incidence of UTIs after renal transplantation, the causative pathogens and the predisposing factors that increase the risk. Methodology: Patients who underwent renal transplantation in our hospital between 2016-2017 were included in the study. Results: Twenty-five patients who underwent kidney transplantation were included in the study. UTI was detected in 12 patients (48%). One patient had neurogenic bladder, three had nephrolithiasis and one had vesicoureteral reflux. 8 of the patients had at least two UTI attacks. In total 38 UTI attacks; There were 7 (18.4%) nitrite positivity. UTI was detected in 15 (39.5%) patients during the first 3 months after transplantation. While 7 (18.4%) of the urine cultures were gram positive and 27 (71.1%) were gram negative bacteria, 4 (10.5%) were found as contamination. Escherichia coli (34.2%) was the most common causative agent, followed by Klebsiella pneumoniae (21.1%), Enterococcus faecium (18.4%), Pseudomonas aeruginosa (5.3%) and other gram negative (%). 10.5) uropathogens were found to be followed. When compared with basal and UTI GFR (glomerular filtration rate) levels, the GFR values detected during UTI were decreased significantly (p = 0.00). The most frequently preferred antibiotics in UTI treatment were ertapenem 42.1%, levofloxacin 10.5%, seftriaxon 10.5% and fosfomycin 10.5%. Discussion: Improperly treated UTI negatively affects the outcome of transplantation and increases mortality. Therefore, risk factors, antibiotic resistance and empirical treatments should be reviewed and treatment success should be increased.

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Section: Resultssupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Renal transplant sonrası iki yıllık izlemde gelişen üriner sistem enfeksiyonlarının değerlendirilmesi: Tek merkez deneyimi

et al. 2022

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“…In addition, heat pathogen is likely to consume qi and hurt yin, as well as the deficiency of the spleen and kidney. Hence, stranguria is mostly a syndrome of deficiency-excess in complexity [ 21 ]. Therefore, in clinical treatment of stranguria, the deficiency-excess treatment should be combined, with the emphasis on exorcising pathogenic factors as well as strengthening vital qi [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Risk Factors of Urinary Pathogenic Bacteria Infection after Benign Prostatic Hyperplasia Surgery and Curative Effect Analysis of Shuangdong Capsule Intervention

Liu

et al. 2022

Emergency Medicine International

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Benign prostatic hyperplasia (BPH) is a common and frequently occurring disease in clinics, with the main manifestations including frequent micturition, urinary incontinence, dysuria, and endless urination. Transurethral resection of the prostate (TURP) is the main treatment for BPH, but some patients are prone to urinary tract infection after surgery, which affects the prognosis. Therefore, it is of great significance to study the pathogenic characteristics and risk factors of postoperative urinary-derived pathogenic bacteria infection in patients with BPH for the prevention and treatment of postoperative infection. In addition, the treatment of patients with this disease is also the focus of clinical attention. Long-term massive application of antibiotics can induce drug-resistant mutations of bacteria, so it is urgent to find an efficient and safe therapeutic scheme in clinics. However, traditional Chinese medicine (TCM) has a long history of treating urinary tract infections. Therefore, Shuangdong capsule, a traditional Chinese medicine preparation, was selected for the combined treatment in this study. The results showed that age, concomitant diabetes mellitus, and preoperative prophylactic application of antibiotics were the independent risk factors for postoperative urine-derived pathogenic infection in BPH patients. Clinical intervention for BPH patients with concomitant risk factors should be emphasized in clinical practice. The combined use of Shuangdong capsule and conventional western medicine can improve the clinical symptoms and inflammatory reactions of postoperative urine-derived pathogenic infection in BPH patients. Due to its exact curative effect and high safety, it is worthy of promotion. The clinical study registration number is M2022019.

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“…Urinary tract infection (UTI) is the most common infection in KTRs and is especially common in the first year posttransplant in which immunosuppressive treatment is administered more intense 1,2 . UTI is also the leading cause of hospitalization in KTRs 3 . Previous studies indicated that diabetes mellitus, female gender, anatomical abnormalities, cadaveric donors, prolonged postoperative hospitalization, ureteral stents, and bladder catheterization are the main risk factors for UTI development 4 .…”

Section: Introductionmentioning

confidence: 99%

Urinary Tract Infection in Kidney Transplant Recipients: The predictors and two-year outcomes

Yüksel

Akkoç

2022

Dicle Tıp Dergisi

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Background: Urinary tract infection (UTI) is the most common infection in kidney transplant recipients (KTR). Our aim in this study is to determine the prevalence, risk factors, and causative microorganisms of UTI. In addition, to compare the kidney functions of the patients in the 2nd year who developed and did not develop UTI after transplantation. Method: Two hundred sixteen patients underwent kidney transplantation in our center between July 2012 and March 2020. A total of 206 patients with 267 episodes of UTI were included in the study. The impacts of catheterization, hemodialysis duration, gender, posttransplant prolonged hospital stay on UTI development, and UTI on two-year allograft functions, were evaluated. Results: The mean age of the study patients was 34.5±12.7, and 43.7% of them were women. At least one UTI attack developed in 38.8% (80/206) of the KTR. Thirty-one KTR developed recurrent UTI (R-UTI). UTI incidence was found 38.8% in our cohort. Female gender, posttransplant prolonged hospital stay, presence of prolonged double-j stent and foley catheter durations were found associated with UTI development. (p

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Urinary tract infection in renal transplant recipient: A clinical comprehensive review

Cited by 11 publications

References 0 publications

Renal transplant sonrası iki yıllık izlemde gelişen üriner sistem enfeksiyonlarının değerlendirilmesi: Tek merkez deneyimi

Renal transplant sonrası iki yıllık izlemde gelişen üriner sistem enfeksiyonlarının değerlendirilmesi: Tek merkez deneyimi

Risk Factors of Urinary Pathogenic Bacteria Infection after Benign Prostatic Hyperplasia Surgery and Curative Effect Analysis of Shuangdong Capsule Intervention

Urinary Tract Infection in Kidney Transplant Recipients: The predictors and two-year outcomes

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