Association of Double-J Stenting in Renal Transplant Patients With Urinary Tract Colonization and Infections in a Multidrug-resistant Microbe Endemic Nosocomial Environment.
Transplant Proc
; 51(2): 408-412, 2019 Mar.
Article
de En
| MEDLINE
| ID: mdl-30879553
ABSTRACT
PURPOSE:
We investigated the association of ureteral stenting after kidney transplantation with the development of urinary tract infections (UTIs) and/or urinary tract colonization, in a hospital environment considered endemic for multidrug resistant (MDR) Gram-negative Enterobacteriaceae.METHODS:
Seventy-five recipients of deceased donor grafts were divided in groups A and B. Group A (with subgroups A1 and A2) included 45 transplanted patients without urinary stenting, and group B 30 patients with stenting. Subgroup A1 consisted of 30 patients transplanted before 2006, and A2 of 15 patients transplanted after 2006, when MDR, mainly carbapenem-resistant, Enterobacteriaceae, frequency has risen in our hospital.RESULTS:
The incidence and the number of UTIs per patient were significantly higher in patients without stenting compared to those with stenting. (Group A 32/45 vs group B 9/30, P < .001, and group A 2.86 ± 0.43 vs group B 0.6 ± 0.19, P < .01 respectively). Patients without stenting tended to have a higher frequency of recurrent UTIs compared to those with stenting (group A 16/45 vs group B 4/30, P < .05). Asymptomatic bacteriuria was more frequent in the patients with stent (group A 8/45 vs group B 14/30, P < .05). Further sub-comparison of the A1 and A2 subgroups with group B did not change the statistical results.CONCLUSIONS:
There is no clinically significant association of ureteral stenting after kidney transplantation with the high frequency of MDR Gram-negative bacteria in our hospital.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Infections urinaires
/
Infection croisée
/
Transplantation rénale
/
Infections à Enterobacteriaceae
Type d'étude:
Incidence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
Transplant Proc
Année:
2019
Type de document:
Article
Pays d'affiliation:
Grèce