ArticleBMC infectious diseases2010
Prospective study of urinary tract infection surveillance after kidney transplantation.
Article in BMC infectious diseases, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence and risk factors of urinary tract infection in kidney recipients: a meta-analysis study.BMC nephrology · 2023Pooled it
- [Candiduria! What now? : Therapy of urinary tract infections with Candida].Der Urologe. Ausg. A · 2017Trial
- A scoping review of risk factors for urinary tract infections following renal transplantation.BMC urology · 2026Article
- Antibiogram pattern of recurrent urinary tract infections in kidney transplant patients: a single-center cohort study.Clinical transplantation and research · 2025Article
- Assessing the Influence of Urine pH on the Efficacy of Ciprofloxacin and Fosfomycin in Immunocompetent and Immunocompromised Murine Models ofAntibiotics (Basel, Switzerland) · 2024Article
- Arteriovenous malformation in the kidney allograft: A rare cause of hematuria in the post-transplant patient.Radiology case reports · 2024Article
- Vesico-ureteric reflux in children and young people undergoing kidney transplantation.Pediatric nephrology (Berlin, Germany) · 2023Article
- Etiology and Antimicrobial Susceptibility Pattern of Urinary Tract Infection in the First Year after Pediatric Renal Transplantation: A Preliminary Study.Medical journal of the Islamic Republic of Iran · 2023Article
- Characteristics, risk factors, and outcomes of neutropenia after liver or kidney transplantation in children.Pediatric transplantation · 2022Article
- Urinary Tract Infections Caused byFrontiers in cellular and infection microbiology · 2022Review
- Five compelling UTI questions after kidney transplant.World journal of urology · 2020Review
- Outcome Comparison between Low-Dose Rabbit Anti-Thymocyte Globulin and Basiliximab in Low-Risk Living Donor Kidney Transplantation.Journal of clinical medicine · 2020Article
- Prevalence and Antimicrobial Resistance of Bacterial Uropathogens Isolated from Iranian Kidney Transplant Recipients: A Systematic Review and Meta-Analysis.Iranian journal of public health · 2019Review
- Recurrent urinary tract infections in kidney transplant recipients during the first-year influence long-term graft function: a single-center retrospective cohort study.Journal of nephrology · 2019Article
- Influence of ZnO nanoparticles onIranian journal of microbiology · 2018Article
- Old habits die hard; does early urinary catheter removal affect kidney size, bacteriuria and UTI after renal transplantation?Journal of renal injury prevention · 2017Article
- Urinary tract infections in kidney transplant recipients 1Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2017Article
- [Characteristics of urinary tract infection in kidney transplant recipients and non-recipient patients].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2016Article
- Haematuria in postrenal transplant patients.BioMed research international · 2015Review
- The diagnosis, evaluation and treatment of acute and recurrent pediatric urinary tract infections.Expert review of anti-infective therapy · 2015Review
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Authors and funding
7 authors.
Funding
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Abstract
backgroundUrinary tract infection (UTI) remains one of the main complications after kidney transplantation and it has serious consequences.
methodsFifty-two patients with kidney transplantation were evaluated for UTI at 3-145 days (mean 40.0 days) after surgery.. Forty-two received a graft from a live donor and 10 from a deceased donor. There were 22 female and 30 male patients, aged 11-47 years. Microscopic examinations, leukocyte esterase stick, and urinary culture were performed every third day and weekly after hospitalization. A positive culture was consider when patients presented bacterial counts up to 105 counts.
resultsUTI developed in 19/52 (37%) patients at 3-75 days (mean 19.5 days after transplantation. Recurrent infection was observed in 7/52 (13.4%) patients at days 17-65. UTI was more frequent in patients who received deceased grafts compared with live grafts (7/10, 70% vs. 12/42, 28%; p < 0.007). Female patients were more susceptible than male (11/22, 50% vs. 8/22, 36.35%; p < 0.042). Five-year survival rate was 94.5% (49/52 patients). Kidney Graft exit update is 47/52 (90.2%), and there were no significant differences between graft rejection and UTI (p = 0.2518). Isolated bacteria were Escherichia coli (31.5%), Candida albicans (21.0%) and Enterococcus spp. (10.5%), followed by Pseudomonas aeruginosa, Klebsiella pneumoniae, Morganella morganii, Enterobacter cloacae and Micrococcus spp. Secondary infections were produced by (7/19, 36.8%). Enterococcus spp. (57%), E. coli (28%) and Micrococcus spp. (14.2%). Antibiotic resistance was 22% for ciprofloxacin and 33% for ampicillin. Therapeutic alternatives were aztreonam, trimethoprim-sulfamethoxazole, netilmicin and fosfomycin.
conclusionsSurveillance of UTI for the first 3 months is a good option for improving quality of life of kidney transplantation patients and the exit of graft function especially for female patients and those receiving deceased grafts. Antibiograms provided a good therapeutic alternative to patients who presented with UTIs after receiving a kidney allograft.
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