The Prevalence and Risk Factors for Urinary Tract Infection in Kidney Transplant Recipients in the First Year After Transplantation

Q4 Medicine
Vida Sarmadi, Sahar Vahdat, S. Shahidi, A. Atapour, S. Hosseini
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Abstract

Background: End-stage renal disease (ESRD) needs replacement therapy and most often, kidney transplantation is the best therapeutic option. Urinary tract infection (UTI) is one of the most important complications after renal transplantation that affects transplantation outcomes. Objectives: This study aimed to define the incidence rate, UTI risk factors among kidney transplant recipients, and causative organism of UTI and their antibiotic susceptibility. Methods: In this cross-sectional study, we collected clinical, demographic, and laboratory data from 268 transplant recipients in Ali-Asghar Hospital from 2011 - 2018. Data collected from patients were analyzed with SPSS software version 25. Results: According to the results, 50 (18.7%) had UTI in the first year after renal transplantation. Female gender and underlying cause of renal failure were predisposing factors for UTI. The most common causative organism was Escherichia coli (58.4%). The antibiotic susceptibility results showed nitrofurantoin and meropenem as the most effective antibiotics for Escherichia coli. Conclusions: The UTI was more common in women and patients with analgesic nephropathy and lupus nephritis. The most common causative organism was E. coli and meropenem and nitrofurantoin were the most effective drug choices.
肾移植受者移植后第一年尿路感染的患病率及危险因素
背景:终末期肾病(ESRD)需要替代治疗,肾移植通常是最好的治疗选择。尿路感染(UTI)是肾移植术后影响移植预后的重要并发症之一。目的:本研究旨在明确肾移植受者尿路感染发生率、尿路感染危险因素、尿路感染病原菌及其抗生素敏感性。方法:在这项横断面研究中,我们收集了2011年至2018年Ali-Asghar医院268名移植受者的临床、人口统计学和实验室数据。采用SPSS软件25对患者数据进行分析。结果:50例(18.7%)肾移植术后1年内发生尿路感染。女性性别和肾功能衰竭的潜在原因是尿路感染的易感因素。最常见的病原菌为大肠杆菌(58.4%)。药敏结果显示,呋喃妥因和美罗培南是对大肠杆菌最有效的抗生素。结论:尿路感染在女性及疼痛性肾病和狼疮性肾炎患者中更为常见。最常见的病原菌是大肠杆菌,美罗培南和呋喃妥英是最有效的药物。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nephro-urology Monthly
Nephro-urology Monthly Medicine-Urology
CiteScore
0.40
自引率
0.00%
发文量
26
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