Publication: High incidence of bacteriuria in early post-kidney transplantation; Results from a randomized controlled study
Issued Date
2012-04-01
Resource Type
ISSN
18732623
00411345
00411345
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2-s2.0-84859494643
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Mahidol University
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SCOPUS
Bibliographic Citation
Transplantation Proceedings. Vol.44, No.3 (2012), 734-736
Suggested Citation
W. Parapiboon, A. Ingsathit, S. Jirasiritham, V. Sumethkul High incidence of bacteriuria in early post-kidney transplantation; Results from a randomized controlled study. Transplantation Proceedings. Vol.44, No.3 (2012), 734-736. doi:10.1016/j.transproceed.2012.03.033 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/14872
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Title
High incidence of bacteriuria in early post-kidney transplantation; Results from a randomized controlled study
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Abstract
Since the incidence of bacteriuria in kidney transplant recipients varyes according to the study, we examined it among our cases. Our post hoc analysis of data from a single-center, parallel, randomized, controlled, open label study included 90 patients who underwent kidney transplantation at our hospital from April 2010 to January 2011. Patients were randomized to early ureteric stent removal at 8 days versus routine ureteric stent removal at 15 days after kidney transplantation. We identified the incidence of and causative organism for bacteriuria in the early posttransplant period. Seventy-Four patients (58% living donors) participated in this study. The overall incidence of bacteriuria was 56.7% during the first month after kidney transplantation. In patients who had bacteriuria, 48% showed symptomatic urinary tract infection, 40% asymptomatic bacteriuria and 12% urosepsis. The most common organism was Escherichia coli (40%) follow by Klebsiella pneumoniae (19%). The incidence of an ESBL producing organism was 34%. The incidence of bacteriuria was high during the early post-kidney transplant period, requiring increased awareness and surveillance. © 2012 Elsevier Inc. All rights reserved.