Nosocomial Infections In Renal Transplant Patients: Risk Factors And Treatment Implications Associated With Urinary Tract And Surgical Site Infections.

dc.creatorDantas, S R P E
dc.creatorKuboyama, R H
dc.creatorMazzali, M
dc.creatorMoretti, M L
dc.date2006-Jun
dc.date2015-11-27T13:05:13Z
dc.date2015-11-27T13:05:13Z
dc.date.accessioned2018-03-29T01:02:25Z
dc.date.available2018-03-29T01:02:25Z
dc.identifierThe Journal Of Hospital Infection. v. 63, n. 2, p. 117-23, 2006-Jun.
dc.identifier0195-6701
dc.identifier10.1016/j.jhin.2005.10.018
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/16517007
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/196670
dc.identifier16517007
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1296903
dc.descriptionA prospective cohort study was conducted from January 2000 to December 2001 to determine the rate of bacterial nosocomial infections in renal transplant recipients. The patients were divided into two groups according to the origin of the allograft, namely deceased or living related donors. One hundred and sixty-three renal transplant recipients were reviewed during hospitalization; 110 (67.5%) kidneys were from deceased donors and 53 (32.5%) kidneys were from living related donors. The median length of hospitalization was 12 days for transplants from living related donors and 26 days for transplants from deceased donors (P<0.0001). Twenty-one (39.6%) recipients of kidneys from living related donors and 68 (61.8%) recipients of kidneys from deceased donors had bacterial nosocomial infectious episodes (P=0.019). The post-transplant nosocomial infections diagnosed during hospitalization included urinary tract infections (UTIs) (44.8%), surgical site infections (SSIs) (11%), pneumonia (6.1%), catheter-related bloodstream infections (4.2%) and others (1.8%). Risk factors for UTI included: recipient of kidney from a deceased donor, substitution of the initial immunosuppressive regimen, duration of urinary bladder catheterization, and length of hospitalization before the infection. Six Enterobacter cloacae strains with multiple resistances to antibiotics were identified in UTIs, and hospital dissemination was documented using molecular typing. UTI was the single most important hospital infection and was significantly higher in recipients of kidneys from deceased donors (P=0.001).
dc.description63
dc.description117-23
dc.languageeng
dc.relationThe Journal Of Hospital Infection
dc.relationJ. Hosp. Infect.
dc.rightsfechado
dc.rights
dc.sourcePubMed
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAged
dc.subjectBacterial Infections
dc.subjectBrazil
dc.subjectCross Infection
dc.subjectFemale
dc.subjectHumans
dc.subjectKidney Transplantation
dc.subjectLogistic Models
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectMultivariate Analysis
dc.subjectProspective Studies
dc.subjectRisk Factors
dc.subjectSurgical Wound Infection
dc.subjectUrinary Tract Infections
dc.titleNosocomial Infections In Renal Transplant Patients: Risk Factors And Treatment Implications Associated With Urinary Tract And Surgical Site Infections.
dc.typeArtículos de revistas


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