Urinary tract infections during the first year after renal transplantation: one center's experience and a review of the literature

2014 ◽  
Vol 28 (11) ◽  
pp. 1263-1270 ◽  
Author(s):  
Justyna E. Gołębiewska ◽  
Alicja Dębska-Ślizień ◽  
Bolesław Rutkowski
Keyword(s):  
Renal Transplantation ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
First Year ◽  
Review Of The Literature ◽  
Tract Infections

scholarly journals Incidence and risk factors for urinary tract infections in the first year after renal transplantation

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0251036
Author(s):  
Arzu Velioglu ◽  
Gokhan Guneri ◽  
Hakki Arikan ◽  
Ebru Asicioglu ◽  
Elif Tukenmez Tigen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Renal Transplantation ◽  
Urinary Tract ◽  
Confidence Interval ◽  
Graft Survival ◽  
Urinary Tract Infections ◽  
First Year ◽  
Transplant Patients ◽  
Male Patients ◽  
Tract Infections

Background The most common infections among renal transplant patients are urinary tract infections (UTI). Our main objective in this study is to determine the incidence of UTIs in patients who have undergone renal transplantation in our hospital, to identify the causative microbiological agents, risk factors and determine the effects of UTI on short-term graft survival. Methods Urinary tract infections, which developed within the first year of renal transplantation, were investigated. Patients were compared regarding demographic, clinical, laboratory characteristics and graft survival. Results 102 patients were included in our study. Fifty-three patients (53%) were male and 49 (48%) were female. Sixty-seven urinary tract infection attacks in 21 patients (20.5%) were recorded. Age (p = 0.004; 95% Confidence Interval [CI]: 1.032–1.184), longer indwelling urinary catheter stay time (p = 0.039; 95% Confidence Interval [CI]: 1.013–1.661) and urologic complications (p = 0.006; 95% Confidence Interval [CI]: 0.001–0.320) were found as risk factors for UTI development in the first year of transplantation. Escherichia coli and Klebsiella pneumoniae were the most frequently isolated microorganisms. Of these bacteria, 63.2% were found to be extended spectrum beta lactamase (ESBL) positive. Multidrug resistant microorganisms (MDROs) were more frequent in male patients (32 episodes in males vs. 14 episodes in females, p = <0.001). UTI had no negative impact on short-term graft survival. Conclusion Our study results represent the high incidence of UTI with MDROs in KT recipients. Infection control methods should be applied even more vigorously especially in male transplant patients since a higher incidence of UTI caused by resistant microorganisms was reported in male patients.

Klebsiella spp Urinary Tract Infections During First Year After Renal Transplantation

2014 ◽  
Vol 46 (8) ◽  
pp. 2748-2751 ◽  
Author(s):  
J. Gołębiewska ◽  
A. Tarasewicz ◽  
A. Dębska-Ślizień ◽  
B. Rutkowski
Keyword(s):  
Renal Transplantation ◽  
Urinary Tract ◽  
Urinary Tract Infections ◽  
First Year ◽  
Tract Infections ◽  
Klebsiella Spp

Circumcision and Urinary Tract Infections

PEDIATRICS ◽  
1986 ◽  
Vol 77 (2) ◽  
pp. 267-269
Author(s):  
THOMAS E. WISWELL
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
First Year ◽  
Tract Infections ◽  
First Year Of Life

In Reply.— Dr Cunningham apparently believes that there is no plausible physiologic explanation for the association between a decreased incidence of urinary tract infections and circumcisions as we recently described,1 and that we should seek alternative explanations for our findings. However, we disagree with most of the alternative suggestions and the comments that he has made. We recently completed a second study evaluating the occurrence of urinary tract infections during the first year of life in more than 400,000 infants.

Larger Numbers Needed

PEDIATRICS ◽  
1987 ◽  
Vol 80 (5) ◽  
pp. 764-764
Author(s):  
THOMAS E. WISWELL
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
First Year ◽  
Infection Rates ◽  
Symptomatic Urinary Tract Infection ◽  
Tract Infections ◽  
First Year Of Life

In Reply.— Dr Altschul presents data on urinary tract infections during infancy and reports infection rates substantially lower than those we have previously reported.1,2 He then makes several conclusions based on these differences. His data indicate that the maximum infection rates would be 0.11% among girls and 0.02% and 0.12% among circumcised and uncircumcised boys, respectively. In contrast, from a population of 422,328 infants, we found the overall incidence of symptomatic urinary tract infection during the first year of life to be 0.57% in girls, 0.11% in circumcised boys, and 1.12% in uncircumcised boys.

scholarly journals Urinary tract infections and bladder management over the first year after discharge from inpatient rehabilitation

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Michael D. Stillman ◽  
Jeanne M. Hoffman ◽  
Jason K. Barber ◽  
Steve R. Williams ◽  
Stephen P. Burns
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Inpatient Rehabilitation ◽  
First Year ◽  
Bladder Management ◽  
Tract Infections

Corroborative Evidence for the Decreased Incidence of Urinary Tract Infections in Circumcised Male Infants

PEDIATRICS ◽  
1986 ◽  
Vol 78 (1) ◽  
pp. 96-99 ◽  
Author(s):  
Thomas E. Wiswell ◽  
John D. Roscelli
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
First Year ◽  
Us Army ◽  
Army Hospitals ◽  
Corroborative Evidence ◽  
Tract Infections ◽  
First Year Of Life

We report the results of a two-part study examining the incidence of urinary tract infection during the first year of life. In the first part of the investigation, we reviewed the occurrence of urinary tract infection in a cohort of 3,924 infants born at our institution during a 4-year period. Infection developed in 16 infants (0.41%). The incidence of urinary tract infection in noncircumcised males was greater than the incidence in both female (P &lt; .004) and circumcised male (P &lt; .001) infants. In the second part of the study, we explored the frequency of urinary tract infection in all infants born in US Army hospitals, worldwide, over a 10-year period. There were 422,328 infants born in army facilities during this time period. Subsequent hospitalization for urinary tract infection occurred for 1,825 (0.43%) infants during the first year of life. Overall, there was no male preponderance for infections in early infancy compared with females. After an equivalent incidence during the first month of life, female infants had significantly more infections than did male infants (P &lt; .001). However, noncircumcised male infants had a higher incidence of urinary tract infection than female infants (P &lt; .001). Additionally, noncircumcised male infants had a tenfold greater incidence of infection than circumcised male infants (P &lt; .001). There was a significant decrease in the circumcision frequency rate during the 10-year study period (from 85.4% to 73.9%, P &lt; .001). As the number of circumcisions decreased, there was a concomitant increase in the overall number of urinary tract infections in males (P &lt;.02). A reduced incidence of infection may be at least one medical benefit of routine neonatal circumcision.

Decreased Incidence of Urinary Tract Infections in Circumcised Male Infants

PEDIATRICS ◽  
1985 ◽  
Vol 75 (5) ◽  
pp. 901-903 ◽  
Author(s):  
THOMAS E. WISWELL ◽  
FRANKLIN R. SMITH ◽  
JAMES W. BASS
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Male Infant ◽  
Large Cohort ◽  
First Year ◽  
Tract Infections ◽  
First Year Of Life ◽  
Increased Susceptibility

In a recent report of 100 infants less than 8 months of age with urinary tract infection, it was noted that 95% of the male infants were not circumcised.1 The authors speculated from this observation that the uncircumcised male infant may have an increased susceptibility to urinary tract infection, but commented that the incidence of urinary tract infection in uncircumcised compared with circumcised infants was unknown. We report the results of a study documenting the incidence of unnary tract infection during the first year of life in a large cohort of infants born at our institution over an 18-month period and we also document the incidence of urinary tract infection in circumcised compared with uncircumcised male infants.

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