Analysis of risk factors for early urinary tract infection after kidney transplantation

Urinary tract infection (UTI) is the most common kind of infection in the early stage after kidney transplantation. Although many studies have investigated the risk factors for UTI following kidney transplantation, few studies have focused on the risk factors for UTI in the early stage after transpl...

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Published inTranslational andrology and urology Vol. 9; no. 5; pp. 2211 - 2217
Main Authors Ma, Zheng-Zheng, Li, Li, Han, Yan-Xia, Duan, Ya-Dong, Wang, Wei-Zhen, Niu, Mei-E
Format Journal Article
LanguageEnglish
Published China AME Publishing Company 01.10.2020
Subjects
Original
risk factor
Urinary tract infection (UTI)
kidney transplantation
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Summary:Urinary tract infection (UTI) is the most common kind of infection in the early stage after kidney transplantation. Although many studies have investigated the risk factors for UTI following kidney transplantation, few studies have focused on the risk factors for UTI in the early stage after transplantation. The early-stage data of patients who underwent kidney transplantation between January 2018 and December 2019 in a first-class tertiary hospital in Suzhou, China, were retrospectively analyzed. The general and UTI information of the recipients was subjected to univariate analysis. Variables with statistical significance in the univariate analysis were included in a multivariate logistic regression model. A total of 129 recipients were recruited, among whom 62 patients had a UTI in the early stage after kidney transplantation (48.1%), and the median (interquartile range) of onset time was 5 (4, 10) days after the surgery. A total of 324 strains of UTI pathogens were detected in the 62 recipients after kidney transplantation, 279 of which were gram-negative bacilli (86.1%). Multivariate logistic regression analysis showed that female sex and delayed graft function (DGF) were independent risk factors for early-stage UTI, with odds ratios of 0.095 and 3.753, respectively. The incidence of early UTI after kidney transplantation is high. Females and DGF patients are more prone to UTIs. Comprehensive prevention and treatment measures should be taken as early as possible against the risk factors to reduce the incidence of UTI.
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These authors contributed equally to this work. The authors declare that they have no conflict interests related to this work.
Contributions: (I) Conception and design: All authors; (II) Administrative support: ME Niu, WZ Wang; (III) Provision of study materials: ZZ Ma, L Li, WZ Wang; (IV) Collection and assembly of data: ZZ Ma, L Li; (V) Data analysis and interpretation: ZZ Ma, YX Han, YD Duan; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors.
ISSN:2223-4691
2223-4683
2223-4691
DOI:10.21037/tau-20-1248