Incidence of infection and its possible causes during the inmediate postoperative period after renal transplantation
DOI:
https://doi.org/10.60108/ce.195Keywords:
kidney trasplantation; catheter-related infections; urine infection; bacteremiaAbstract
Chronic kidney disease has become a significant health issue in modern-day society and kidney transplantation represents the treatment of choice in the majority of cases.
The kidney transplant recipient is a high-risk patient; in addition to potential complications during surgery, we must consider the impact of immunosuppression.
The emergence of infection in these patients entails an increased risk of graft loss, as well as mortality.
A retrospective observational study of kidney transplant patients from January 2016 to December 2019 during the immediate postoperative period.
The incidence of infection was 67.9%, the syndromes described were ITU (50%), cytomegalovirus infection (7,2%), catheter related infection (10%) and bacteremia (8,2%). The most common microorganisms were: Escherichia Coli (16,7%), Klebsiella Pneumoniae (9,9%) y Staphylococcus Epidermis (9,9%).
A significant relationship was found between the emergence of infection and the type of donor (asystole or brain death) and between the emergence of infection and the length of hospital stay. A relationship was also found between the incidence of CVC related infection and the duration of catheterization.
Knowledge of the etiology of infectious complications assists us in prevention, in reduction of medical costs and in increasing patient survival and quality of life.
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