Comparision of ureteral stent colonization between deceased and live donor renal transplant recipients

Basit Öğe Kaydı
dc.contributor.authorSarıer, M.
dc.contributor.authorSeyman, D.
dc.contributor.authorTekin, S.
dc.contributor.authorDuman, I.
dc.contributor.authorUygun, B.
dc.contributor.authorDemir, M.
dc.contributor.authorYavuz, A. H.
dc.date.accessioned2021-05-15T12:42:50Z
dc.date.available2021-05-15T12:42:50Z
dc.date.issued2017
dc.departmentTıp Fakültesien_US
dc.descriptionSarier, Mehmet/0000-0002-8656-7416;
dc.description.abstractBackground. The use of a ureteral stent can cause a urinary tract infection (UTI), although it reduces urologic complications. UTIs are associated with a higher rate of ureteral stent colonization (USC). The aim of this study was to compare USC in living and deceased donor renal transplant recipients. Material and Methods. We conducted a prospective study of 48 patients who underwent renal transplantation between January and December 2016. The stents were removed aseptically, the inner surface of proximal and distal ends of stents were irrigated with liquid culture medium, and then they were vortexed for bacteriological investigation. Urine cultures were taken at the same time. Results. A total of 45 renal transplantation patients (21 from cadavers, 24 from live donors) were evaluated in the study. The duration time of stent retention in patients with live donors was 25.04 +/- 4.55 and in patients with deceased donors was 26.19 +/- 4.08 days (P = .376). USC was observed in 12 (57.1%) and 6 (25%) patients while positive urine culture (PUC) was detected in 5 (23.8%) and 2 (8.3%) patients in deceased and live donor transplant recipients, respectively. Although the USC rate was significantly higher in the deceased donor renal transplant group (P = .022), there was no significant different in the rates of PUC (P = .137). Enterecoccus species was the common pathogen isolated from ureteral stent and urine. The micro-organisms isolated from ureteral stent in deceased and live donors, respectively, were distributed as follows: Enterococcus 5/3, Candida 3/1, Escherichia coli 2/1, Kebsiella pneumonia 1/1, and staphylococci in 1/0 patients. All E coli and K pneumoniae are extended spectrum beta-lactamase (ESBL)-positive isolates and resistant to sulfamethoxazole-trimethoprim (SMX/TMP). Conclusions. We report a high incidence of USC in deceased renal transplants. Enterecoccus instead of E coli is the most common pathogen during the first month after transplantation. Transplantation centers should be aware that deceased donor renal transplant recipients are more prone to stent-related infection and the antibacterial resistance rapidly increases in uropathogens.en_US
dc.identifier.doi10.1016/j.transproceed.2017.09.028
dc.identifier.endpage2085en_US
dc.identifier.issn0041-1345
dc.identifier.issn1873-2623
dc.identifier.issue9en_US
dc.identifier.pmid29149965
dc.identifier.scopus2-s2.0-85033685229
dc.identifier.scopusqualityQ3
dc.identifier.startpage2082en_US
dc.identifier.urihttps://doi.org/10.1016/j.transproceed.2017.09.028
dc.identifier.urihttps://hdl.handle.net/20.500.12939/981
dc.identifier.volume49en_US
dc.identifier.wosWOS:000416202300020
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorDemir, M.
dc.language.isoen
dc.publisherElsevier Science Incen_US
dc.relation.ispartofTransplantation Proceedings
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMedicineen_US
dc.subjectRenal Transplanten_US
dc.subjectLive Donoren_US
dc.titleComparision of ureteral stent colonization between deceased and live donor renal transplant recipients
dc.typeArticle

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu
Temel Tıp Bilimleri Bölümü Koleksiyonu