Catheter-associated urinary infection in kidney post-transplant patients

CONTEXT: There is still controversy as to the use and dosage of antimicrobial prophylaxis of the urinary infection associated with urethral catheterization in the post renal transplant period. OBJECTIVE: To determine whether patients develop urinary infection during short-term urethral catheterization after renal transplant without routine antimicrobial prophylaxis. DESIGN: Prospective study. SETTING: Kidney Transplantation Unit. SAMPLE: 20 patients submitted to non-complicated kidney transplant, with a normal urinary tract and no risk factors present regarding urinary infection. Aged 15 to 65 years. MAIN MEASUREMENTS: Before the transplant, material from the urethral meatus and urine were collected for culture. After the transplant, in the period during which the patient was with short-term urethral catheterization (4 to 5 days), material from the urethral meatus and urine from the bladder and the collecting bag were taken daily from all recipients for culture. RESULTS: There was a predominance of coagulase-negative Staphylococcus and S. viridans in the normal urethral meatus flora and in the first two days of urethral catheterization. After the second day, there was a predominance of E. coli and E. faecalis. Urinary infection did not occur during the period of urethral catheterization. In the follow up only one female patient (7%) had asymptomatic bacteriuria caused by E.coli after the withdrawal of the urethral catheter. CONCLUSIONS: Infection urinary does not occur during the period of urethral catheterization in kidney post-transplant patients. Thus, antimicrobial prophylaxis is not recommended for these patients to prevent urinary infection.

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Main Authors: Oliveira,Luiz Carlos de, Lucon,Antonio Marmo, Nahas,Willian Carlos, Ianhez,Luiz Estevam, Arap,Sami
Format: Digital revista
Language:English
Published: Associação Paulista de Medicina - APM 2001
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802001000500003
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spelling oai:scielo:S1516-318020010005000032001-11-27Catheter-associated urinary infection in kidney post-transplant patientsOliveira,Luiz Carlos deLucon,Antonio MarmoNahas,Willian CarlosIanhez,Luiz EstevamArap,Sami Urinary infection Urethral catheterization Renal Transplantation CONTEXT: There is still controversy as to the use and dosage of antimicrobial prophylaxis of the urinary infection associated with urethral catheterization in the post renal transplant period. OBJECTIVE: To determine whether patients develop urinary infection during short-term urethral catheterization after renal transplant without routine antimicrobial prophylaxis. DESIGN: Prospective study. SETTING: Kidney Transplantation Unit. SAMPLE: 20 patients submitted to non-complicated kidney transplant, with a normal urinary tract and no risk factors present regarding urinary infection. Aged 15 to 65 years. MAIN MEASUREMENTS: Before the transplant, material from the urethral meatus and urine were collected for culture. After the transplant, in the period during which the patient was with short-term urethral catheterization (4 to 5 days), material from the urethral meatus and urine from the bladder and the collecting bag were taken daily from all recipients for culture. RESULTS: There was a predominance of coagulase-negative Staphylococcus and S. viridans in the normal urethral meatus flora and in the first two days of urethral catheterization. After the second day, there was a predominance of E. coli and E. faecalis. Urinary infection did not occur during the period of urethral catheterization. In the follow up only one female patient (7%) had asymptomatic bacteriuria caused by E.coli after the withdrawal of the urethral catheter. CONCLUSIONS: Infection urinary does not occur during the period of urethral catheterization in kidney post-transplant patients. Thus, antimicrobial prophylaxis is not recommended for these patients to prevent urinary infection.info:eu-repo/semantics/openAccessAssociação Paulista de Medicina - APMSao Paulo Medical Journal v.119 n.5 20012001-09-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802001000500003en10.1590/S1516-31802001000500003
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country Brasil
countrycode BR
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libraryname SciELO
language English
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author Oliveira,Luiz Carlos de
Lucon,Antonio Marmo
Nahas,Willian Carlos
Ianhez,Luiz Estevam
Arap,Sami
spellingShingle Oliveira,Luiz Carlos de
Lucon,Antonio Marmo
Nahas,Willian Carlos
Ianhez,Luiz Estevam
Arap,Sami
Catheter-associated urinary infection in kidney post-transplant patients
author_facet Oliveira,Luiz Carlos de
Lucon,Antonio Marmo
Nahas,Willian Carlos
Ianhez,Luiz Estevam
Arap,Sami
author_sort Oliveira,Luiz Carlos de
title Catheter-associated urinary infection in kidney post-transplant patients
title_short Catheter-associated urinary infection in kidney post-transplant patients
title_full Catheter-associated urinary infection in kidney post-transplant patients
title_fullStr Catheter-associated urinary infection in kidney post-transplant patients
title_full_unstemmed Catheter-associated urinary infection in kidney post-transplant patients
title_sort catheter-associated urinary infection in kidney post-transplant patients
description CONTEXT: There is still controversy as to the use and dosage of antimicrobial prophylaxis of the urinary infection associated with urethral catheterization in the post renal transplant period. OBJECTIVE: To determine whether patients develop urinary infection during short-term urethral catheterization after renal transplant without routine antimicrobial prophylaxis. DESIGN: Prospective study. SETTING: Kidney Transplantation Unit. SAMPLE: 20 patients submitted to non-complicated kidney transplant, with a normal urinary tract and no risk factors present regarding urinary infection. Aged 15 to 65 years. MAIN MEASUREMENTS: Before the transplant, material from the urethral meatus and urine were collected for culture. After the transplant, in the period during which the patient was with short-term urethral catheterization (4 to 5 days), material from the urethral meatus and urine from the bladder and the collecting bag were taken daily from all recipients for culture. RESULTS: There was a predominance of coagulase-negative Staphylococcus and S. viridans in the normal urethral meatus flora and in the first two days of urethral catheterization. After the second day, there was a predominance of E. coli and E. faecalis. Urinary infection did not occur during the period of urethral catheterization. In the follow up only one female patient (7%) had asymptomatic bacteriuria caused by E.coli after the withdrawal of the urethral catheter. CONCLUSIONS: Infection urinary does not occur during the period of urethral catheterization in kidney post-transplant patients. Thus, antimicrobial prophylaxis is not recommended for these patients to prevent urinary infection.
publisher Associação Paulista de Medicina - APM
publishDate 2001
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802001000500003
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