Infection related to Klebsiella pneumoniae producing carbapenemase in renal transplant patients

Infection related to Klebsiella pneumoniae producing carbapenemase in renal transplant patients

ABSTRACT Objective: To evaluate the risk factors related to Klebsiella pneumoniae carbapenemase infection after renal transplantation. Methods: This was a retrospective epidemiological (case-control) study, conducted from October 2011 to march 2016. Transplanted patients with infection by this bacteria during hospitalization were selected as cases. The controls were paired by age, sex, type of donor and transplant time. The proportion of cases and controls was 1:2. Results: Thirty hundred and five patients were included in the study (45 cases and 90 controls). The risk factors found for infection by KPC were: time of hospitalization after the transplant (OR: 4.82; CI95% 2.46-9.44), delayed kidney function (OR: 5.60; CI95% 1.91-11.01) and previous infectious for another microorganism ( OR: 34.13 CI95% 3.52-132.00). Conclusion: The risk of acquisition of this bacterium was directly related to invasive procedures and exposure to the hospital environment. The findings reinforce the importance of prevention measures and control of infection by this microorganism.

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Main Authors: Taminato,Monica, Fram,Dayana, Pereira,Rogério Rodrigues Floriano, Sesso,Ricardo, Belasco,Angélica Gonçalves Silva, Pignatari,Antonio Carlos, Barbosa,Dulce Aparecida
Format: Digital revista
Language:English
Published: Associação Brasileira de Enfermagem 2019
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000300760
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spelling oai:scielo:S0034-716720190003007602019-12-10Infection related to Klebsiella pneumoniae producing carbapenemase in renal transplant patientsTaminato,MonicaFram,DayanaPereira,Rogério Rodrigues FlorianoSesso,RicardoBelasco,Angélica Gonçalves SilvaPignatari,Antonio CarlosBarbosa,Dulce Aparecida Infection Infection Control Kidney Transplantation Bacteria Nursing Care ABSTRACT Objective: To evaluate the risk factors related to Klebsiella pneumoniae carbapenemase infection after renal transplantation. Methods: This was a retrospective epidemiological (case-control) study, conducted from October 2011 to march 2016. Transplanted patients with infection by this bacteria during hospitalization were selected as cases. The controls were paired by age, sex, type of donor and transplant time. The proportion of cases and controls was 1:2. Results: Thirty hundred and five patients were included in the study (45 cases and 90 controls). The risk factors found for infection by KPC were: time of hospitalization after the transplant (OR: 4.82; CI95% 2.46-9.44), delayed kidney function (OR: 5.60; CI95% 1.91-11.01) and previous infectious for another microorganism ( OR: 34.13 CI95% 3.52-132.00). Conclusion: The risk of acquisition of this bacterium was directly related to invasive procedures and exposure to the hospital environment. The findings reinforce the importance of prevention measures and control of infection by this microorganism.info:eu-repo/semantics/openAccessAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem v.72 n.3 20192019-06-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000300760en10.1590/0034-7167-2019-0009
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country Brasil
countrycode BR
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access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Taminato,Monica
Fram,Dayana
Pereira,Rogério Rodrigues Floriano
Sesso,Ricardo
Belasco,Angélica Gonçalves Silva
Pignatari,Antonio Carlos
Barbosa,Dulce Aparecida
spellingShingle Taminato,Monica
Fram,Dayana
Pereira,Rogério Rodrigues Floriano
Sesso,Ricardo
Belasco,Angélica Gonçalves Silva
Pignatari,Antonio Carlos
Barbosa,Dulce Aparecida
Infection related to Klebsiella pneumoniae producing carbapenemase in renal transplant patients
author_facet Taminato,Monica
Fram,Dayana
Pereira,Rogério Rodrigues Floriano
Sesso,Ricardo
Belasco,Angélica Gonçalves Silva
Pignatari,Antonio Carlos
Barbosa,Dulce Aparecida
author_sort Taminato,Monica
title Infection related to Klebsiella pneumoniae producing carbapenemase in renal transplant patients
title_short Infection related to Klebsiella pneumoniae producing carbapenemase in renal transplant patients
title_full Infection related to Klebsiella pneumoniae producing carbapenemase in renal transplant patients
title_fullStr Infection related to Klebsiella pneumoniae producing carbapenemase in renal transplant patients
title_full_unstemmed Infection related to Klebsiella pneumoniae producing carbapenemase in renal transplant patients
title_sort infection related to klebsiella pneumoniae producing carbapenemase in renal transplant patients
description ABSTRACT Objective: To evaluate the risk factors related to Klebsiella pneumoniae carbapenemase infection after renal transplantation. Methods: This was a retrospective epidemiological (case-control) study, conducted from October 2011 to march 2016. Transplanted patients with infection by this bacteria during hospitalization were selected as cases. The controls were paired by age, sex, type of donor and transplant time. The proportion of cases and controls was 1:2. Results: Thirty hundred and five patients were included in the study (45 cases and 90 controls). The risk factors found for infection by KPC were: time of hospitalization after the transplant (OR: 4.82; CI95% 2.46-9.44), delayed kidney function (OR: 5.60; CI95% 1.91-11.01) and previous infectious for another microorganism ( OR: 34.13 CI95% 3.52-132.00). Conclusion: The risk of acquisition of this bacterium was directly related to invasive procedures and exposure to the hospital environment. The findings reinforce the importance of prevention measures and control of infection by this microorganism.
publisher Associação Brasileira de Enfermagem
publishDate 2019
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000300760
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