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Early Post Transplantation Infections in CAPO Patients

1984; SAGE Publishing; Volume: 4; Issue: 1 Linguagem: Inglês

10.1177/089686088400400114

1718-4304

Jean‐Philippe Ryckelynck, Christian Verger, Dominique Pierre, J Sabatier, B Faller, Jean-Marie Beaud,

Pneumocystis jirovecii pneumonia detection and treatment

In order to evaluate the risk of infection during the post-transplantation period in CAPD patients, a retrospective multi-center study was performed among six centers: dialysis and transplantation teams differed in size and experience, and geographically were separated so that the group studied can be taken to represent the overall CAPD population. Seventeen CAPD patients were transplanted between 1980 and 1983: no infectious complication related to CAPD was observed, even in patients whose CAPD was continued after the operation. It is concluded that there is no special risk to CAPD patients receiving a kidney transplant and therefore adults waiting for a renal transplant can be safely maintained on CAPD. Compared to hemodialysis, CAPD is a relatively new treatment and therefore there is no overall agreement about its indications. This is true particularly for ESRD patients younger than 55 years who are waiting for a kidney transplantation; many teams are reluctant to transplant CAPD patients because of a possible high risk for infection due to the presence of an intraperitoneal catheter and a history of previous peritonitis. To evaluate this risk, we have undertaken a multicenter study of CAPD patients transplanted between January 1980 and January 1983.