Portal de Periódicos da CAPES

Artigo Produção Nacional Revisado por pares

BIBTEX RIS

Risk Factors for Nosocomial Urinary Tract and Postoperative Wound Infections in Renal Transplant Patients: A Matched-Pair Case-Control Study

1992; Lippincott Williams & Wilkins; Volume: 147; Issue: 4 Linguagem: Inglês

10.1016/s0022-5347(17)37444-x

1527-3792

Milton Soibelmann Lapchik, Adauto Castelo Filho, José Osmar A. Pestana, Alvaro Pacheco SILVA FILHO, Sérgio Barsanti Wey,

Central Venous Catheters and Hemodialysis

No AccessJournal of Urology1 Apr 1992Risk Factors for Nosocomial Urinary Tract and Postoperative Wound Infections in Renal Transplant Patients: A Matched-Pair Case-Control Study Milton S. Lapchik, Adauto Castelo Filho, José Osmar A. Pestana, Álvaro P. Silva Filho, and Sérgio B. Wey Milton S. LapchikMilton S. Lapchik More articles by this author , Adauto Castelo FilhoAdauto Castelo Filho More articles by this author , José Osmar A. PestanaJosé Osmar A. Pestana More articles by this author , Álvaro P. Silva FilhoÁlvaro P. Silva Filho More articles by this author , and Sérgio B. WeySérgio B. Wey More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)37444-XAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail A matched-pair case-control study was done on 4 groups of renal transplant patients who acquired nosocomial infections: 1) urinary tract infection, 2) postoperative wound infection, 3) urinary tract plus postoperative wound infection and 4) the entire group of patients. For urinary tract infection patients a prolonged period of hemodialysis before hospitalization was considered a risk factor. Renal transplantation with an HLA-1 (identical) donor graft was a characteristic related to the control group. High levels of plasma creatinine and prolonged vesical catheterization were risk factors for acquiring postoperative wound infection. The latter was also considered to be a risk factor for both infections, as well as the inadequate use of antibiotic prophylaxis and the number of antibiotics used. For the entire group of patients surgical wall hematoma was a risk factor. In this group the independent risk factors analyzed by multivariate logistic regression were renal transplantation with a cadaver donor graft, prolonged vesical catheterization and prolonged use of antibiotics. Careful management of the cadaver donor allograft, decreasing the chances of contamination, decreasing the interval of urinary catheter maintenance and use of antibiotics in the postoperative period are measures that can contribute to lessen the incidence of these nosocomial infections in renal transplant recipients. © 1992 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 147Issue 4April 1992Page: 994-998 Advertisement Copyright & Permissions© 1992 by The American Urological Association Education and Research, Inc.Keywordskidney transplantationinfectionurinary tract infectionsMetricsAuthor Information Milton S. Lapchik More articles by this author … View all authors Expand All Advertisement PDF downloadLoading ...