World Journal of Nephrology and Urology, ISSN 1927-1239 print, 1927-1247 online, Open Access |
Article copyright, the authors; Journal compilation copyright, World J Nephrol Urol and Elmer Press Inc |
Journal website http://www.wjnu.org |
Original Article
Volume 3, Number 2, June 2014, pages 92-99
Infectious Complications in Pediatric Renal Transplant Patients
Figure
Tables
Patient characteristics | Patients (n = 105) |
---|---|
RRT: renal replacement therapy; tx: transplantation; PD: peritoneal dialysis; HD: hemodialysis. | |
Recipient age (mean, years) | 7.9 (1.5 - 18.1) |
Male/female ratio | 0.98 |
Body mass index | 18.5 ± 1.3 |
Underlying disease of renal failure | |
Nephrologic (n, %) | (52, 49.5%) |
Urinary (n, %) | (43, 41%) |
Unknown (n, %) | (10, 9.5%) |
RRT modality before tx: PD/HD/premptive (n) | 41/47/17 |
Cadaveric/living related donor (n) | 56/49 |
Mean ischemia time (h) | 15.3 ± 11.1 (ranges 2 ± 25) |
ICU stay (days) | 2.8 ± 1.6 |
Central catheterization time (days) | 8.5 ± 2.1 |
Urinary catheterization time (days) | 2.7 ± 0.9 |
Double J use (patient number)/usage time (weeks) | 21/4.4 ± 2 weeks |
Hospitalization time (days) | 19.8 ± 5.2 |
Variable | Infectious patients (n = 62) | Patients without infection (n = 43) | P |
---|---|---|---|
BMI: body mass index; ATG: anti-thymocyte globulin. | |||
Recipient age (years) | 11.3 | 13.0 | < 0.05 |
Female | 36 (58 %) | 17 (39.5%) | < 0.05 |
Double J cathe (weeks) | 42.7 ± 6.8 | 42.7 ± 4.9 | 0.06 |
Hospitalization time (days) | 23 ± 2.1 | 19 ± 3.2 | 0.061 |
Urinary catheter duration (day) | 4.7 ± 1.0 | 4.5 ± 1.03 | 0.06 |
BMI | 17.05 | 18.6 | 0.08 |
Cadaveric kidney (n, %) | 33 (58.9%) | 23 (41%) | < 0.05 |
Haplotypes | Identical,11.5%; haploidentical, 30% | Identical, 25.8%; haploidentical, 34.2% | < 0.05 |
Ischemia time (h) | 13.5 ± 3.9 | 15 ± 4.3 | 0.054 |
Donor age (years) | 34.8 ± 13.5 | 33.1 ± 12 | 0.08 |
ATG induction during the first week | 3.5 ± 2.4 | 4.5 ± 2.9 | < 0.05 |
Dialysis time (months) | 19.8 ± 18.9 | 15.7 ± 14.9 | < 0.05 |
Pathogens of UTI | n |
---|---|
UTI: urinary tract infection. | |
Bacterial infections | |
Gram-positive bacteri | |
Enterococcus faecium | 3 |
Streptococcus pneumonia | 2 |
Staphylococcus epidermidis | 5 |
Staphylococcus aureus | 2 |
A group B hemolytic streptococci | 3 |
Gram-negative bacteria | |
Klebsiella pneumonia | 7 |
Klebsiellaoxytaca | 11 |
Echerichia coli | 29 |
Proteus species | 3 |
Morganellamorgagni | 2 |
Enterobacter cloaca | 3 |
No bacteria isolated | 2 |