دورية أكاديمية
Epidemiology, risk factors, and major outcomes in post kidney transplant infections at National Hospital Kandy: A cross-sectional, pilot study
| العنوان: | Epidemiology, risk factors, and major outcomes in post kidney transplant infections at National Hospital Kandy: A cross-sectional, pilot study |
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| المؤلفون: | M A Ayesha Nayanamali, A M Muditha Piyumali Athapaththu, B M Duminda Bandara Basnayake, T G Nadeeka Shyamali Gunarathne, Abdul W M. Wazil, R M Buddhisha S. S. Mahanama, Brammah U E W D R Thangarajah, Nishantha Nanayakkara |
| المصدر: | Indian Journal of Transplantation, Vol 16, Iss 1, Pp 77-83 (2022) |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Surgery |
| مصطلحات موضوعية: | immune suppressions, postkidney transplant infections, risk factors, sri lanka, Surgery, RD1-811 |
| الوصف: | Background: Postkidney transplant (PKT) infections are associated with significant morbidity and mortality, especially in the early posttransplant period. The type of infection, associated risk factors, and predicted outcomes of the infections are essential for targeted appropriate management. Scientific published data, especially in local settings, are lacking. This study was conducted to assess the epidemiology, risk factors, and major outcomes of PKT infections requiring hospitalization. Methods: This was a prospective observational study, conducted at the Nephrology and Transplant Unit, National Hospital Kandy, Sri Lanka, for a period of 2 months from December 1, 2018, to January 30, 2019. Results: A total of 38 infectious episodes were recorded in 35 kidney recipients. The most common type of infection was urinary tract infection (UTI) noted in 36.6% (n = 14) of cases. The most frequent organisms isolated were coliform (7.9%, n = 3). Seven potential risk factors including age, gender, comorbidities, source of kidney, induction modality, enhancement therapy, and months after renal transplant were evaluated. Among those potential risk factors, age was significantly associated with gastrointestinal tract infections (P = 0.033). There was a significant association between the gender and the severity of infections (P = 0.047). Majority of patients discharged from the hospital following complete recovery. Three patients were offered intensive care, two developed acute renal failure requiring renal replacement therapy and one was expired. Conclusion: The most common type of infection in PKT patients is UTI. Patient's age is significantly associated with gastrointestinal infections. Large-scale studies warrant for adequately concluding risk factors, epidemiology, and outcomes. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2212-0017 2212-0025 |
| Relation: | http://www.ijtonline.in/article.asp?issn=2212-0017;year=2022;volume=16;issue=1;spage=77;epage=83;aulast=Nayanamali; https://doaj.org/toc/2212-0017; https://doaj.org/toc/2212-0025 |
| DOI: | 10.4103/ijot.ijot_132_20 |
| URL الوصول: | https://doaj.org/article/c835f81e7f53452a87e3a3071cfc1b1e |
| رقم الأكسشن: | edsdoj.835f81e7f53452a87e3a3071cfc1b1e |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 22120017 22120025 |
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| DOI: | 10.4103/ijot.ijot_132_20 |