Risk factors for febrile urinary tract infections in the first year after pediatric renal transplantation

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dc.authoridArpali, Emre/0000-0001-6172-2398
dc.authoridKocak, Burak/0000-0002-0312-2447
dc.contributor.authorArpali, Emre
dc.contributor.authorKaratas, Cihan
dc.contributor.authorAkyollu, Basak
dc.contributor.authorAkinci, Serkan
dc.contributor.authorGunaydin, Bilal
dc.contributor.authorSal, Oguzhan
dc.contributor.authorNayir, Ahmet
dc.date.accessioned2024-11-07T13:34:37Z
dc.date.available2024-11-07T13:34:37Z
dc.date.issued2020
dc.departmentNiğde Ömer Halisdemir Üniversitesi
dc.description.abstractUrinary tract infection is the most common infectious complication following kidney transplant. Anatomic abnormalities, bladder dysfunction, a positive history of febrile urinary tract infection, and recipient age are reported risk factors. The aim of this study was to determine the risk factors for fUTI, which necessitated hospitalization in the first year after renal transplantation in our pediatric transplant population. A retrospective review of 195 pediatric patients who underwent kidney transplant between 2008 and 2017 from a single institution was performed. All patients admitted to the hospital with fUTI were marked for further analyses. The risk factors including age, gender, dialysis type, history of urologic disorders, and preoperative proteinuria for fUTI in the first year after kidney transplantation and graft survivals were investigated. Independent-sample t test and chi-square tests were used for univariate analysis. Exhaustive CHAID algorithm was used for multivariate analysis. The data of 115 male and 80 female patients were retracted. The mean ages of our cohort for males and females were 9.5 +/- 5.1 and 10 +/- 4.8 years, respectively. The age of the patients at transplant and their gender were found to be a statistically significant risk factors for developing fUTIs. Multivariate analysis showed that fUTI was common in female patients and a subgroup of male patients who had preoperative proteinuria, but no neurogenic bladder had higher risk compared with male patients without proteinuria. Patient surveillance and antibiotic prophylaxis algorithms can be developed to prevent febrile urinary tract infections seen after pediatric kidney transplantation in risky population.
dc.identifier.doi10.1111/petr.13637
dc.identifier.issn1397-3142
dc.identifier.issn1399-3046
dc.identifier.issue1
dc.identifier.pmid31880402
dc.identifier.scopus2-s2.0-85077392059
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1111/petr.13637
dc.identifier.urihttps://hdl.handle.net/11480/16059
dc.identifier.volume24
dc.identifier.wosWOS:000504483400001
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofPediatric Transplantation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241106
dc.subjectfebrile urinary tract infection
dc.subjectpediatric kidney transplantation
dc.subjectrisk factors
dc.titleRisk factors for febrile urinary tract infections in the first year after pediatric renal transplantation
dc.typeArticle

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