Infectious events in kidney transplant recipients from deceased expanded criteria donors: a prospective cohort
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Escola de Enfermagem da USP (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100553 |
Resumo: | ABSTRACT Objective: Analyze risk factors for infection in kidney transplant recipients from deceased expanded criteria donors (DECD) in the first two years of follow-up. Method: This is a prospective cohort study with 466 patients from DECD who underwent kidney transplantation in 2015 and 2016 in Brazil. A total of 551 events were recorded. The largest incidence of infectious events occurred in the first month after kidney transplantation. Cytomegalovirus infection was the most common infectious episode. Results: The incidence rate of infections was 57.1%. Among bacterial infections, only 4% were due to multidrug-resistant microorganisms. The death rate was 3.3% (15) patients. The main cause of death was infectious (73.3%). Hospitalization until the first infection (aOR:1.61), Number of infections in 1 year (aOR:40.16), and Cytomegalovirus infection (aOR:13.84) was risk factors for infection by multidrug resistant microorganisms (MDR). Conclusion: Infection incidence with MDR bacteria was high among kidney transplant recipients from DECD, and the main cause of death was infection. Survival was high among patients with infection. |
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Revista da Escola de Enfermagem da USP (Online) |
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Infectious events in kidney transplant recipients from deceased expanded criteria donors: a prospective cohortInfectionsKidney TransplantationTransplantsMortalitySurvival rateABSTRACT Objective: Analyze risk factors for infection in kidney transplant recipients from deceased expanded criteria donors (DECD) in the first two years of follow-up. Method: This is a prospective cohort study with 466 patients from DECD who underwent kidney transplantation in 2015 and 2016 in Brazil. A total of 551 events were recorded. The largest incidence of infectious events occurred in the first month after kidney transplantation. Cytomegalovirus infection was the most common infectious episode. Results: The incidence rate of infections was 57.1%. Among bacterial infections, only 4% were due to multidrug-resistant microorganisms. The death rate was 3.3% (15) patients. The main cause of death was infectious (73.3%). Hospitalization until the first infection (aOR:1.61), Number of infections in 1 year (aOR:40.16), and Cytomegalovirus infection (aOR:13.84) was risk factors for infection by multidrug resistant microorganisms (MDR). Conclusion: Infection incidence with MDR bacteria was high among kidney transplant recipients from DECD, and the main cause of death was infection. Survival was high among patients with infection.Universidade de São Paulo, Escola de Enfermagem2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100553Revista da Escola de Enfermagem da USP v.55 2021reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USP10.1590/1980-220x-reeusp-2021-0255info:eu-repo/semantics/openAccessSousa,Sirlei Regina deFonseca,Cassiane Dezoti daTaminato,MonicaVattimo,Maria de Fatima FernandesBelasco,Angélica Gonçalves SilvaSousa,Álvaro Francisco Lopes deFronteira,InêsBarbosa,Dulce Aparecidaeng2021-09-14T00:00:00Zoai:scielo:S0080-62342021000100553Revistahttp://www.scielo.br/reeuspPUBhttps://old.scielo.br/oai/scielo-oai.php||nursingscholar@usp.br1980-220X0080-6234opendoar:2021-09-14T00:00Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Infectious events in kidney transplant recipients from deceased expanded criteria donors: a prospective cohort |
title |
Infectious events in kidney transplant recipients from deceased expanded criteria donors: a prospective cohort |
spellingShingle |
Infectious events in kidney transplant recipients from deceased expanded criteria donors: a prospective cohort Sousa,Sirlei Regina de Infections Kidney Transplantation Transplants Mortality Survival rate |
title_short |
Infectious events in kidney transplant recipients from deceased expanded criteria donors: a prospective cohort |
title_full |
Infectious events in kidney transplant recipients from deceased expanded criteria donors: a prospective cohort |
title_fullStr |
Infectious events in kidney transplant recipients from deceased expanded criteria donors: a prospective cohort |
title_full_unstemmed |
Infectious events in kidney transplant recipients from deceased expanded criteria donors: a prospective cohort |
title_sort |
Infectious events in kidney transplant recipients from deceased expanded criteria donors: a prospective cohort |
author |
Sousa,Sirlei Regina de |
author_facet |
Sousa,Sirlei Regina de Fonseca,Cassiane Dezoti da Taminato,Monica Vattimo,Maria de Fatima Fernandes Belasco,Angélica Gonçalves Silva Sousa,Álvaro Francisco Lopes de Fronteira,Inês Barbosa,Dulce Aparecida |
author_role |
author |
author2 |
Fonseca,Cassiane Dezoti da Taminato,Monica Vattimo,Maria de Fatima Fernandes Belasco,Angélica Gonçalves Silva Sousa,Álvaro Francisco Lopes de Fronteira,Inês Barbosa,Dulce Aparecida |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Sousa,Sirlei Regina de Fonseca,Cassiane Dezoti da Taminato,Monica Vattimo,Maria de Fatima Fernandes Belasco,Angélica Gonçalves Silva Sousa,Álvaro Francisco Lopes de Fronteira,Inês Barbosa,Dulce Aparecida |
dc.subject.por.fl_str_mv |
Infections Kidney Transplantation Transplants Mortality Survival rate |
topic |
Infections Kidney Transplantation Transplants Mortality Survival rate |
description |
ABSTRACT Objective: Analyze risk factors for infection in kidney transplant recipients from deceased expanded criteria donors (DECD) in the first two years of follow-up. Method: This is a prospective cohort study with 466 patients from DECD who underwent kidney transplantation in 2015 and 2016 in Brazil. A total of 551 events were recorded. The largest incidence of infectious events occurred in the first month after kidney transplantation. Cytomegalovirus infection was the most common infectious episode. Results: The incidence rate of infections was 57.1%. Among bacterial infections, only 4% were due to multidrug-resistant microorganisms. The death rate was 3.3% (15) patients. The main cause of death was infectious (73.3%). Hospitalization until the first infection (aOR:1.61), Number of infections in 1 year (aOR:40.16), and Cytomegalovirus infection (aOR:13.84) was risk factors for infection by multidrug resistant microorganisms (MDR). Conclusion: Infection incidence with MDR bacteria was high among kidney transplant recipients from DECD, and the main cause of death was infection. Survival was high among patients with infection. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100553 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342021000100553 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1980-220x-reeusp-2021-0255 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
dc.source.none.fl_str_mv |
Revista da Escola de Enfermagem da USP v.55 2021 reponame:Revista da Escola de Enfermagem da USP (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista da Escola de Enfermagem da USP (Online) |
collection |
Revista da Escola de Enfermagem da USP (Online) |
repository.name.fl_str_mv |
Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||nursingscholar@usp.br |
_version_ |
1748936541492740096 |