Infectious events in kidney transplant recipients from deceased expanded criteria donors: a prospective cohort

Detalhes bibliográficos
Autor(a) principal: Sousa,Sirlei Regina de
Data de Publicação: 2021
Outros Autores: 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
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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spelling 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
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