Catheter-associated urinary infection in kidney post-transplant patients

Authors

  • Luiz Carlos de Oliveira Hospital das Clínicas, Universidade de São Paulo
  • Antonio Marmo Lucon Hospital das Clínicas, Universidade de São Paulo
  • Willian Carlos Nahas Hospital das Clínicas, Universidade de São Paulo
  • Luiz EEstevam Ianhez Hospital das Clínicas, Universidade de São Paulo
  • Sami Arap Hospital das Clínicas, Universidade de São Paulo

Keywords:

Urinary infection, Urethral catheterization, Renal Transplantation

Abstract

CONTEXT: There is still controversy as to the use and dosageofantimicrobialprophylaxisoftheurinary infection associated with urethral catheterization in the post renal transplant period. OBJECTIVE: To determine whether patients develop urinary infection during short-term urethral catheterization after renal transplant with out routine antimicrobialprophylaxis. DESIGN: Prospective study. SETTING: Kidney Transplantation Unit. SAMPLE: 20 patients submitted to non-complicated kidneytransplant,with anormal urinary tract and no risk factors present regarding urinaryinfection. Aged 15 to 65 years. MAIN MEASUREMENTS: Before the transplant, material from the urethral meatus and urine were collected for culture. After the transplant, in the period during which the patient was with short- termurethralcatheterization(4to5days),material from the urethral meatus andurine from the bladder and the collecting bag were taken daily from all recipients for culture. RESULTS: There was a predominance of coagulase- negative Staphylococcus and S. viridans in the normal urethral meatus flora and in the first two days of urethral catheterization. After the second day, there was a predominance of E. coli and E. faecalis. Urinary infection did not occur during the period of urethral catheterization. In the follow uponlyonefemalepatient (7%) hadasymptomatic bacteriuria caused by E.coli after the withdrawal of the urethral catheter. CONCLUSIONS: Infection urinary does not occur during the period of urethral catheterization in kidneypost-transplantpatients.Thus,antimicrobial prophylaxisis not recommended for the sepatients to prevent urinary infection.

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Author Biographies

Luiz Carlos de Oliveira, Hospital das Clínicas, Universidade de São Paulo

MD. PhD. Urology Clinic, Faculty of Medicine, Universidade de São Paulo, São Paulo, Brazil.

Antonio Marmo Lucon, Hospital das Clínicas, Universidade de São Paulo

MD. PhD. Associated Professor of the Urology Clinic, Faculty of Medicine, Universidade de São Paulo, São Paulo, Brazil.

Willian Carlos Nahas, Hospital das Clínicas, Universidade de São Paulo

MD. PhD. Associated Professor of the Urology Clinic, Faculty of Medicine, Universidade de São Paulo, São Paulo, Brazil.

Luiz EEstevam Ianhez, Hospital das Clínicas, Universidade de São Paulo

MD. PhD. Associated Professor of the Urology Clinic, Faculty of Medicine, Universidade de São Paulo, São Paulo, Brazil.

Sami Arap, Hospital das Clínicas, Universidade de São Paulo

MD. PhD. Professor of Urology, Faculty of Medicine, Universidade de São Paulo, São Paulo, Brazil.

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Published

2001-09-09

How to Cite

1.
Oliveira LC de, Lucon AM, Nahas WC, Ianhez LE, Arap S. Catheter-associated urinary infection in kidney post-transplant patients. Sao Paulo Med J [Internet]. 2001 Sep. 9 [cited 2025 Mar. 15];119(5):165-8. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/2778

Issue

Vol. 119 No. 5 (2001)

Section

Original Article

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