The Effects of Pre-Transplant Pyuria of the Deceased Donor on Post-Transplant Urinary Tract Infections in the Case of Gender Mismatch Transplantation
1Nephrology, Haeundae Paik Hospital, Busan, Korea
2Nephrology, Busan Paik Hospital, Busan, Korea.
Meeting: 2018 American Transplant Congress
Abstract number: A168
Keywords: Graft function, Infection
Session Information
Date: Saturday, June 2, 2018
Session Name: Poster Session A: Kidney Transplant Goes Viral
Session Time: 5:30pm-7:30pm
Presentation Time: 5:30pm-7:30pm
Location: Hall 4EF
Introduction: Renal transplantation is one of the best treatment options in patients with end-stage renal diseas. It is reported that kidney transplantation using organs from infected donors may not be associated with a great risk of complication. The aim of this study is to investigate the effects of pre-transplant pyuria of the deceased donor on post-transplant urinary tract infections in the case of gender mismatch transplantion.
Method: We reviewed the medical records of 227 deceased donor patients and transplant recipients from January 2006 to March 2017. We collected the data including the presence of pyuria, microorganism identified from urine cultrure, the duration of ICU stay, BMI, serum creatinine, Blood type, Age, Gender, Rejection, HLA mismatch count and immuno- suppressants.
Result: Among 227 deceased donor transplants, 33 cases (14.5%) were transplanted from male to female, and 54 cases (23.8%) from female to male. 99 cases (43%) were transplanted from man to man and 41 cases (18%) from woman to woman. Of the deceased donors, 61 (26.9%) had pyuria, 46 (20.3%) were male and 15 (6.6%) were female. From man with pyuria to woman, there were 14 cases of pyuria occurred, and from woman to man, 6 cases of pyuria occurred. When from man with pyuria to man, 10 cases had of pyuria and from woman to woman, 4 cases were. Statistically, the incidence of pyuria was not related to the sex of the donor, but it was higher when recipients were female (P < 0.005). In the donor urine, Candia species were most commonly cultured. In recipient, E-coli was the most common microorganism.
Conclusion: The incidence of pyuria in recipients is the highest in women who received kidney from deceased donors with pyuria. It is not related to the sex or the species of microorganism from the urine of the deceased donor.
CITATION INFORMATION: Kim Y., Park S. The Effects of Pre-Transplant Pyuria of the Deceased Donor on Post-Transplant Urinary Tract Infections in the Case of Gender Mismatch Transplantation Am J Transplant. 2017;17 (suppl 3).
To cite this abstract in AMA style:
Kim Y, Park S. The Effects of Pre-Transplant Pyuria of the Deceased Donor on Post-Transplant Urinary Tract Infections in the Case of Gender Mismatch Transplantation [abstract]. https://atcmeetingabstracts.com/abstract/the-effects-of-pre-transplant-pyuria-of-the-deceased-donor-on-post-transplant-urinary-tract-infections-in-the-case-of-gender-mismatch-transplantation/. Accessed March 8, 2021.« Back to 2018 American Transplant Congress