Diagnosis and management of asymptomatic bacteriuria in kidney transplant recipients: a survey of current practice in Europe.
Détails
ID Serval
serval:BIB_56C54325FA29
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Diagnosis and management of asymptomatic bacteriuria in kidney transplant recipients: a survey of current practice in Europe.
Périodique
Nephrology, dialysis, transplantation
Collaborateur⸱rice⸱s
European Renal Association-European Dialysis Transplant Association (ERA-EDTA) Developing Education Science and Care for Renal Transplantation in European States (DESCARTES) working group and the European Study Group for Infections in Compromised Hosts (E, COLLABORATORS (IN ALPHABETICAL ORDER), European Renal Association-European Dialysis Transplant Association (ERA-EDTA) Developing Education Science and Care for Renal Transplantation in European States (DESCARTES) working group and the European Study Group for Infections in Compromised Hosts (ESGICH) of the European Society of Clinical Microbiology and Infectious Diseases (ESCMID)
Contributeur⸱rice⸱s
Adams B., Agnelli C., Ailioaie O., Akan H., Amrouche L., Andrés A., Anglicheau D., Arnouts P., Baas M., Balgradean C., Bammens B., Battaglia Y., Baudoux T., Berto I.M., Binet I., Bistrup C., Bonofiglio R., Bosmans J.L., Bouatou Y., Bouvier N., Braconnier P., Bredewold E., Broeders N., Brunet P., Buchler M., Budde K., Buron F., Burtey S., Buscaroli A., Büttner S., Byrne C., Caldara R., Cassuto E., Catalano C., Cavaille G., Corbel A., Couzi L., Crespo M., Daga S., Debelle F., Dedinska I., Devine P., Dickenmann M., Dratwa M., Drgona L., Durlik M., Egidi M.F., Errasti P., Etienne I., Fariñas M.C., Fehr T., Fernández-Ruiz M., Founta P., Fourtounas K., Frangou E., Frimat L., Furian L., Garjau M., Garrigue V., Gatault P., Geddes C., Gerlinger M.P., Gheuens E., Ghisdal L., Gibbs P., Giral M., Girerd S., Golshayan D., Gompou A., Grossi P.A., Guglielmetti G., Guirado L., Hadaya K., Hazzan M., Helbert M., Hellemans R., Heller K., Heemann U., Henckes M., Hernandez D., Hertig A., Hiesse C., Hilbrands L., Hilton R., Hirzel C., Horcajada J.P., Hougardy J.M., Huynh-Do U., Idrizi A., Ismaili K., Jiménez C., Jourde-Chiche N., Kamar N., Kaminski H., Kanter J., Karras A., Kemlin D., Kes P., Kianda M., Klinger M., Knight S., Koneth I., Krrashi A., Kuypers D., Langlois A.L., Lang P., Lauzurica R., Le Moine A., Lebeaux D., Legendre C., Lemy A., Len O., Liakopoulos V., Lichodziejewska-Niemierko M., Yague MBL, Lopau K., Madhoun P., Magott-Procelewska M., Malik S., Montero A.M., Marchini F., Marega A., Mariat C., Mark P., Martin P.Y., Martín L., Martín-Moreno P.L., Massart A., Matignon M., Maurel S., Mazuecos A., Melexopoulou C., Melilli E., Merino E., Mesic E., Messa P., Michalak M., Minetti E., Miserlis G., Montejo M., Moriconi D., Mottola C., Mourad G., Mueller T., Muñoz P., Nabokow A., Naesens M., Nikodimopoulou M., Oberbauer R., Olmedo M., Olsburgh J., Oniscu G., Øzbay L.A., Palmisano A., Papagianni A., Papasotiriou M., Parodi A., Parry R., Pascual J., Flores I.P., Pérez-Sáez M.J., Peruzzi L., Petit-Hoang C., Phelan P., Pillebout E., Piotti G., Pipeleers L., Pleros C., Popoola J., Pretagostini R., Psimenou E., Puig J., Rafat C., Bloudickova S.R., Bushljetikj I.R., Ratkovic M., Redondo D., Reischig T., Robert T., Ferrero MLR, Rroji M., Rutkowski P., Rydzewska-Rosolowska A., Sabé N., Sahali D., Salzberger B., San-Juan R., Sobrino B.S., Sandrini S., Santos L., Sava R., Schaub S., Schikowski J., Schvartz B., Sester U., Silva J.T., Snanoudj R., Somenzi D., Sørensen S., Rømming Sørensen V., Spanos G., Steiger J., Suwelack B., Theodoropoulou E., Thervet E., Thorban S., Tognarelli G., Tournay Y., Tricot L., Tulissi P., Vacher-Coponat H., Valerio M., Van Der Meijden WAG, Van Hamersvelt H., Van Laecke S., Vandivinit A., Vanholder R., Veroux M., Viklicky O., Vigo E., Viscoli C., Watschinger B., Weekers L., Welberry Smith M., Wissing K.M., Zeneli N., Zervos A., Zibar L., Zuber J., Zukunft B.
ISSN
1460-2385 (Electronic)
ISSN-L
0931-0509
Statut éditorial
Publié
Date de publication
01/09/2018
Peer-reviewed
Oui
Volume
33
Numéro
9
Pages
1661-1668
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Résumé
Asymptomatic bacteriuria is frequent in kidney transplant recipients (KTRs). However, there is no consensus on diagnosis or management. We conducted a European survey to explore current practice related to the diagnosis and management of asymptomatic bacteriuria in adult KTRs.
A panel of experts from the European Renal Association-European Dialysis Transplant Association/Developing Education Science and Care for Renal Transplantation in European States working group and the European Study Group for Infections in Compromised Hosts of the European Society of Clinical Microbiology and Infectious Diseases designed this cross-sectional, questionnaire-based, self-administered survey. Invitations to participate were e-mailed to European physicians involved in the care of KTRs.
Two hundred and forty-four participants from 138 institutions in 25 countries answered the survey (response rate 30%). Most participants [72% (176/244)] said they always screen for asymptomatic bacteriuria in KTRs. Six per cent (15/240) reported never treating asymptomatic bacteriuria with antibiotics. When antimicrobial treatment was used, 24% of the participants (53/224) said they would start with empirical antibiotics. For an episode of asymptomatic bacteriuria caused by a fully susceptible microorganism and despite no contraindications, a majority of participants (121/223) said they would use a fluoroquinolone (n = 56), amoxicillin/clavulanic acid (n = 38) or oral cephalosporins (n = 27).
Screening for and treating asymptomatic bacteriuria are common in KTRs despite uncertainties around the benefits and harms. In an era of antimicrobial resistance, further studies are needed to address the diagnosis and management of asymptomatic bacteriuria in these patients.
A panel of experts from the European Renal Association-European Dialysis Transplant Association/Developing Education Science and Care for Renal Transplantation in European States working group and the European Study Group for Infections in Compromised Hosts of the European Society of Clinical Microbiology and Infectious Diseases designed this cross-sectional, questionnaire-based, self-administered survey. Invitations to participate were e-mailed to European physicians involved in the care of KTRs.
Two hundred and forty-four participants from 138 institutions in 25 countries answered the survey (response rate 30%). Most participants [72% (176/244)] said they always screen for asymptomatic bacteriuria in KTRs. Six per cent (15/240) reported never treating asymptomatic bacteriuria with antibiotics. When antimicrobial treatment was used, 24% of the participants (53/224) said they would start with empirical antibiotics. For an episode of asymptomatic bacteriuria caused by a fully susceptible microorganism and despite no contraindications, a majority of participants (121/223) said they would use a fluoroquinolone (n = 56), amoxicillin/clavulanic acid (n = 38) or oral cephalosporins (n = 27).
Screening for and treating asymptomatic bacteriuria are common in KTRs despite uncertainties around the benefits and harms. In an era of antimicrobial resistance, further studies are needed to address the diagnosis and management of asymptomatic bacteriuria in these patients.
Mots-clé
Adult, Anti-Bacterial Agents/therapeutic use, Asymptomatic Infections/epidemiology, Asymptomatic Infections/therapy, Bacteriuria/diagnosis, Bacteriuria/drug therapy, Bacteriuria/microbiology, Cross-Sectional Studies, Europe/epidemiology, Female, Humans, Kidney Transplantation/adverse effects, Male, Practice Patterns, Physicians'/statistics & numerical data, Surveys and Questionnaires, Transplant Recipients
Pubmed
Web of science
Open Access
Oui
Création de la notice
14/04/2018 10:14
Dernière modification de la notice
04/10/2019 6:08
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