Impact of different urinary tract infection phenotypes within the first year post-transplant on renal allograft outcomes.

Détails

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Etat: Public
Version: Final published version
Licence: CC BY-NC 4.0
ID Serval
serval:BIB_AF52B0435C03
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Impact of different urinary tract infection phenotypes within the first year post-transplant on renal allograft outcomes.
Périodique
American journal of transplantation
Auteur⸱e⸱s
Brune J.E., Dickenmann M., Wehmeier C., Sidler D., Walti L., Golshayan D., Manuel O., Hadaya K., Neofytos D., Schnyder A., Boggian K., Müller T., Schachtner T., Khanna N., Schaub S.
Collaborateur⸱rice⸱s
and the Swiss Transplant Cohort Study
ISSN
1600-6143 (Electronic)
ISSN-L
1600-6135
Statut éditorial
Publié
Date de publication
07/2022
Peer-reviewed
Oui
Volume
22
Numéro
7
Pages
1823-1833
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
In this study, we investigated the clinical impact of different urinary tract infection (UTI) phenotypes occurring within the first year after renal transplantation. The population included 2368 transplantations having 2363 UTI events. Patients were categorized into four groups based on their compiled UTI events observed within the first year after transplantation: (i) no colonization or UTI (n = 1404; 59%), (ii) colonization only (n = 353; 15%), (iii) occasional UTI with 1-2 episodes (n = 456; 19%), and (iv) recurrent UTI with ≥3 episodes (n = 155; 7%). One-year mortality and graft loss rate were not different among the four groups, but patients with recurrent UTI had a 7-10 ml/min lower eGFR at year one (44 ml/min vs. 54, 53, and 51 ml/min; p < .001). UTI phenotypes had no impact on long-term patient survival (p = .33). However, patients with recurrent UTI demonstrated a 10% lower long-term death-censored allograft survival (p < .001). Furthermore, recurrent UTI was a strong and independent risk factor for reduced death-censored allograft survival in a multivariable analysis (HR 4.41, 95% CI 2.53-7.68, p < .001). We conclude that colonization and occasional UTI have no impact on pertinent outcomes, but recurrent UTI are associated with lower one-year eGFR and lower long-term death-censored allograft survival. Better strategies to prevent and treat recurrent UTI are needed.
Mots-clé
Allografts, Graft Survival, Humans, Kidney Transplantation/adverse effects, Phenotype, Retrospective Studies, Risk Factors, Urinary Tract Infections/epidemiology, Urinary Tract Infections/etiology, allograft loss, patient survival, renal transplantation, urinary tract infection
Pubmed
Web of science
Open Access
Oui
Création de la notice
21/03/2022 9:58
Dernière modification de la notice
25/01/2024 8:42
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