[Urinary tract infection following kidney allotransplantation: differentiation between bacterial colonization and bacterial infection].
Among 124 recipients of a renal allotransplant (22 men, 52 women), 60 patients (27 men, 33 women) showed more than 10(6) colony-forming units/ml midstream urine on one or several occasions. 26 patients (10 men, 16 women) did not present with leucocyturia whereas 23 (10 men, 13 women) did so. Urine samples were examined 1/2 to 5 1/2 years after transplantation. The comparison of the 2 groups of patients with and without leucocyturia revealed the following: there was no age difference; during the first year after grafting, bacteriuria with leucocyturia was more common; recurrent and de novo infections, dysuria, pyelonephritis and demonstration of E. coli were more frequent. Therapy was more effective in cases of bacteriuria without leucocyturia; the serum creatinine was more seldom elevated above the normal range and complications with ureters, bladder emptying or stenoses of the urethra were more seldomly observed.
Matter
C
C
Department für Innere Medizin, Universitätsspital, Zürich, Schweiz.
Binswanger
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U
D000328:Adult; D001419:Bacteria / Q000302:isolation & purification; D001431:Bacteriological Techniques; D001437:Bacteriuria / Q000382:microbiology*; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection; D006801:Humans; D007677:Kidney Function Tests; D016030:Kidney Transplantation; D007958:Leukocyte Count; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000382:microbiology*; D011704:Pyelonephritis / Q000382:microbiology; D012189:Retrospective Studies; D012307:Risk Factors
Harnwegsinfekt nach Nierenallotransplantation: Abgrenzung von Bakterien-Kolonisation und bakteriellem Infekt.