[Infectious complications after kindred kidney allotransplantation].
It was analyzed the medical records of 231 patients who underwent living kindred donor kidney transplantation. Early postoperative complications were observed in 51 (22%) patients including infectious events in 30 cases namely pyelonephritis (13), pneumonia (6), sepsis (5), wound infection (3), pulmonary tuberculosis (2) and esophageal mycosis (1). Microflora investigation revealed predominantly gram-negative bacteria including enterobacteriaceae (K. pneumoniae, E. coli and E. cloacae) and nonfermentable bacteria (P. aeruginosa, Acinetobacter spp.). Analysis of 7-year antibiotic susceptibility showed that polymyxin, imipenem, cefoperazone/sulbactam and amikacin preserve their activity against enterobacteriaceae and pseudomonas; linezolid, vancomycinum and moxifloxacin--against staphylococcus; voriconazole, amphotericinum B and fluconazole--against Candida spp. These medicines are preferred for antibiotic prevention of perioperative and early postoperative infectious complications.
acad. B.V. Petrovskiy Russian Scientific Center for Surgery of RAS, Moscow, Russia.
E P
EP
Volynchik
acad. B.V. Petrovskiy Russian Scientific Center for Surgery of RAS, Moscow, Russia.
N S
NS
Bogomolova
acad. B.V. Petrovskiy Russian Scientific Center for Surgery of RAS, Moscow, Russia.
S M
SM
Kusnetsova
acad. B.V. Petrovskiy Russian Scientific Center for Surgery of RAS, Moscow, Russia.
L V
LV
Bol'shakov
D000293:Adolescent; D000328:Adult; D064591:Allografts; D019072:Antibiotic Prophylaxis / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D016030:Kidney Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012426:Russia / Q000453:epidemiology; D013530:Surgical Wound Infection / Q000453:epidemiology* / Q000517:prevention & control; D055815:Young Adult