title: Influence of Double-J Catheters on Urinary Infections After Kidney Transplantation.
abstract: BACKGROUND
  One of the most important problem in kidney transplantation is risk of the urinary anastomosis stricture. In uncertain cases the use of a double-J (or JJ) catheter is a standard solution. In case of urinary leak or fistula after the reanastomosis operation, transuretheral JJ implantation is used. A number of patients after JJ use present urinary infection.
  
  
  METHODS
  Between 2012 and 2014, 283 kidney transplantations were performed in our center. In 77 cases (27.2%), a JJ was used at the time of operation, in 10 other cases (3.5%) during postoperative period.
  
  
  RESULTS
  Urinary infection was observed in 95 patients (33.6%), with Proteus, Klebsiella, Enterobacter, Escherichia, Enterococcus, Pseudomonas, Morganella, and Staphylococcus cultures. In the group of patients without JJ catheters, infections were found in 27.6% of cases and in group with JJ, in 47.1% (46.8% in intraoperative use of catheters and 50% in postoperative curse).
  
  
  CONCLUSIONS
  The analysis shows that use of JJ catheters gives urinary infections almost twice more frequent (47.1% vs 27.6%; P = .001) with no difference if the implantation took place during or after the operation.
authors: General and Transplantation Surgery Department, Warsaw Medical University, Warsaw, Poland. Electronic address: morjon@poczta.onet.pl.
authors: M
authors: M
authors: Jonas
authors: General and Transplantation Surgery Department, Warsaw Medical University, Warsaw, Poland.
authors: A
authors: A
authors: Jóźwik
authors: General, Oncology and Functional Urology Department, Warsaw Medical University, Warsaw, Poland.
authors: D
authors: D
authors: Kawecki
authors: Department of Transplantology and Nephrology, Warsaw Medical University, Warsaw, Poland.
authors: M
authors: M
authors: Durlik
authors: Department of Immunology, Transplantology and Internal Medicine, Warsaw Medical University, Warsaw, Poland.
authors: L
authors: L
authors: Pączek
authors: Department of Medical Microbiology, Warsaw Medical University, Warsaw, Poland.
authors: G
authors: G
authors: Młynarczyk
authors: General and Transplantation Surgery Department, Warsaw Medical University, Warsaw, Poland.
authors: A
authors: A
authors: Chmura
mesh_terms: D055499:Catheter-Related Infections / Q000209:etiology*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D003251:Constriction, Pathologic / Q000517:prevention & control; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects* / Q000295:instrumentation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000517:prevention & control; D014546:Urinary Catheterization / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D014552:Urinary Tract Infections / Q000209:etiology*