title: Incisional Infections after Renal Transplant: Outcome Data From 238 Consecutive Recipients.
abstract: OBJECTIVE
  Surgical incision infections, along with urinary tract infections, are among the most common infective complications after kidney transplant. The aim of this retrospective study is to evaluate the incidence and predisposing factors of surgical incision infection development in renal transplant recipients.
  
  
  METHODS
  Between 1 January 2012 and 31 December 2015, there were 238 consecutive kidney transplant procedures performed in our unit. Of these, 146 patients received deceased donor kidney allografts and 92 had transplants from living related donors. Deceased donor data, data about surgical procedures, and recipient data were collected.
  
  
  RESULTS
  This study demonstrated a surgical incision infection rate of 7.56%. Predisposing factors were found to be kidneys from deceased donors, antithymocyte globulin as antirejection therapy, body mass index > 30 kg/m2, cold ischemia time > 16.3 hours, delayed graft function, postoperative serum glucose > 280 mg/dL, second kidney transplant, and BK virus infection.
  
  
  CONCLUSIONS
  Surgical incision infection is a common postoperative infection after kidney transplant. The findings of this study elucidated the potential role of specific risk factors in surgical incision infection development (increased cold ischemia time, delayed graft function, antithymocyte globulin administration). Further evaluation of these findings in a prospective study is needed to avoid potential bias.
authors.affiliation: From the Transplantation Unit, Laikon General Hospital, Athens, Greece.
authors.forename: Demetrios
authors.initials: D
authors.lastname: Moris
authors.forename: Spyridon
authors.initials: S
authors.lastname: Davakis
authors.forename: Kiriaki
authors.initials: K
authors.lastname: Kakavia
authors.forename: John
authors.initials: J
authors.lastname: Bokos
authors.forename: Spyridon
authors.initials: S
authors.lastname: Vernadakis
authors.forename: Konstantinos
authors.initials: K
authors.lastname: Diles
authors.forename: Georgios
authors.initials: G
authors.lastname: Sotirchos
authors.forename: Alexandros
authors.initials: A
authors.lastname: Barlas
authors.forename: Mina
authors.initials: M
authors.lastname: Psychogiou
authors.forename: Georgios
authors.initials: G
authors.lastname: Zavos
mesh_terms: D000328:Adult; D000368:Aged; D000961:Antilymphocyte Serum / Q000627:therapeutic use; D050377:Cold Ischemia / Q000009:adverse effects; D051799:Delayed Graft Function / Q000453:epidemiology; D005260:Female; D006115:Greece / Q000453:epidemiology; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D015994:Incidence; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000453:epidemiology* / Q000382:microbiology; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000961:Antilymphocyte Serum; D007166:Immunosuppressive Agents; C512542:thymoglobulin