Alp GÜRKAN, Ali İlker FİLİZ, Abdulcabbar KARTAL, Taner KIVILCIM, Abut KEBUDI, Gürsel YILDIZ, Murat Ferhat FERHATOĞLU

Evaluation of the relationship between perioperative urine culture and postoperative urinary tract infections in renal transplant patients

Aim: The aim of the study was to determine the prevalence and risk factors of bacterial urinary tract infection (UTI) in patientsundergoing renal transplantation and to evaluate the possible bacterial agents that colonize the bladder in patients with or withoutmicturition beforehand.Material and Methods: A total of 89 renal transplant patients were included in the study. Demographic characteristics of the patientssuch as age and gender, as well as the presence of micturition before transplantation, clinical findings, urine culture, and agents thatshowed growth were all retrospectively analyzed and the relevant data were recorded.Results: Of the total 89 patients, 17 (19.10%) developed a urinary tract infection within 12 months after transplantation. Eight ofthese patients required hospitalization for treatment, while four had at least two infection episodes. Escherichia coli and Klebsiellapneumonia were the two most common causative agents. A comparison of the groups with and without UTI revealed that micturitionbefore transplantation was not a factor that affected the development of UTI (p > 0.05).Conclusion: Because UTI represents a severe problem for renal transplant patients, it must be evaluated in all patients. No correlationwas found between preoperative micturition and postoperative UTI.

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