Febrile urinary tract infection after pediatric kidney transplantation

• Verfasst von: Weigel, Friederike [VerfasserIn]
• Verfasst von: Tönshoff, Burkhard [VerfasserIn]
• Titel: Febrile urinary tract infection after pediatric kidney transplantation
• Titelzusatz: a multicenter, prospective observational study
• Verf.angabe: Friederike Weigel, Anja Lemke, Burkhard Tönshoff, Lars Pape, Henry Fehrenbach, Michael Henn, Bernd Hoppe, Therese Jungraithmayr, Martin Konrad, Guido Laube, Martin Pohl, Tomáš Seeman, Hagen Staude, Markus J. Kemper, Ulrike John
• E-Jahr: 2016
• Jahr: 11 January 2016
• Umfang: 8 S.
• Fussnoten: Gesehen am 06.09.2019
• Titel Quelle: Enthalten in: Pediatric nephrology
• Ort Quelle: Berlin : Springer, 1987
• Jahr Quelle: 2016
• Band/Heft Quelle: 31(2016), 6, Seite 1021-1028
• ISSN Quelle: 1432-198X
• DOI: doi:10.1007/s00467-015-3292-2
• Datenträger: Online-Ressource
• Sprache: eng
• Bibliogr. Hinweis: Erscheint auch als : Online-AusgabeWeigel, Friederike: Febrile urinary tract infection after pediatric kidney transplantation. - 2016
• Sach-SW: CAKUT
• Sach-SW: Children
• Sach-SW: Kidney transplantation
• Sach-SW: Outcome
• Sach-SW: Urinary tract infection
• K10plus-PPN: 1676218459

Abstract

BackgroundFebrile urinary tract infections (fUTIs) are common after kidney transplantation (KTx); however, prospective data in a multicenter pediatric cohort are lacking. We designed a prospective registry to record data on fUTI before and after pediatric KTx.MethodsNinety-eight children (58 boys and 40 girls) ≤ 18 years from 14 mid-European centers received a kidney transplant and completed a 2-year follow-up.ResultsPosttransplant, 38.7 % of patients had at least one fUTI compared with 21.4 % before KTx (p = 0.002). Before KTx, fUTI was more frequent in patients with congenital anomalies of kidneys and urinary tract (CAKUT) vs. patients without (38 % vs. 12 %; p = 0.005). After KTx, fUTI were equally frequent in both groups (48.7 % vs. 32.2 %; p = 0.14). First fUTI posttransplant occurred earlier in boys compared with girls: median range 4 vs. 13.5 years (p = 0.002). Graft function worsened (p < 0.001) during fUTI, but no difference was recorded after 2 years. At least one recurrence of fUTI was encountered in 58 %.ConclusionThis prospective study confirms a high incidence of fUTI after pediatric KTx, which is not restricted to patients with CAKUT; fUTIs have a negative impact on graft function during the infectious episode but not on 2-year graft outcome.