Biblioteca Hospital 12 de Octubre

Bacterial urinary tract infection after solid organ transplantation in the RESITRA cohort (Registro nro. 9386)

000 -CABECERA
Campo de control de longitud fija 03518na a2200229 4500
003 - IDENTIFICADOR DEL NÚMERO DE CONTROL
Campo de control H12O
005 - FECHA Y HORA DE LA ÚLTIMA TRANSACCIÓN
Campo de control 20180417112758.0
008 - CÓDIGOS DE INFORMACIÓN DE LONGITUD FIJA
Campo de control de longitud fija 130622s2012 xxx||||| |||| 00| 0 eng d
040 ## - FUENTE DE LA CATALOGACIÓN
Centro transcriptor H12O
041 ## - CÓDIGO DE LENGUA
Código de lengua del texto/banda sonora o título independiente eng
100 ## - PUNTO DE ACCESO PRINCIPAL - NOMBRE DE PERSONA
9 (RLIN) 876
Nombre de persona Aguado García, José María
Término indicativo de función Enfermedades Infecciosas
245 00 - MENCIÓN DE TÍTULO
Título Bacterial urinary tract infection after solid organ transplantation in the RESITRA cohort
Tipo de material [artículo]
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Fecha de publicación distribución etc. 2012
Nombre del editor distribuidor etc. Transplant Infectious Disease,
300 ## - DESCRIPCIÓN FÍSICA
Extensión 14(6):595-603.
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Nota general Formato Vancouver:
Vidal E, Torre-Cisneros J, Blanes M, Montejo M, Cervera C, Aguado JM, et al. Bacterial urinary tract infection after solid organ transplantation in the RESITRA cohort. Transpl Infect Dis. 2012;14(6):595-603.
501 ## - NOTA DE “CON”
Nota de "Con" PMID: 22650416
504 ## - NOTA DE BIBLIOGRAFÍA; ETC.
Nota de bibliografía etc. Contiene 37 referencias
520 ## - NOTA DE SUMARIO; ETC.
Sumario etc. Urinary tract infection (UTI) is the most common infection in renal transplant patients, but it is necessary to determine the risk factors for bacterial UTI in recipients of other solid organ transplants (SOTs), as well as changes in etiology, clinical presentation, and prognosis.
METHODS: In total, 4388 SOT recipients were monitored in 16 transplant centers belonging to the Spanish Network for Research on Infection in Transplantation (RESITRA). The frequency and characteristics of bacterial UTI in transplant patients were obtained prospectively from the cohort (September 2003 to February 2005).
RESULTS: A total of 192 patients (4.4%) presented 249 episodes of bacterial UTI (0.23 episodes per 1000 transplantation days); 156 patients were kidney or kidney-pancreas transplant recipients, and 36 patients were liver, heart, and lung transplant recipients. The highest frequency was observed in renal transplants (7.3%). High frequency of cystitis versus pyelonephritis without related mortality was observed in both groups. The most frequent etiology was Escherichia coli (57.8%), with 25.7% producing extended-spectrum β-lactamase (ESBL). In all transplants but renal, most cases occurred in the first month after transplantation. Cases were uniformly distributed during the first 6 months after transplantation in renal recipients. Age (odds ratio [OR] per decade 1.1, 95% confidence interval [CI] 1.02-1.17), female gender (OR 1.74, 95% CI 1.42-2.13), and the need for immediate post-transplant dialysis (OR 1.63, 95% CI 1.29-2.05) were independent variables associated with bacterial UTI in renal and kidney-pancreas recipients. The independent risk factors identified in non-renal transplants were age (OR per decade 1.79, 95% CI 1.09-3.48), female gender (OR 1.7, 95% CI 1.43-2.49), and diabetes (OR 1.02, 95% CI 1.001-1.040).
CONCLUSIONS: UTI was frequent in renal transplants, but also not unusual in non-renal transplants. Because E. coli continues to be the most frequent etiology, the emergence of ESBL-producing strains has been identified as a new problem. In both populations, most cases were cystitis without related mortality. Although the first month after transplantation was a risk period in all transplants, cases were uniformly distributed during the first 6 months in renal transplants. Age and female gender were identified as risk factors for UTI in both populations. Other particular risk factors were the need for immediate post-transplant dialysis in renal transplants and diabetes in non-renal transplants.
710 ## - PUNTO DE ACCESO ADICIONAL - NOMBRE DE ENTIDAD
9 (RLIN) 6
Nombre de entidad o nombre de jurisdicción como elemento inicial Servicio de Medicina Interna
856 ## - LOCALIZACIÓN Y ACCESO ELECTRÓNICOS
Identificador Uniforme del Recurso (URI) http://pc-h12o-es.m-hdoct.a17.csinet.es/pdf/pc/9/pc9386.pdf
Acceso Solicitar documento
942 ## - ENTRADA PARA ELEMENTOS AGREGADOS (KOHA)
Suprimido en OPAC Público
Fuente de clasificación o esquema de ordenación en estanterías
Koha [por defecto] tipo de item Artículo
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          Hospital Universitario 12 de Octubre Hospital Universitario 12 de Octubre 2016-06-27 PC9386 2016-06-27 2016-06-27 Artículo

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