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: M Jonas, A Jóźwik, D Kawecki, M Durlik, L Pączek, G Młynarczyk, A Chmura
• Journal: Transplantation proceedings (Transplant Proc) Vol. 48 Issue 5 Pg. 1630-2 (Jun 2016) ISSN: 1873-2623 [Electronic] United States
• PMID: 27496460 (Publication Type: Journal Article)
• Copyright: Copyright © 2016. Published by Elsevier Inc.

Topics

• Catheter-Related Infections (etiology)
• Catheters, Indwelling (adverse effects)
• Constriction, Pathologic (prevention & control)
• Female
• Humans
• Kidney Transplantation (adverse effects, instrumentation)
• Male
• Middle Aged
• Postoperative Complications (etiology, prevention & control)
• Urinary Catheterization (adverse effects, instrumentation, methods)
• Urinary Tract Infections (etiology)