Volume : 6, Issue : 5, May - 2017

The Study of Urinary Tract Infection in Relation to Bladder Catheterization and Stenting in Renal Transplant Recipients

Seenivasan. M, Gopalakrishnan. N

Abstract :

<p>&nbsp;<b style="text-align: justify;"><span style="font-size:12.0pt;font-family:&#10;&quot;Times New Roman&quot;,serif">Objective</span></b><span style="text-align: justify; font-size: 12pt; font-family: &quot;Times New Roman&quot;, serif;">: To study the incidence of urinary tract infection (UTI) in relation to the number of catheter days and its relation to prophylactic stenting in renal transplant recipient.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Methods</b>: A retrospective case-control study was conducted in Department of Nephrology, Madras Medical College, Chennai for 1 year from May2012 to April2013.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Result</b>: The total number of patients included in the study was 141. The number of male patients was 110. The mean age in male cohort was 33.70&plusmn;8.77.The number of female patients was 31. The mean age in the female cohort was 30.18&plusmn;10.54. UTI occurred in 58 patients. </span><span lang="EN-IN" style="text-align: justify; font-size: 12pt; font-family: &quot;Times New Roman&quot;, serif;">In patients with indwelling bladder catheterisation less than 7 days duration, urinary infection occurred in 13 out of 57 (23%) patients. In those with indwelling catheterisation for more than 10 days, urinary tract infection occurred in 20 out of 26 (75%) patients. 50 patients out of 141 underwent prophylactic stenting in the study group. Urinary tract infection occurred in 21 out of 50 patients with prophylactic stenting. UTI occurred in 37 out of 91 patients without stenting. There was no correlation with stenting and UTI in renal transplant recipient (P=1).&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<b>Conclusion</b>: Bladder catheterisation more than 7 days increases the incidence of UTI. Prophylactic stenting did not increase the incidence of UTI.&nbsp;</span></p> <p class="MsoNormal" style="text-align:justify;line-height:normal"><span lang="EN-IN" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,serif;&#10;mso-ansi-language:EN-IN"><o:p></o:p></span></p>