Incidencia de infección y sus posibles causas durante el periodo postoperatorio inmediato tras un trasplante renal

  1. Faraldo Cabana, Araceli 1
  2. Jiménez Romero, María del Carmen 1
  3. Ibáñez Rebé, María 1
  4. Rico del Vas, María Dolores 1
  5. Fernández Cruz, Ana María 1
  6. Lope Andrea, Teresa 2
  1. 1 Enfermera del Servicio de Nefrología del Hospital Clínico San Carlos (Madrid)
  2. 2 Supervisora del Servicio de Nefrología del Hospital Clínico San Carlos (Madrid)
Journal:
Conocimiento Enfermero

ISSN: 2605-3152

Year of publication: 2022

Issue Title: Conocimiento Enfermero

Volume: 5

Issue: 15

Pages: 50-59

Type: Article

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Abstract

Chronic kidney disease has become a significant health issue in modern-day society and kidney transplantation represents the treatment of choice in the majority of cases. The kidney transplant recipient is a high-risk patient; in addition to potential complications during surgery, we must consider the impact of immunosuppression. The emergence of infection in these patients entails an increased risk of graft loss, as well as mortality. A retrospective observational study of kidney transplant patients from January 2016 to December 2019 during the immediate postoperative period. The incidence of infection was 67.9%, the syndromes described were ITU (50%), cytomegalovirus infection (7,2%), catheter related infection (10%) and bacteremia (8,2%). The most common microorganisms were: Escherichia Coli (16,7%), Klebsiella Pneumoniae (9,9%) y Staphylococcus Epidermis (9,9%). A significant relationship was found between the emergence of infection and the type of donor (asystole or brain death) and between the emergence of infection and the length of hospital stay. A relationship was also found between the incidence of CVC related infection and the duration of catheterization. Knowledge of the etiology of infectious complications assists us in prevention, in reduction of medical costs and in increasing patient survival and quality of life.

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