DOES EARLY WITHDRAWAL OF URINARY CATHETER FOLLOWING KIDNEY TRANSPLANT REDUCE URINARY TRACT INFECTIONS (UTI)?

You have accessJournal of UrologyTransplantation & Vascular Surgery: Renal Transplantation & Vascular Surgery II (MP70)1 Apr 2019MP70-19 DOES EARLY WITHDRAWAL OF URINARY CATHETER FOLLOWING KIDNEY TRANSPLANT REDUCE URINARY TRACT INFECTIONS (UTI)? Felipe Hirasaki*, Rogerio Sayao Filho, Renato Falci, Ioannis Antonopoulos, Kleiton Yamaçake, Hideki Kanashiro, Gustavo Ebaid, Gustavo Messi, Alexandre Bull, Rafael Locali, Affonso Piovesan, and William Nahas Felipe Hirasaki*Felipe Hirasaki* More articles by this author , Rogerio Sayao FilhoRogerio Sayao Filho More articles by this author , Renato FalciRenato Falci More articles by this author , Ioannis AntonopoulosIoannis Antonopoulos More articles by this author , Kleiton YamaçakeKleiton Yamaçake More articles by this author , Hideki KanashiroHideki Kanashiro More articles by this author , Gustavo EbaidGustavo Ebaid More articles by this author , Gustavo MessiGustavo Messi More articles by this author , Alexandre BullAlexandre Bull More articles by this author , Rafael LocaliRafael Locali More articles by this author , Affonso PiovesanAffonso Piovesan More articles by this author , and William NahasWilliam Nahas More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000557111.46608.d5AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: Urinary tract infection is the most common type of bacterial infection in kidney transplant procedures, with adverse effects on graft and patient survival. Successful bladder drainage is imperative for successful transplant outcomes. Perfect timing for urinary catheter withdrawal is unknown and longer catheter use may increase the incidence of urinary tract infections (UTI). Therefore, we hypothesized that early catheter withdrawal may reduce the risk of UTI. The main objective is to evaluate the outcomes of early withdrawal of the urinary catheter following kidney transplant regarding UTI and urinary tract postoperative complications (UTPC). METHODS: A retrospective search on our database was performed, searching for all cases of renal transplant that had the information about urinary catheter withdrawal (UCW) between January 2017 and July 2018. We divided into 2 groups: group A - UCW on the third postoperative day and group B - UCW on or after the fifth postoperative day. Outcomes regarding UTI and UTPC were compared between the two groups. We considered only UTI and UTC cases that occurred within three months after the urinary catheter removal. Data were analysed using the Chi-square test and Fisher exact test. RESULTS: 320 renal transplants were performed during the selected period, of which, 250 had the information about UCW. Thirty-four patients, who had undergone renal transplant surgery, had their urinary catheter removed on the third postoperative day. This group showed two cases of UTI within three months after catheter removal. No other UTPC was found. Additionally, 216 patients had their urinary catheter removed on the fifth postoperative or afterwards . Fifty-six cases of UTI were found and only three UTPC cases occurred: two uretheral fistulas and one uretheral stenosis. There was a statistically significant difference between the two groups regarding UTI: Group A (6.1%) x Group B (26%) – p<0,005. No difference was found regarding UTPC (p=0,650). CONCLUSIONS: Early urinary catheter withdrawal in patients who had undergone renal transplant surgery showed a significant decrease in UTI incidents within three months and showed no further UTPC. Therefore, it should be considered as standard practice following renal transplant. Source of Funding: none Sao Paulo, Brazil© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e1045-e1045 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Felipe Hirasaki* More articles by this author Rogerio Sayao Filho More articles by this author Renato Falci More articles by this author Ioannis Antonopoulos More articles by this author Kleiton Yamaçake More articles by this author Hideki Kanashiro More articles by this author Gustavo Ebaid More articles by this author Gustavo Messi More articles by this author Alexandre Bull More articles by this author Rafael Locali More articles by this author Affonso Piovesan More articles by this author William Nahas More articles by this author Expand All Advertisement PDF downloadLoading ...