Incidence and risk factors for surgical site infection after simultaneous pancreas-kidney transplantation

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dc.contributor.authorPerdiz, L. B. [UNIFESP]
dc.contributor.authorFurtado, G. H. C. [UNIFESP]
dc.contributor.authorLinhares, M. M. [UNIFESP]
dc.contributor.authorGonzalez, A. M. [UNIFESP]
dc.contributor.authorPestana, J. O. M. [UNIFESP]
dc.contributor.authorMedeiros, E. A. S. [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T13:58:36Z
dc.date.available2016-01-24T13:58:36Z
dc.date.issued2009-08-01
dc.description.abstractA simultaneous pancreas-kidney transplantation (SPKT) is the best treatment option for type I diabetic patients with advanced chronic renal failure. Infectious complications affect 7-50% of the patients receiving this procedure. We conducted a nested case-control study to assess the risk factors for surgical site infection (SSI) in patients receiving SPKT at our Centre between 2000 and 2006. of the 119 evaluated transplant recipients, 55 (46.2%) developed SSIs and the 30 day mortality was 11.8%. Gram-negative organisms were the predominant organisms isolated from SSIs. After multivariate logistic regression, the variables independently associated with SSI were: acute tubular necrosis, post-transplant fistula and graft rejection. This study demonstrated a high incidence of SSI in this patient cohort and variables related to the surgical procedure were closely associated with the development of SSI. (C) 2009 the Hospital Infection Society. Published by Elsevier B.V. All rights reserved.en
dc.description.affiliationUniversidade Federal de São Paulo, Hosp Epidemiol Comm, Div Infect Dis, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Dept Surg Gastroenterol, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Div Nephrol, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Hosp Epidemiol Comm, Div Infect Dis, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Surg Gastroenterol, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Div Nephrol, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent326-331
dc.identifierhttp://dx.doi.org/10.1016/j.jhin.2009.04.016
dc.identifier.citationJournal of Hospital Infection. London: W B Saunders Co Ltd, v. 72, n. 4, p. 326-331, 2009.
dc.identifier.doi10.1016/j.jhin.2009.04.016
dc.identifier.issn0195-6701
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/31721
dc.identifier.wosWOS:000269271600007
dc.language.isoeng
dc.publisherW B Saunders Co Ltd
dc.relation.ispartofJournal of Hospital Infection
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectNosocomial infectionen
dc.subjectRisk factorsen
dc.subjectSimultaneous pancreas-kidney transplantationen
dc.subjectSurgical site infectionen
dc.titleIncidence and risk factors for surgical site infection after simultaneous pancreas-kidney transplantationen
dc.typeinfo:eu-repo/semantics/article
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