Profile of infections in renal transplant recipients from India

Background: Infectious disorders are a major cause of concern in renal transplant recipients (RTRs) leading to considerable morbidity and mortality. We studied the profile and outcomes of infectious disorders in a cohort of RTR. Materials and Methods: In this prospective, observational study, we eva...

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Main Authors: Arun Kumar, Chaturbhuj Agarwal, Ashok K Hooda, Ashutosh Ojha, Mukesh Dhillon, K. V. S. Hari Kumar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2016;volume=5;issue=3;spage=611;epage=614;aulast=Kumar
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author Arun Kumar
Chaturbhuj Agarwal
Ashok K Hooda
Ashutosh Ojha
Mukesh Dhillon
K. V. S. Hari Kumar
author_facet Arun Kumar
Chaturbhuj Agarwal
Ashok K Hooda
Ashutosh Ojha
Mukesh Dhillon
K. V. S. Hari Kumar
author_sort Arun Kumar
collection DOAJ
description Background: Infectious disorders are a major cause of concern in renal transplant recipients (RTRs) leading to considerable morbidity and mortality. We studied the profile and outcomes of infectious disorders in a cohort of RTR. Materials and Methods: In this prospective, observational study, we evaluated all RTR who presented with the features of infection. We also included asymptomatic patients with microbiological evidence of infection. We excluded patients with acute rejection, drug toxicity, and malignancy. Descriptive statistics were used to analyze the results. Results: The study population (n = 45, 35 male and 10 female) had a mean age of 35.5 ± 10.4 years and follow-up after transplant was 2.1 ± 1.7 years. Urinary tract infection (UTI, n = 15) is the most common infection followed by tuberculosis (TB, n = 8), cytomegalovirus (n = 6), candidiasis (n = 7), and hepatitis (n = 11). Miscellaneous infections such as cryptosporidiosis and pneumocystis were seen in 10 patients. Simultaneous infections with two organisms were seen in 7 patients. Four patients succumbed to multiorgan dysfunction following sepsis, another 4 patients developed chronic graft dysfunction, while the remaining 35 RTR had a good graft function. Conclusion: Infectious complications are very common in the posttransplant period including UTI and TB. Further large scale studies are required to identify the potential risk factors leading to infections in RTR.
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spelling doaj.art-3664f92d807b439daee6acd713bd7e2c2022-12-22T02:20:44ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632016-01-015361161410.4103/2249-4863.197320Profile of infections in renal transplant recipients from IndiaArun KumarChaturbhuj AgarwalAshok K HoodaAshutosh OjhaMukesh DhillonK. V. S. Hari KumarBackground: Infectious disorders are a major cause of concern in renal transplant recipients (RTRs) leading to considerable morbidity and mortality. We studied the profile and outcomes of infectious disorders in a cohort of RTR. Materials and Methods: In this prospective, observational study, we evaluated all RTR who presented with the features of infection. We also included asymptomatic patients with microbiological evidence of infection. We excluded patients with acute rejection, drug toxicity, and malignancy. Descriptive statistics were used to analyze the results. Results: The study population (n = 45, 35 male and 10 female) had a mean age of 35.5 ± 10.4 years and follow-up after transplant was 2.1 ± 1.7 years. Urinary tract infection (UTI, n = 15) is the most common infection followed by tuberculosis (TB, n = 8), cytomegalovirus (n = 6), candidiasis (n = 7), and hepatitis (n = 11). Miscellaneous infections such as cryptosporidiosis and pneumocystis were seen in 10 patients. Simultaneous infections with two organisms were seen in 7 patients. Four patients succumbed to multiorgan dysfunction following sepsis, another 4 patients developed chronic graft dysfunction, while the remaining 35 RTR had a good graft function. Conclusion: Infectious complications are very common in the posttransplant period including UTI and TB. Further large scale studies are required to identify the potential risk factors leading to infections in RTR.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2016;volume=5;issue=3;spage=611;epage=614;aulast=KumarIndiainfectionsrenal transplantationtuberculosisurinary tract infection
spellingShingle Arun Kumar
Chaturbhuj Agarwal
Ashok K Hooda
Ashutosh Ojha
Mukesh Dhillon
K. V. S. Hari Kumar
Profile of infections in renal transplant recipients from India
Journal of Family Medicine and Primary Care
India
infections
renal transplantation
tuberculosis
urinary tract infection
title Profile of infections in renal transplant recipients from India
title_full Profile of infections in renal transplant recipients from India
title_fullStr Profile of infections in renal transplant recipients from India
title_full_unstemmed Profile of infections in renal transplant recipients from India
title_short Profile of infections in renal transplant recipients from India
title_sort profile of infections in renal transplant recipients from india
topic India
infections
renal transplantation
tuberculosis
urinary tract infection
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2016;volume=5;issue=3;spage=611;epage=614;aulast=Kumar
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