腎移植後泌尿器科的感染症の誘因について

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Urological infections after renal transplantation are observed very often. It seems that they are not paid attention because most of urological infections are urinary tract infections which have usually high responsiveness to medical treatment. But in some cases, encephalomeningitis or lung infections are induced by them. Therefore, we have to prevent the infections. We studied factors of urological infections in 26 infectious patients. Urological infections were detected in 26 (46.2%) out of 56 transplant recipients. Early infections within three months after transplantation were found 17 (34%) out of 50 patients. On the other hand, late infections after three months were 14 (32%) out of 44 patients. 15 out of 17 early infections affected the urinary tract (fourteen: urethrocystitis, one: pyelocystitis). The other 2 infections were perincephritis which were found at postmortem examination. Eight of fourteen late infections were epididymitis, which were classified into four urethrocystitis, two pyelocystitis and two prostitutes. The number of patients with urinary tract infections were only 11 (23%) out of 47 males, but there were five patients with urinary tract infections in nine female cases. There were urinary tract infections in 18 (55%) out of 33 patients with acute rejection and in 8 (35%) out of 23 patients without acute rejection. Early infections were observed in 14 out of 18 patients with both acute rejection and urological infection. Eight out of twelve patients with postoperative surgical complication of urological system (69%) fell into these infection.
社団法人日本泌尿器科学会の論文

腎移植後泌尿器科的感染症の誘因について

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