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ePublished: 20 Nov 2016
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J Renal Inj Prev. 2017;6(1): 43-48.
doi: 10.15171/jrip.2017.08
PMID: 28487871
PMCID: PMC5414518
Scopus ID: 85040644734
  Abstract View: 3043
  PDF Download: 1608

Original Article

Old habits die hard; does early urinary catheter removal affect kidney size, bacteriuria and UTI after renal transplantation?

Roghayeh Akbari 1, Sedigheh Rahmani Firouzi 2, Abazar Akbarzadeh-Pasha 1*

1 Clinical Research Development Unit, Ayatollah Rohani Hospital, Babol University of Medical Sciences, Babol, Iran
2 Babol University of Medical Sciences, Babol, Iran
*Corresponding Author: *Corresponding author: Abazar Akbarzadeh-Pasha, , Email: pasha.abazar@hotmail.com

Abstract

Introduction: Renal transplantation is the treatment of choice in chronic renal failure patients.

Objectives: The purpose of this study was to evaluate the impact of urinary catheter removal time on transplanted kidney size and incidence of asymptomatic bacteriuria and urinary tract infections (UTIs).

Patients and Methods: This retrospective cohort study evaluated the clinical outcomes of 109 consecutive live donor renal transplant recipients from December 2011 to July 2014. Routine ultrasound examinations were performed on donor’s kidney prior to operation and one month later. Kidney volume was calculated. UTI and bacteriuria were evaluated one month later. Patients were divided into two groups based on time of Foley catheter removal (before and after fifth day posttransplantation).

Results: In this study 74 males (67.9%) and 35 females (32.1%) were evaluated. Sixty-six patients (57.92%) were in group 1. None of the patients with positive urine culture had UTI but bacteriuria occurred in all of them (21.1%). Bacteriuria time after transplantation and catheter removal was significantly later in group 1 and it was not different in female group but they were later in male group. The mean renal volume increase was positively correlated to renal transplant recipient and donor’s age and donor’s body mass index (BMI) (P???0.05).

Conclusion: This study showed that the time of catheter removal after kidney transplantation does not affect incidence of UTI but increases the probability of bacteria in men whose catheter was removed within 5 days after transplantation. We also found that the renal volume change is not associated with catheter removal time and bacteriuria.


Implication for health policy/practice/research/medical education:

In a study on 109 patients, we found the time of catheter removal after kidney transplantation does not affect incidence of UTI but increases the probability of bacteria in men whose catheter was removed within 5 days after transplantation. We also found that the renal volume change is not associated with catheter removal time and bacteriuria.

Please cite this paper as: Akbari R, Rahmani Firouzi S, Akbarzadeh-Pasha A. Old habits die hard; does early urinary catheter removal affect kidney size, bacteriuria and UTI after renal transplantation? J Renal Inj Prev. 2017;6(1):43-48. DOI: 10.15171/jrip.2017.08.

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