Department of Transplants, Bajío Regional Hospital of High-Specialty, León Guanajuato, Mexico.
Department of Surgery and Clinical Research, Bajío Regional Hospital of High-Specialty, León Guanajuato, Mexico.
Transplant Proc. 2021 Jul-Aug;53(6):1927-1932. doi: 10.1016/j.transproceed.2021.05.002. Epub 2021 Jul 3.
The incidence of urinary complications in transplantation is 2% to 20%, which can be decreased with the use of a double-J catheter. The objective of this study was to determine the association between the use of the catheter and the probability of urinary tract infection (UTI).
We studied a retrospective cohort of 1038 patients divided into 2 groups: those treated with vs without a double-J catheter. Perioperative factors related to catheter use were analyzed. Second, whether the use of the catheter was associated with fewer other urinary complications was analyzed.
Of the whole sample, 72 patients were eliminated from the study, and 358 (37%) received a double-J catheter. UTIs occurred in 190 patients (19.6%), of whom a greater proportion received a catheter: 88 of 358 (24.6%) vs 102 of 608 (16.8%) (odds ratio, 1.61; 95% confidence interval, 1.17-2.22; P = .003).
The placement of a double-J catheter during transplant is associated with a higher proportion of UTIs, increasing their severity and the cost of care, without having a clear effect on other types of urinary complications.
移植术后尿路并发症的发生率为 2%至 20%，使用双 J 导管可降低其发生率。本研究旨在确定导管的使用与尿路感染（UTI）概率之间的关系。
我们研究了一个回顾性队列，共纳入 1038 例患者，分为两组：使用双 J 导管组和未使用双 J 导管组。分析了与导管使用相关的围手术期因素。其次，分析了导管的使用是否与较少发生其他尿路并发症有关。
在整个样本中，有 72 例患者被排除在研究之外，358 例（37%）患者使用了双 J 导管。190 例患者发生了 UTI，其中使用导管的患者比例更高：358 例中有 88 例（24.6%），608 例中有 102 例（16.8%）（比值比，1.61；95%置信区间，1.17-2.22；P=0.003）。
移植术中放置双 J 导管与 UTI 发生率较高相关，增加了 UTI 的严重程度和治疗成本，但对其他类型的尿路并发症没有明显影响。
