Predictors of Post Kidney Transplant Infection Among Adult Filipino Patients in a Tertiary Hospital in Davao City: A 7- year Retrospective Study

Dr Rizza Antenor1, Dr Maria Theresa Bad-ang1, Dr Adrian Ronald Espino1, Dr. Larissa Lara Torno1

1Southern Philippines Medical Center, Davao City, Philippines

Introduction:

Kidney transplantation provides to be the best available treatment  for advanced chronic kidney disease (CKD). Patients who underwent kidney transplantation are at high risk of nosocomial infections occurring immediately or after surgery. Several risk factors contribute to the development of nosocomial infections, however, there are only a handful of literature available. This study aims to identify the predictors of post kidney transplant nosocomial infections in order to prevent its complications and furthermore provide a general census of these data in the local setting.

Methods:

This is a single center, hospital based, retrospective descriptive study design on the (a) incidence of post kidney transplant infections and (b) determine the demographic, clinical profile and post operative factors that can predict the occurrence of infection.

Results:

Baseline characteristics among the 55 patients who underwent kidney transplantation such as age, sex and etiology of renal failure were statistically not significant (p value >0.05).  The presence of hypertension as a secondary cause of CKD, abnormal body mass index and the prolonged length of hospital stay were noted to significantly increase the risk of developing nosocomial infections.

Conclusion:

The most common nosocomial infections identified in the study were respiratory infections, urinary tract infections and surgical site infections (25%, 22% and 4% respectively).  The identification of these predictors may help set and improve current policies in preventing the occurrence of nosocomial infections.


Biography:

29 year old, Female

I finished my Internal Medicine residency training at Southern Philippines Medical Center, Davao City, Philippines last December 2018.

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