Kidney Transplant Uti Guidelines. These updated guidelines from the infectious diseases community of practice of the american society of transplantation review the diagnosis prevention and management of urinary tract infections uti in solid organ transplantation focusing on kidney transplant kt recipients. Morbidity and mortality from uti can be caused by recurrent and or severe sepsis.
Current guidelines simply recommend that kidney transplant recipients receive posttransplant uti prophylaxis with trimethoprim sulfa methoxazole and that patients with allo graft pyelonephritis receive intravenous antibiotics in the hospital. To date there are no guidelines on antibiotic prophylaxis for uti in this population. Urinary tract infections uti are the most common of infections after renal transplantation.
To date there are no guidelines on antibiotic prophylaxis for uti in this population.
Nevertheless recent guidelines by kdigo kidney disease. We aimed to identify the prevalence and risk factors for post transplant utis and assess utis. Kdigo guidelines propose monitoring ebv viral load by nat in the first post transplant week then monthly for the first 3 6 months then every 3 months until the end of first post transplant year. On examining the role of surveillance and treatment of asymptomatic bacteriuria posttransplant fiorante and colleagues found that up to 50 of recipients had bacteriuria.