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PRACTITIONER SECTION
Year : 2011  |  Volume : 3  |  Issue : 4  |  Page : 383-389

Urinary tract infections and asymptomatic bacteriuria in renal transplant recipients


1 Department of Internal Medicine, University at Buffalo, David K. Miller Building, 462 Grider ST. Buffalo, NY, USA
2 Division of Nephrology, Indiana University, 950 W Walnut ST. R2 202, Indianapolis, IN, USA

Correspondence Address:
Rabi Yacoub
Department of Internal Medicine, University at Buffalo, David K. Miller Building, 462 Grider ST. Buffalo, NY
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-777X.91064

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Asymptomatic bacteriuria and urinary tract infection are common complications after kidney transplantation. In this population, if urinary tract infection occurred in the first six months post procedure, it carries a grave impact on both graft and patient survival. Renal transplant recipients with urinary tract infection are often clinically asymptomatic as a consequence of immunosuppression. Urinary tract infection, however, may progress to acute pyelonephritis, bacteremia and the full blown picture of urosepsis. PubMed and Cochrane databases were searched. The purpose of this review is to discuss the screening and treatment of urinary tract infection and asymptomatic bacteriuria in renal transplant recipients and to evaluate the guidelines on the basis of a review of published evidence.


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2008 Journal of Global Infectious Diseases | Published by Wolters Kluwer - Medknow
Online since 10th December, 2008