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• W2007218486 abstract "No AccessJournal of UrologyPediatric urology1 May 2007Urinary Tract Infections and Bladder Dysfunction After Renal Transplantation in Children Maria Herthelius and Helena Öborn Maria HertheliusMaria Herthelius More articles by this author and Helena ÖbornHelena Öborn More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2007.01.054AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Urinary tract infection remains a major cause of morbidity in pediatric renal transplant recipients. In otherwise healthy children bladder dysfunction increases the susceptibility to urinary tract infection. The aims of this study were to determine whether bladder dysfunction affects the incidence of urinary tract infection after renal transplantation, and to assess the impact of recurrent urinary tract infections on graft function. Materials and Methods: We evaluated bladder function with a questionnaire, uroflowmetry and bladder ultrasound, and renal function with clearance of inulin or iohexol (glomerular filtration rate) in 68 recipients of renal transplants 5 to 20 years old, at 1 to 15 years after transplantation, with and without recurrent urinary tract infections. Results: Bladder dysfunction was equally common in children with and without recurrent urinary tract infections (68% vs 74%, not significant). Therefore, it had no effect on the incidence of recurrent urinary tract infections. Graft function deteriorated at a faster rate in patients with recurrent urinary tract infections than in those without (mean glomerular filtration rate 45 vs 57 ml per minute per 1.73 m2 at 4 years after transplantation, p = 0.02). Conclusions: Bladder dysfunction did not predispose patients to recurrent urinary tract infections. Graft function declined with time in all patients but the rate of deterioration was faster in the group with recurrent urinary tract infections. References 1 : Urinary tract infections (UTI) after kidney transplantation. Transplant Proc1982; 14: 696. Google Scholar 2 : Urinary tract infections following renal transplantation. Transplant Proc1998; 30: 3140. Google Scholar 3 : Urinary tract infections after renal transplantation: a retrospective review at two US transplant centers. Clin Transplant2005; 19: 230. Google Scholar 4 : Incidence and timing of infections in pediatric renal transplant recipients in the cyclosporine era. Transplant Proc1994; 26: 64. Google Scholar 5 : High incidence of bacteriuria following renal transplantation in children. Nephrol Dial Transplant1998; 13: 432. Google Scholar 6 : Urinary tract infections beyond the early post-transplant period in pediatric renal graft recipients. Wien Klin Wochenschr2003; 115: 385. Google Scholar 7 : Pyelonephritis following pediatric renal transplant: increased incidence with vesicoureteral reflux. J Pediatr Surg1987; 22: 1095. Google Scholar 8 : Vesicoureteral reflux after kidney transplantation in children. Nephrol Dial Transplant2000; 15: 1852. Google Scholar 9 : Bladder dysfunction in children and adolescents after renal transplantation. Pediatr Nephrol2006; 21: 725. Google Scholar 10 : Lower urinary tract symptoms after renal transplantation in children. J Urol2006; 175: 297. Link, Google Scholar 11 : Association between urinary symptoms at 7 years old and previous urinary tract infection. Arch Dis Child1991; 66: 232. Crossref, Medline, Google Scholar 12 : Detrusor instability; day and night time wetting, urinary tract infections. Arch Dis Child2000; 83: 135. Google Scholar 13 : Standardization and definitions in lower urinary tract dysfunction in children. Br J Urol1998; 81: 1. Crossref, Medline, Google Scholar 14 : Urodynamics in normal infants and children. Scand J Urol Nephrol1988; 114: 20. Google Scholar 15 : Renal hemodynamics in minimal change nephrotic syndrome in childhood. Int J Pediatr Nephrol1982; 3: 187. Google Scholar 16 : Long-term follow-up of renal function in recipients and donors following pediatric kidney transplantation. Pediatr Nephrol2001; 16: 957. Google Scholar 17 : Better long-term functional adaptation to the child’s size with pediatric compared to adult kidney donors. Kidney Int2002; 62: 1454. Google Scholar Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Children’s Hospital, Karolinska University Hospital, Huddinge, Stockholm, Sweden© 2007 by American Urological AssociationFiguresReferencesRelatedDetailsCited byJahromi M, Velasquez M, Blachman-Braun R, Gosalbez R, Castellan M, Labbie A, Ciancio G, Chandar J and Alam A (2019) Pediatric Kidney Transplantation Outcomes in Children with Primary Urological Abnormalities Versus Nonurological Abnormalities: Long-Term ResultsJournal of Urology, VOL. 203, NO. 2, (406-412), Online publication date: 1-Feb-2020.Silva A, Rodig N, Passerotti C, Recabal P, Borer J, Retik A and Nguyen H (2010) Risk Factors for Urinary Tract Infection After Renal Transplantation and its Impact on Graft Function in Children and Young AdultsJournal of Urology, VOL. 184, NO. 4, (1462-1468), Online publication date: 1-Oct-2010.Öborn H and Herthelius M (2009) Lower Urinary Tract Symptoms in Children and Adolescents With Chronic Renal FailureJournal of Urology, VOL. 183, NO. 1, (312-316), Online publication date: 1-Jan-2010. Volume 177Issue 5May 2007Page: 1883-1886 Advertisement Copyright & Permissions© 2007 by American Urological AssociationKeywordsurinary bladderkidney transplantationurinary tract infectionsglomerular filtration rateurodynamicsMetricsAuthor Information Maria Herthelius More articles by this author Helena Öborn More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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